This course focuses on methods of health history taking, physical examination skills, documentation, and health promotion strategies. The course emphasizes the individual as the client, health patterns across the lifespan, community resources, and the teaching-learning process. Instructor Contact Information SEND MESSAGE
You are a population health nurse working with congestive heart failure clients (greater than the age of 65) who receive services from your hospital. From a population health management perspective, identify services and interventions that address the health needs of this particular population. Your exploration of this particular population should include cost-effective interventions that address health promotion and illness prevention, risk management, care coordination, and disease management.
Implementation of a psychoeducational program for cancer survivors and family caregivers at a cancer support community affiliate: A pilot effectiveness study. Cancer Nursing, 39(3), 169-180. Dockham, B., Schafenacker, A., Yoon, H., Ronis, D. L., Kershaw, T., Titler, M. G., & Northouse, L. (2016).
1. What was the overall topic of the evidence-based practice change?
2. Describe some of the members of the evidence-based practice team and the types of collaborations they built to support this study.
3. Who, if anyone, would you identify as “stakeholders” in the evidence-based practice team?
4. Was the best available evidence retrieved? If so, which strategies were used?
5. What was the approach for grading the quality of the individual evidence and strength of the body of evidence?
6. Was the research evidence (existing clinical practice guidelines, systematic reviews [including meta-analyses and/or metasyntheses], and primary sources/individual research studies)
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critiqued?
7. Was the research evidence synthesized? What were the evidence-based practice change recommendations?
8. Was the evidence-based practice change written in detail?
9. How was the decision to make the evidence-based practice change supported?
10. Is a method for evaluating the feasibility of the evidence-based practice change identified?
11. Was the evidence-based practice change evaluated? Was it successful?
12. What were the strategies used by the evidence-based change team to promote the adoption of the evidence-based practice change?
Think of a time when you encountered a challenge in the care of a patient related to a patient’s culture. This challenge could even be an ethnoreligious culture or generational culture.
Please review the video from TeamSTEPPS and answer the questions below.
https://www.ahrq.gov/teamstepps/lep/videos/opportunity/index.html
The nurse is caring for a client on the first day of postoperative for a descending aortic aneurysm repair. Which assessment finding should the nurse prioritize reporting to the healthcare provider?
a.Serum potassium 4.8
b.Urine output 30ml/hr
c. Electrocardiogram ST Segment elevation
d.BP 130/80
21. A client who is admitted to the intensive care unit is manifesting signs of an acute Addisonian crisis. The nurse is observing the clients, a hemodynamic monitor, as the client becomes tachycardic and hypotensive. Which intervention is most important for the nurse to implement?
a.Access invasive lines using sterile gloves and sterile transport dressing
b.Administer all dietary supplements with meals
c. Perform passive exercises and ROM
d.Notify HCP of cardiac output less the 3.9
24. When assessing an adult client on a mechanical ventilator, the nurse notes that the client becomes restless has diminished to absent breath sounds on the right side and the right side of the clients chest is not expanding equally to the left side. Based on these assessment findings, which analysis should the nurse formulate?
a.The endotracheal tube has slipped into the esophagus
b.A tension pneumothorax has occurred.
c. The ventilator is malfunctioning
d.The client developed pneumonia
25. An adult client is transported via ambulance to the emergency department following a motorvehicle accident . On arrival the client complains of severe upper back pain. The vital signs are: Temp 98.6, HR 145 bpm, resp 26 and BP 70/40. Which change in assessment findings indicate the clients condition is deteriorating?
a.Oxygen sat 90%
b.Glascow coma score 15
c. HR 40 bpm
d.Resp 34 breaths/min
27. Following a CABG, an older client with COPD is being maintained on mechanical ventilation. Which action should the nurse implement to prevent ventilator-associated pneumonia?
a.Maintain the head of the bed at 45 degree elevation
b.Instill sterile saline in endotracheal tube before suctioning
c. Schedule q4 hour bronchodilator nebulizer treatment
d.Set FIO2 to deliver 100% oxygen concentration
28. The nurse assess a male client postoperatively who has an arterial line in the radial artery. Assessment findings include pallor, paresthesia, and slow capillary refill in the client’s right-hand fingers. What action should the nurse plan?
a.Elevate the clients right arm
b.Perform allen test
c. Flush the line with heparinized saline
d.Notify HCP
Note:- Please give short explanation/rational why the answer is correct
Research health care legislation that is being considered in your state. What impact might this legislation have on your future practice? What impact does it have on the collective practice of nurses in your state? How do you envision yourself potentially becoming involved in political advocacy for the profession in your future practice?
A 30-year-old woman is in the clinic for her yearly gynecologic checkup. She is not pregnant but would like to have children soon and states that she and her husband are trying to conceive. She says that she is “very concerned” about her health, and watches her diet and exercises regularly to stay in shape.
She has a family history of heart disease but no other health concerns. Her physical assessment reveals no abnormalities or health problems.
She is taking:
To fulfil requirements for payment, record health assessment data succinctly, accurately, and logically. Concisely and methodically conduct a comprehensive physical, psychological, developmental, and cultural examination.
To start creating a patient plan of treatment, carefully examine the results of the physical examination and the interview data.
Manage communication with patients, other healthcare professionals, and other stakeholders in an effective manner while being sensitive to gender and cultural variations.
When providing clinical preventive and health promotion treatments and/or services to individuals, families, communities, and aggregates/clinical populations, develop patient-centred and culturally sensitive techniques.
Through the use of nursing science and other scientific principles, advance equitable and effective preventative services and promote efficient population-based health policy.
Analyze how the course supported each of the learning objectives for that particular learning objective.
Describe how the knowledge gained in this course, in light of its objectives, will be useful for achieving certification and in the workplace.
Explain the role of health education in health promotion. How is the nursing process used in developing health education? Describe a contemporary issue, local or global, that a family may experience today. What steps would the nurse take to address these as part of a health education plan?
Describe the main ideas of Leininger’s Theory of Culture Care Diversity and Universality (should include the assumptions under which the theory operates)
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