Category: Nursing

Betty, the chief nursing officer, had to make a decision about buying 120 new hospital beds for patient rooms. After she interviewed nurse managers at the units where the beds were going to be placed, Betty compiled her findings and decided to contact a well-known equipment company to obtain prices and contracts. The equipment company’s executive salesperson, Jim, discussed options at length with her and invited her and her significant other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in Hawaii to see demonstrations of the beds and to hear a comprehensive sales pitch. Betty thought to herself, “We badly need some relaxation and stress relief. Hawaii would be so much fun. Would it be wrong for us to go?”
If you were Betty, what would you do? Give your rationale. Justify your answer with an ethical framework—a theory, approach, or principle.
Do you consider this situation a conflict of interest? Why or why not? Give your rationale.
What policies, if any, should be in place regarding a scenario such as this one? Do you have any such policies in place at work for similar situations? Do such policies impact day-to-day activities in any way? Explain.

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:
The role genetics plays in the disease.
Why the patient is presenting with the specific symptoms described.
The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
The cells that are involved in this process.
How another characteristic (e.g., gender, genetics) would change your response.
27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient’s roommate. The roommate states that he does not know how long the patient had been lying there. The patient received naloxone in the field and has become responsive. He complains of burning pain over his left hip and forearm. Evaluation in the ED revealed a large amount of necrotic tissue over the greater trochanter as well as the forearm. EKG demonstrated prolonged PR interval and peaked T waves. Serum potassium level 6.9 mEq/L.

Week 8 Assignment
Scenario : 74-year-old male with a history of hypertension and smoking, is having dinner with his wife when he develops sudden onset of difficulty speaking, with drooling from the left side of his mouth, and weakness in his left hand. His wife asks him if he is all right and the patient denies any difficulty. His symptoms progress over the next 10 minutes until he cannot lift his arm and has trouble standing. The patient continues to deny any problems. The wife sits the man in a chair and calls 911. The EMS squad arrives within 5 minutes. Upon arrival in the ED, patient‘s blood pressure was 178/94, pulse 78 and regular, PaO2 97% on room air. Neuro exam – Cranial nerves- Mild left facial droop. Motor- Right arm and leg extremity with 5/5 strength. Left arm cannot resist gravity, left leg with mild drift. Sensation intact. Neglect- Mild neglect to left side of body. Language- Expressive and receptive language intact.
Mild to moderate dysarthria. Able to protect airway.
Please do a 1 page case study analysis. In your Case Study Analysis related to the scenario provided, explain the following:
• Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.
• Any racial/ethnic variables that may impact physiological functioning.
• How these processes interact to affect the patient
Osmosis.org. (2019, June 12). Osteoporosis – causes, symptoms, diagnosis, treatment, pathologyLinks to an external site. [Video file]. Retrieved from https://www.youtube.com/watch?v=jUQ_tt_zJDo Note: The approximate length of the media program is 9 minutes.
Khan Academy. (2019b). Ischemic strokeLinks to an external site.. Retrieved from https://www.khanacademy.org/science/health-and-medicine/circulatory-system-diseases/stroke/v/ischemic-stroke Note: The approximate length of the media program is 8 minutes.
ANSWER
**Case Study Analysis**
In the presented scenario, a 74-year-old male with a history of hypertension and smoking experiences sudden-onset symptoms, including difficulty speaking, drooling from the left side of his mouth, and weakness in his left hand. These symptoms progress, eventually affecting his ability to stand. The analysis of this case involves understanding the neurological and musculoskeletal pathophysiologic processes, considering potential racial/ethnic variables, and how these processes interact to affect the patient.
**Neurological Pathophysiology:**
1. **Ischemic Stroke:** The patient’s sudden onset of symptoms, including difficulty speaking, facial droop, and weakness, is indicative of an ischemic stroke. Ischemic strokes occur when blood flow to a part of the brain is blocked. In this case, the patient’s history of hypertension and smoking likely contributed to atherosclerosis, leading to the formation of a clot in a cerebral artery, causing the stroke. The affected area of the brain leads to the development of specific neurological deficits, such as difficulty speaking and weakness (Khan Academy, 2019b).
**Musculoskeletal Pathophysiology:**
1. **Hemiparesis:** The patient’s weakness in his left hand and leg, with the left arm unable to resist gravity, suggests hemiparesis. Hemiparesis results from damage to the motor areas of the brain, causing muscle weakness on one side of the body. In this case, the patient’s left-sided weakness is likely due to the impact of the ischemic stroke on the motor cortex.
**Racial/Ethnic Variables:**
While the scenario does not specify the patient’s racial or ethnic background, it is essential to consider that certain racial/ethnic groups may have a higher risk for stroke due to various factors, including genetics, lifestyle, and access to healthcare. African Americans, for example, have been shown to be at a higher risk of stroke due to higher rates of hypertension, which may be influenced by genetic factors (Ovbiagele, 2020). Understanding these variables can help tailor the treatment and preventive strategies to the patient’s specific needs.
**Interactions and Effects:**
The neurological and musculoskeletal pathophysiological processes in this case interact to affect the patient significantly. The ischemic stroke causes damage to specific areas of the brain, resulting in neurological deficits such as facial droop, difficulty speaking, and hemiparesis. The left-sided weakness and neglect are direct consequences of the brain’s reduced blood supply. The patient’s ability to communicate is impaired due to the damage to language centers, leading to mild to moderate dysarthria.
In summary, the patient’s presentation of symptoms, including difficulty speaking, drooling, and left-sided weakness, is consistent with an ischemic stroke, likely related to his history of hypertension and smoking. Understanding the pathophysiological processes and potential racial/ethnic variables is crucial for effective management and tailored care for the patient.
References:
Khan Academy. (2019b). Ischemic stroke. Retrieved from https://www.khanacademy.org/science/health-and-medicine/circulatory-system-diseases/stroke/v/ischemic-stroke
Ovbiagele, B. (2020). Stroke in African Americans: A more aggressive and recurrent form of cerebrovascular disease. Current Cardiology Reports, 22(7), 1-6.

