A Profound intellectual disability

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Bobby has a profound intellectual disability. He is unable to properly articulate his thoughts. One day, he was having back pain, and since he cannot properly communicate he starts screaming and shouting at his care Below are hypothetical scenarios showing behaviours of concern. Determine what factor is contributing to the behaviour of concern in each scenario. Select if the factor is:
Physical
Emotional
Environmental
Medication.

Giving a back massage to an elderly person

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In giving a back massage to an elderly person, you should a) Warm the rubbing alcohol in your hands, Rub vigorously for one minute.
Place the person comfortably in supine or a side-lying
Massage genity from just bidow the waist to the position shoulders

A Self-assessment of leadership skills

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Perform a self-assessment of leadership skills, reflect on the outcome of that assessment, create a plan for growth, and explore how technology and diversity impact leadership skills.
Not all work processes are properly designed for effective use by true high-performance teams. (E.g. Great teamwork is not one member working and three others watching.) What are the key aspects of the processes that make for a true high-performance team?
The natural path from (groups to teams to high-performance teams) seems to include a change in the manager’s role. What is it about true high-performance teams that seem to require less from the manager and more self-management and self-designing from the team members?
The number one interpersonal skill needed for good team membership is defined as “listening skills.” Dig deeper into your personal experiences to identify, at a deeper level, the key behaviors needed to develop better listening skills. (E.g., It is easy to listen without hearing the message being sent.)
 Explain the more subtle skills and behaviors and why they are critical to true high-performance team success.
It’s been suggested that the basis of most conflicts should be resolved during the “norming” phase of Tuckman’s model. Assume a situation in which a conflict develops among members of a true high-performance team, while the members are still in alignment in terms of Tuckman’s model and nothing undermined the trust.
Propose a potential root cause for this conflict, suggest a path to a resolution, and explain your rationale.

The Intravenous (IV) fluids

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During the 6�� to 6�� shift, a patient has the intravenous (IV) fluids of D5 12�� with 20mEq ��� infusing at 100��ℎ at 6��. An order is received to increase the IV fluids to 125�� at 11��. The IV fluids are held for 2 hours while vancomycin 1� in 2.50�� of 0.9%�� is infused from 3�� to 5��.

The patient consumes 6 oz of broth and 3�� of gelirin for breakfast, 240�� of milk for lunch, and 120�� of coffec with dinner. At 2 is, the parient has 200�� removed during a thoracentesis. At 6��, the patient’s Foley catheter is emptied of 1100�� and 150�� is emptied from a surgeal drain. Calculate the I8CO for this shift using the following lice sheer.

The National Quality Strategy’s goal

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The National Quality Strategy’s goal is to improve health care by which of the following?
Multiple select question.
Reducing the cost of quality health care
Providing patient-centered care
Improving the social, behavioral, and environmental determinants of health
Decreasing access to rural areas

The Executive Summary Healthcare Quality and Disparities Report

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Although some disparities are smaller from 2000 to 2015, which populations continue to show disparities in all priority areas according to the Executive Summary Healthcare Quality and Disparities Report?
Multiple select question.
Uninsured
Higher socio-economic status
Poor
Hispanic

The Nutrinutritional value of eating habits to current dietadietary referreference intake (DRI) 

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Compare the nutrinutritional value of eating habits to current dietadietary referreference intake (DRI) recorecommendations. Review Abdys intake vs goals report for the following signifsignificant nutnutrient. Complete all sectsections of the table below.

Isolated abdominal pain

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Your medical patient awoke with isolated abdominal pain. Which of the following is CONTRAINDICATED
in your treatment plan?
Administering oxygen.
Back boarding the patient.
Providing prompt transport.
Covering the patient with a blanket.

Muscle twitching and hypocalcemic episodes resulting in tetany

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A 6-month-old infant is brought to the family practice clinic due to muscle twitching and hypocalcemic episodes resulting in tetany. Genetic studies have revealed a chromosome 22q11 deletion. What inquiry should the nurse practitioner make of the parents?
Does the child’s skin ever become yellow?
Is the child irritable?
How often has the child experienced infections?
Is constipation a problem?

A History of hearing impairment from a war

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A 78 year old male patient is admitted to your unit. He has a history of hearing impairment from a war. His left ear is deaf and his right ear has a 50% hearing loss. He has a hearing aid for the right ear, but his family did not bring the hearing aid with the patient.
They live 100 miles from the hospital, and it will not be possible for them to bring the hearing aid in. During your assessment you determine he would communicate by reading lips.
What considerations should you make when communicating with this patient?
What additional equipment or interventions could be used to improve communication with the patient?