Category: Nursing homework help

Directions:
Ethical Issue Clinical Judgment Case Scenario
Nurse leaders and managers are responsible for the unit’s ethical and legal decisions.
Initial Post
Consider the examples provided below and describe how you would handle the experiences.
A manager is not granting pay to someone who worked overtime.
A nurse manager tolerating verbal abuse of another nurse.
Constantly short staffing the unit when there is high census.
A nurse not providing all of the patients information during shift report.
Favoring one staff over others.
Making a hiring or firing decision based on friendship.
Reply Post
Respond to at least one of your peers about their example that illustrates their interpretation of DECIDE. Expand on your peer’s ideas.

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.
When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.
In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.
To Prepare:
Review the Resources and reflect on the definition and goal of EBP.
Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
Explore the website to determine where and to what extent EBP is evident.
Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

Instructions
As a new nurse, you have had clients with Myasthenia Gravis (MG) and are concerned about their level of understanding of the disease process. You have taken on the task of developing a teaching pamphlet to provide clear discharge instructions including information on the disease, support resources, medication teaching, and signs and symptoms of Myasthenic Crisis. You will include the following information in the pamphlet.
Describe the disease process for MG.
List (2) local community resources available that can provide support such as:
Nutrition.
Transportation.
Psychosocial needs such as support groups.
Include medication administration instructions and the importance of timing of medication delivery.
Include signs of symptoms of Myasthenic Crisis and when to notify health care provider.
Write at least one paragraph to address each criteria. Check assignment grading rubric for assignment.

Use APA 7th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 3 pages, excluding cover page and reference page.
If any questions, please do not hesitate to contact me.
Patient with Otitis Externa
ZM is an 8-year-old male who is brought to the clinic by his mother for complaints of acute left ear pain. She has recently picked him up from a week-long stay at camp, and he stated his ear hurt so bad he was crying. When his mother looked at this ear, she noticed the outside canal was very swollen. He could not even touch his ear. His mother states: “He is never sick, and he never cries.”
Past Medical History
• All immunizations current
• No history of surgeries
• No history of allergies
• No history of significant illness
Medications
• Multivitamin, daily
• Occasional allergy medication with children’s loratadine
Physical Examination
• Pulse: 100; respiration rate: 22; temperature: 100.2 °F data scan
• Left ear canal swollen; unable to access with otoscope to observe tympanic membrane
• Swelling noted in lymph nodes below ear
• Ear is red and warm to touch
Diagnosis
• External otitis
Discussion Questions
1. What factors in ZM’s recent history should the clinician consider, and what additional questions should the clinician ask the mother?
2. What treatment options are indicated for ZM?
3. What patient teaching should the clinician provide?

Write a memo to your supervisor that provides some analysis as to how the culture in your unit/department differs from and creates friction with another unit/department. In your memo, please communicate these differences respectfully and show that, in considering the cultural differences between your unit(s)/departments, you recognize how these differences might provide opportunities for the organization.
Expectations
Initial Post:
Due: Thursday Midnight
Length: 150 – 250 Words

Explain your patient encounter, highlighting the challenges the situation presented, and briefly summarize the contents of your journal article.
What strategies did you employ to help handle the situation? What other strategies could you have used?
How did you advocate for the patient in the situation?
What are some of the legal and ethical implications that need to be considered when providing care for patients with depression resulting from illnesses or injuries or suspicious illnesses or injuries?

Promoting Change and Change Theory
As a new nurse leader, you have decided to make changes to the procedure for end-of-shift report because you have received many complaints that the report is time-consuming and has already caused frustration from the staff members. You inform the charge nurses that you would like to meet with them to get their input.
You start the meeting and begin speaking about the problems that the current method of giving end-of-shift report has caused and you would like to look at changing the method. Immediately there is a deluge of comments. One charge nurse states, ”why fix something that isn’t broken? I really don’t have time for this. I’ve worked here longer than you. Don’t you think we would have changed it before you got here?” She walks out of the meeting. The next charge nurse states, “I believe the process is really broken and I suggested changing awhile ago to a system we used at my previous job, but no one liked my idea. Now I am here wasting my time again.” [Note: you are aware of the suggestion made which you had reviewed and found out that this nurse had worked at a very large non-profit hospital and the cost to change to the suggested method was exorbitant. Your hospital is a small, for-profit hospital and there would never be funding for such a proposal]. Another nurse states, “let’s get on with this and decide. I really believe that you should decide for everyone how we are going to do it in the future because you are in charge and you should make all the decisions.”
Questions:
A) How would you handle each of the charge nurses and their comments?
B) What kinds of issues will need to be dealt with in the future in relation to change theories?
Instructions:
Read the information above and then, answer the questions above…
Your pap should be:
One (1) page
Typed according to APA Writing Style for margins, formatting and spacing standards.
Typed your pap in a Microsoft Word document, save the file, and then upload the file.

