Category: Nursing homework help

Gastrointestinal Function:
R.H. is a 74-year-old black woman, who presents to the family practice clinic for a scheduled appointment. She complains of feeling bloated and constipated for the past month, some-times going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation. Furthermore, she reports frequent heartburn (3–4 times each week), most often occur-ring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend’s advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise.
Case Study Questions
In your own words define constipation and name the risk factors that might lead to develop constipation. List recommendations you would give to a patient who is suffering from constipation. You might use a previous experience you might have.
Based on the clinical manifestations on R.H. case study, name and explain signs and symptoms presented that are compatible with the constipation diagnosis. Complement your list with signs and symptoms not present on the case study.
Sometimes as an associate diagnosis and a complication, patients with constipation could have anemia. Would you consider that possibility based on the information provided on the case study?
Endocrine Function:
C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone.
Case Study Questions
In which race and ethnic groups is DM more prevalent? Based on C.B. clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.
If C.B. develop a bacterial pneumonia on her right lower lobe, how would you expect her Glycemia values to be? Explain and support your answer.
What would be the best initial therapy non-pharmacologic and pharmacologic to be recommended to C.B?
Submission Instructions:
Include both case studies in your post.
Your initial post should be at least 250 words per case study, a total of 500 words for both, formatted and cited in current APA style with support from at least 2 academic sources per case study. Your initial post is worth 8 points.
You should respond to at least two of your peers, by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response before 11:59 PM ET Thursday, and comment on the posts of two classmates before 11:59 PM ET Sunday. NB: Responses to peers can be done on the same day, but not on the day the initial post is made.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these challenges.

The purpose of this assignment is to examine noncompliance of security policies and possible ways to handle these violations. In addition, students will develop a security policy document, called Rules of Behavior, in order to clarify the security policies.
Prompt
The chief information security officer (CISO) reaches out to you again and complains about the interns who appear to be violating many security policies. They do not lock their workstations, download illegal music, connect their personal devices to the organization’s computers, spend too much time on social media, and even download pornography to the organization’s computers. The CISO asks you to address these violations by developing two-page security document (Rules of Behavior) stating at least 15 rules about what activities employees are not allowed to conduct on the network. See the Department of Justice RoB template as a sample. Additionally, write three supplementary paragraphs to discuss what types of training should occur in order to keep these violations from occurring in the future. How can you proactively aim for compliance with these behaviors?
Specifically, the following critical elements must be addressed:
Address violations committed by the interns.
State at least 15 rules about network conduct.
Propose future training possibilities with three supplementary paragraphs.
Discuss how businesses can aim for compliance with behaviors.
ANSWER
**Rules of Behavior for Network Conduct**
**Addressing Violations Committed by Interns**
The interns’ violations of security policies are serious and could have a number of negative consequences for the organization, including:
* **Data breaches:** If interns download illegal music or pornography, or connect their personal devices to the organization’s computers, they could inadvertently introduce malware or viruses that could compromise sensitive data.
* **Productivity loss:** If interns spend too much time on social media or other non-work activities, they could be less productive and could miss deadlines.
* **Damage to reputation:** If interns violate security policies and their actions are discovered, it could damage the organization’s reputation and make it less attractive to potential customers and partners.
**Rules About Network Conduct**
The following are 15 rules about network conduct that employees should be required to follow:
1. Keep all workstations locked when unattended.
2. Do not download illegal music, movies, or software.
3. Do not connect personal devices to the organization’s computers without permission.
4. Do not use the organization’s network for personal use, such as social media, shopping, or gaming.
5. Do not open suspicious emails or attachments.
6. Do not click on links from unknown senders.
7. Use strong passwords and change them regularly.
8. Report any suspicious activity to the IT department immediately.
9. Be aware of the organization’s Acceptable Use Policy and follow all applicable rules and regulations.
10. Do not use the organization’s network to access or transmit child pornography or other illegal content.
11. Do not use the organization’s network to harass or bully other employees or customers.
12. Do not use the organization’s network to spread malicious code or viruses.
13. Do not use the organization’s network to violate the privacy of other employees or customers.
14. Do not use the organization’s network to engage in any activity that could damage the organization’s reputation or violate its intellectual property rights.
15. Abide by all other rules and regulations set forth by the organization’s IT department.
**Future Training Possibilities**
To help prevent future violations of security policies, the organization should provide employees with regular training on network security best practices. This training should cover topics such as:
* The importance of strong passwords and password management
* How to identify and avoid phishing emails
* How to protect against malware and viruses
* How to report suspicious activity
* The organization’s Acceptable Use Policy and other relevant rules and regulations
In addition to general security training, the organization could also provide more specialized training to certain groups of employees, such as interns. This training could focus on specific areas of security that are relevant to the interns’ job duties.
**Proactive Compliance**
The organization can proactively aim for compliance with security behaviors by implementing a number of measures, such as:
* **Regularly auditing employee activity:** The IT department should regularly audit employee activity on the network to identify any suspicious or unauthorized activity.
* **Implementing technical controls:** The IT department should implement technical controls, such as firewalls and intrusion detection systems, to help protect the network from unauthorized access and attack.
* **Creating a culture of security awareness:** The organization should create a culture of security awareness by emphasizing the importance of security in all aspects of the workplace. This can be done through training, communication, and rewards and recognition programs.
By taking these steps, the organization can help to ensure that its employees are aware of and following security policies. This will help to protect the organization’s data and systems from unauthorized access, attack, and misuse.