Week 8
Reflection on Learning and Practice Readiness
Discussion
PurposeThe purpose of this discussion is to reflect on your own readiness to practice as a DNP-prepared nurse and consider what you learned in this course and how this knowledge will impact your practice.
InstructionsEach week, you have been reminded that reflective inquiry allows for expansion of self-awareness, identification of knowledge gaps, and assessment of learning goals. As you reflect on your own readiness to practice as a DNP-prepared nurse, it is important to consider what you learned in this course.
As you review the course outcomes and your experience in this course, address the following:
Analyze and evaluate how your thinking was challenged in this course related to transformational leadership to influence contemporary organizations
Considering this new knowledge, examine how this learning prepares you to practice collaboratively as an innovative DNP-prepared nurse.
Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:
Link (webpage): DNP Discussion Guidelines
Program CompetenciesThis discussion enables the student to meet the following program competences:
Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
Appraises current information systems and technologies to improve health care. (POs 6, 7)
Creates a supportive organizational culture for flourishing collaborative teams to facilitate clinical disease prevention and promote population health at all system levels. (PO 8)
Course OutcomesThis discussion enables the student to meet the following course outcomes:
Compare and contrast theories of organizational behavior and leadership. (PCs 2, 4; PO6)
Investigate the role of advanced nursing practice in innovation and transformation to propose solutions impacting healthcare systems. (PCs 2, 4; PO 6)
Differentiate attributes of effective leaders and followers in influencing healthcare. (PCs 2, 4; PO 6)
Assimilate attributes for interprofessional collaboration across healthcare settings. (PC 6; PO 8)
Formulate selected strategies for leadership and influence across healthcare systems. (PC 6; PO 8)

INSTRUCTIONS: INSTRUCTIONS NOT FOLLOWED:
The topic is still nurse retention and recruitment:
Per Instructors feedback is as follows:
The way this paper was written is too broad. It needs to narrow down to my area. So which means to focus on the central valley (CA) since I am from Fresno CA. per instructor different cultural backgrounds could also be discussed based off of central valley.
She said it could even be narrowed down to acute care settings.
per instructor ratios cannot be focused on. cannot focus on nurse patient ratios.
per the instructor stick to one main intervention (fostering individualized nursing mentorship and self scheduling) because there is alot that can be talked about here and researched about.
Total of sources still remains: 10 to 12.
Please still review the guiding questions on the original instructions attached to make sure all parts are covered.
Comments from Customer
PREVIOUS PAPER INSTRUCTIONS (#502431358): I am currently an RN working in the central valley. for this capstone project, I would like my topic to be anything related to NURSE RETENTION AND RECRUITMENT. please follow all instructions and guiding questions attached.