INTRODUCTION
As European powers attempted to colonize new territories in Asia, they were immediately met with resistance from local people and rulers. Although European colonizers were successful in their conquest, it did not mean the end of resistance to their rule. New opposition leaders emerged, armed with various strategies and motivated by different ideologies to fight the European colonizers and achieve independence. However, they also faced challenges brought by the struggle for global dominance between the Soviet Union and the United States during the Cold War. This new challenge was met in different ways by people determined to maintain their freedom and resist foreign intervention.
In this task, you will examine the origins of the independence movements in India and Vietnam and the ideologies that influenced them. You will also compare the strategies used by the leaders of these movements. Lastly, you will examine the effects of the Cold War on these two nations.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).
A. Analyze the factors that influenced the independence movement in India (suggested length of 1–2 pages) by doing the following:
1. Describe the origins of the Indian independence movement.
2. Explain the influence of one ideology on the Indian independence movement.
3. Describe the effects of the Cold War on India.
B. Analyze the factors that influenced the independence movement in Vietnam (suggested length of 1–2 pages) by doing the following:
1. Describe the origins of the Vietnamese independence movement.
2. Explain the influence of one ideology on the Vietnamese independence movement.
3. Describe the effects of the Cold War on Vietnam.
C. Examine the similarities and differences of the Indian and Vietnamese independence movements (suggested length of 1/2–1 page) by doing the following:
1. Describe one similarity in the strategies of the leaders of both movements.
2. Describe one difference in the strategies of the leaders of both movements.
D. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
E. Demonstrate professional communication in the content and presentation of your submission.

One of the many problems with fallacious reasoning is that it often seems reasonable. Politicians and advertisers can often take advantage of that to get us to agree with them when they are using (intentionally or otherwise) fallacious reasoning.
Consider the old piece of advertising above. When this ad was used, doctors were among the most highly-respected professionals in a community. Their opinions were often held as being more important or better than those of other people, even in subjects for which they were not experts. This is an example of an argument from authority fallacy, suggesting that because doctors are respected professionals, their opinion on cigarette brands should be respected as well.
Initial Post:
Find an example of a logical fallacy in an advertisement. Print ads or video ads can be used, and either the ad itself or a link to a video ad should be included in your discussion.
What fallacy (or fallacies) is being used in the advertisement? Explain specifically how the fallacy is being used and what effect this might have on a viewer.
How could the advertiser make the same argument without using fallacious reasoning?
Is this advertising technique dishonest?

Understanding the differences between the clinical presentation of depression in older and younger adults is essential when attempting to identify the exact cause of its manifestation. In the older population, for example, depression is commonly mistaken for dementia due to similar characteristics that are displayed between both conditions. More importantly, as practitioners, we must remember that the treatment approach is different for depression and dementia, making it a priority to perform an in-depth assessment for each client. Tetsuka (2021) lists the signs and symptoms of geriatric depression as increased anxiety and irritability, somatic and psychological complaints, sleep disturbance, and sometimes suicide attempts. Interestingly enough, the feature of a depressed mood and psychomotor retardation is not always seen; however, a decrease in interest and pleasure appears to be prominent (Tetsuka, 2021). With all this being said, an important term to familiarize ourselves with is that of pseudodementia or depression-related cognitive dysfunction. Although it is not considered a diagnosis, pseudodementia helps us understand that the cognitive decline in older adults is not merely a direct result of neurodegenerative diseases but that underlying psychiatric etiology very well can be the dominant cause of their change in behavior and or personality (Brodaty & Connors, 2020).
Younger adults seem to display depressive symptoms in other ways. It usually stems from the transition to adulthood, struggles with identity, stress from both social and occupational areas, and the increase in their responsibilities and obligations in everyday life (Othman & Jaafar, 2020). However, they may also present with similar complaints as how older patients who have depression do, and therefore consideration should be placed on the biopsychosocial factors that have a significant impact on an individual’s overall physical, mental, and emotional health. Symptomology of depression includes anhedonia, feeling sad, empty, or hopeless, sleep disturbances, difficulty concentrating, and feelings of guilt and worthlessness (American Psychiatric Association, [APA], 2013). Looking at it from a biopsychosocial perspective, one can understand the interconnectedness present from frameworks dealing with genetics, neurology, immunology, psychology, and sociology (Remes, Mendes, & Templeton, 2021). When comparing the different etiologies and clinical presentation of depression between older and younger adults, the undeniable truth is found at the core of their internal and external environments. In this case, emotional responses to specific life events and stressors will be presented in various ways, requiring the clinician to assess their clients and provide the best treatment options on a case-by-case basis.
In reference to the question regarding a person’s right to drive when they have dementia, I find that it depends on the severity of their cognitive impairment. Nevertheless, I would still lean towards that it would be a huge risk not just to the individual driving but other people on the road. Personal and public safety should take precedence while attempting to preserve a person’s independence, connection to the outside world, and quality of life (Stasiulis et al., 2020). While researching this topic, I came upon a study that utilized an assessment strategy to assess/predict the fitness to drive in patients with Alzheimer’s disease, vascular dementia, frontotemporal dementia, and dementia with Lewy bodies. Each type of dementia involves different cognitive and functional impairments within memory, language, behavior, and visuospatial contexts (Piersma et al., 2018). The assessment strategies in the study were split into three categories: a clinical interview, a neuropsychological assessment, and driving simulator rides. Results showed that about half of the individuals failed the on-road driving assessment making more errors and are at higher risk for unsafe driving. Furthermore, although the neuropsychological assessment was deemed useful in predicting their fitness to drive, initial clinical interviews displayed limited use, possibly due to the lack of the individual’s insight into their own abilities.