Describe your clinical experience for this week at a women’s health clinic.
Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.
Submission Instructions:
Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Journal entry to reflect the theory models & educational tools used for community health nursing.
1. What theory models would be appropriate for a community setting, name two.2. What educational tools used by the theory of your choice (question 1) appropriate to the community? 3. What did you do this week regarding your clinical practicum/Sentinel city assignments.4. Students must complete Sentinel City assignment on Home Safety assessment and Family Assessment.

What do you think are the barriers to professional socialization?
How do you think different environments might foster or hinder professional socialization?
How do you think that personal characteristics of professionals might influence professional socialization?

In this written assignment, you have the opportunity to share your thoughts about how to deliver client-centered culturally competent care and work collaboratively with others.
The Case of Mrs. G.
Mrs. G. is a 75 year old Hispanic woman who has been relatively well all of her life. She had been married for 50 years and had five children. Her children are grown with families of their own. All but one of her children live in other states. Mrs. G.’s husband passed away last year, which was devastating for her. She had been very close to him and relied upon him for everything. He was “the life of the party” she always said and was a loving and caring man. Since his passing, Mrs. G. has continued to live in the house they shared for 35 years. In the last month, Mrs. G. has fallen twice sustaining injuries, though minimal. Her home health nurse comes weekly to check in on her. Mrs. G. likes her very much and wishes she could come more often. Mrs. G.’s daughter who lives in the next town over, has been worried and decided with the urging of her siblings and the doctor to start looking for an assisted living facility for her mother. She found one last week and talked with the Director who said she would be happy to help in whatever way was best. The daughter decided to tell her mother that it was time for her to move, so she can be cared for and be safe. When she told her mother, Mrs. G. cried and said, “This will not happen ever. I plan to stay in this house of loving memories for the remainder of my life.”
In 3 – 4 pages answer the following questions:
How would you best describe Mrs. G.’s feelings about her life, her family, her traditions, and her future?
Did Mrs. G.’s response to her daughter surprise you? Please explain your answer.
In what way do you believe her culture might be influencing her decision?
If you were Mrs. G.’s daughter what would you say to her that shows you are caring and have compassion for her situation? What nonverbal communication would support that level of communication?
Suppose Mrs. G. stands firm about not leaving her house. What resources and collaborations might be available and helpful so the daughter and other healthcare providers can keep her mother safe and make the most effective decision?
References are required, and should be in APA format, 7th edition. (these are required even if you are only using your textbook)

AIDS (Acquired Immunodeficiency Syndrome)
The patient, a 30-year-old homosexual man, complained of unexplained weight loss, chronic diarrhea, and respiratory congestion during the past 6 months. Physical examination revealed right-sided pneumonitis. The following studies were performed:

Diagnostic Analysis: establish a diagnostic analysis of this case supported by a clinical guideline :
-summary of signficiant clinical data
– create a diagnostic rationale of the case including diagnosis and clinical data that support it

Critical Thinking Questions
1. What is the relationship between levels of CD4 lymphocytes and the likelihood of clinical complications from AIDS?
2. Why does the United States Public Health Service recommend monitoring CD4 counts every 3 to 6 months in patients infected with HIV?