1. Read the article entitled: “Collaborative Decision Making: Enpowering Nurse Leaders”
2. Answer the following questions about the article.
3. a) What is the MBTI and what does it measure?
b) How is the MBTI tied in with the decision making process that leaders undergo while trying to lead the members of an organization
4. Your paper should be:
-One (1) page typed according to APA style for margins, formatting and spacing standards
-Typed into a Microsoft Word document, save the file, and then upload the file

70 Typhon encounters are required this semester. You must input an ‘encounter’ in your Typhon account for all patients that you see during the clinical experience. I will review and approve these entries.
What type of encounters do/do not count for Women’s Health Clinicals:
The FNP student clinical guide states –
Students should focus on assessment and management of health and diseases specific to women across the lifespan. Health care providers often assess women’s healthcare related to anatomical parts that society perceives as making them female. Other woman’s healthcare related issues, both physical and psychosocial, may also be evaluated in the healthcare setting.
So, when reviewing an encounter, I ask “are any of the issues in this visit SPECIFIC to women”? If yes, then it will count and if not then it will not count.
This same standard applies to visits for lab reviews and/or physicals – unless they include specific women’s health items, then they will not count.
Visits for chronic conditions, like diabetes or hypertension, will not count since these diseases are not specific to women. However, thyroid conditions will count – even though they aren’t only seen in women – because many GYN providers manage mild hypothyroidism.
If you are seeing a hypertension or other chronic disease follow up and you can include health maintenance information that IS specific to women’s health, like “due for mammogram – ordered, or coming in for a hip fracture when the patient is postmenopausal and documenting in their plan that they are going to get a DEXA – then these encounters will count, because they have included women’s health specific items into a normal visit.
file:///Users/odedeyal/Downloads/NU611%20Ty
information needed per patient: age, sex, race, reason for visit, chief complaint, ICD-10 code, CPT billing code, HPI. I need this information for 70 patients and it needs to be related and based on the information I provided in the instructions.

Application essay for scholarships. 500-750 words. Nursing field and why I deserve this scholarship. 18yrs history in medical field, love for children, 36 and finally making it back to school after 18 yrs graduating high school.

identify your state NP association and the current political action initiatives they are currently working on. State professional organizations will have an advocacy team working on the state initiatives determined by the organization, so look for an advocacy tab, political action coalition (PAC) tab, or policy issues tab on the home website. https://www.texasnp.org/
How do these issues restrict your practice and how will your practice change if these issues are resolved?
Identify your role in addressing these political movements.
If your state NP association does not have any political action initiatives, look at either a national professional organization’s political initiatives, such as AANP, or a state health initiative, such as immunization rate, obesity rate, texting laws or the like and complete the same instructions.
1 page

The assignment contains the following and the below can be used to help answer each criteria area of the worksheet. Do not copy and paste the information below into your RRL worksheet. After reading the required research article, think about the research study and include what you learned from reading the study using your own words.
Purpose of the Study: Using information from the required article and your own words, thoroughly summarize the purpose of the study. Describe what the study is about. Thoroughly summarize and include excellent details for the criteria.
Type of Research & the Design: Using information from the required article and your own words, thoroughly summarize the descriiption of the type of research and the design of the study. Include how it supports the purpose (aim or intent) of the study. Thoroughly summarize and include excellent details for the criteria.
Sample: Using information from the required article and your own words, summarize the population (sample) for the study; include key characteristics, sample size, sampling technique. Thoroughly summarize and include excellent details for the criteria.
Data Collection: Using information from the required article and your own words, summarize one data that was collected and how the data was collected from the study. Thoroughly summarize and include excellent details for the criteria.
Data Analysis: Using information from the required article and your own words, summarize one of the data analysis/tests performed or one method of data analysis from the study; include what you know/learned about the descriiptive or statistical test or data analysis method. Thoroughly summarize and include excellent details for the criteria.
Limitations: Using information from the required article and your own words, summarize one limitation reported in the study. Thoroughly summarize and include excellent details for the criteria.
Findings/Discussion: Using information from the required article and your own words, summarize one of the authors’ findings/discussion reported in the study. Include one interesting detail you learned from reading the study. Thoroughly summarize and include excellent details for the criteria.
Reading Research Literature: Summarize why it is important for you to read and understand research literature. Summarize what you learned from completing the reading research literature activity worksheet. Thoroughly summarize and include excellent details for the criteria.
Use APA in-text citations. No more than two direct quotes can be used.
please use worksheet