Purpose of the assignment: evaluate 2 professional and/or consumer health websites.
According to recent studies, due to its accessibility and “easiness” patients are using the Internet as the second source of health information after physicians, (HON, 2014). In light of this, it is important that nurses are able to identify reliable, accurate online sources for health teaching their clients or when referring clients to resources for further information.
The Health on the Net (HON) Foundation has developed a code of conduct to standardize the reliability of health information. The HON code defines a set of eight (8) principles to maintain basic ethical standards. These include: Authoritative, Complementarity, Privacy, Attribution, Justifiability, Transparency, Financial Disclosure and Advertising Policy. The definitions of these terms can be found in the course shell to apply to the assignment.
Students are required to choose a specific health related topic and then research it using two (2) websites of their choice.
Choose a topic that interests you from the following; Post Partum Depression, Thyroid Cancer, Meningitis, Depression, Congestive Heart Failure, Asthma, Diabetes
Use the template provided, as instructed. The form will expand to contain as much information as you wish to put in your information
Research each of the websites to identify the eight HON principles. A title page and reference page is required with this assignment and is included with the template.
Answer the questions in the table as instructed on the form.
The answer to Question #3 must include a proper APA citation of the textbook in Texidium and identification of your websites you used to compare the website information. There are resources on eConestoga to assist you with properly formatting the APA citation.
The last question is NOT about the topic that you selected, it is about using the internet to locate valid websites and applying it with evidence to nursing practice. Take this into consideration when constructing your answer to the final question.
When complete, submit your work in the assignment box on eConestoga.
At 11:59 PM on the DUE date.
Only certain files are acceptable to assignment drop box. Acceptable for this assignment is MS Word,. If you are using Mac (Apple) software it is your responsibility to convert your assignment to an acceptable format.
This assignment is worth 20% of the final course grade. Please review the rubric prior to beginning this assignment, as it will be graded according to this rubric.
Learning Outcomes: After completing this assignment the student will be able to:
Information Literacy
Examines and compares information from various sources in order to evaluate reliability, validity, accuracy, authority, timeliness, and point of view or bias.
Evaluate the validity and reliability of websites providing health information.
Explain how knowledge of web validity can enhance patient health and health literacy.

Assignment Content
There activities, in Week 2 Course Content, will help you to complete this assignment:
How to Complete a Handout
How to Complete the Historical Report on Myths Assignment
You and your friend volunteer at your local library. You are planning a special program on mythology and its relevance in the modern world for a visiting group of seventh graders.
This assignment will allow you to demonstrate how effectively you can compare and contrast mythological themes common among various cultures (Course Learning Outcome #1).
Write a 525- to 700-word student handout in which you answer the following questions:
How is the word myth used in popular culture? For example, what does the statement, “It’s a myth” mean? In contrast, how is the word myth used in the academic context?
What are the most common mythological themes across different cultures?
Why do myths from different cultures around the world address such similar or universal themes? Think about how myths explain the unknown and the tribulations of humankind.
What are creation myths, and what purpose do they serve? What similar themes appear in creation myths across cultures?
Please paste each question above your response to it. This will help me to know to which question you’re responding. The questions which are pasted above your responses do not count toward the word count for the assignment responses.
Include a reference page at the end of your handout. Use a citation generator, such as the Reference & Citation Generator in the Center for Writing Excellence, for guidance on formatting your reference list using APA format. Don’t worry about perfection. If you make a mistake, your faculty member can help, so please let your faculty member know if you have any questions.