Tag: A nursing question

An adult patient with a chronic myelogenous leukemia sits down with you to discuss his questions and concerns about his upcoming bone marrow transplant. He has already received some educational materials and participated in a family conference during which health team members described the procedure and potential complications. He has been told that he has a risk of graft rejection or graft versus host disease (GVHD), but he does not understand the distinction (Chapter 12, Learning Objectives 1, 2, 10, 11).

What are the similarities between graft versus host disease and graft rejection?
What are the pathophysiologic differences between graft versus host disease and graft rejection?
How would these differences be manifested clinically?
Studies have shown a protective effect of mild to moderate GVHD in cancer patients who have had a bone marrow transplant. Based on your understanding, can you explain these findings?

Assume you are working as a licensed clinical social worker. You receive a phone call from an attorney stating they are representing a client in a divorce case. The attorney’s client is married to one of your clients. The attorney requests a copy of your client’s file. The attorney mentions they have, or can get, a subpoena for the file. The attorney wants you to fax over a copy right away.

For this discussion, answer the following:

What actions would you take?
What specific aspects of HIPAA apply?
How would you respond if you are presented with a subpoena for a client’s file?
How does the principle of minimum necessary inform your response?

You are preparing to work as a nurse in the neurology unit. The preceptor informs you to be prepared to discuss the following topics as they are commonly seen on the unit. In order to prepare, choose one of the following topics of interest as your initial discussion posting. Use this course’s resources and one evidenced-based article to explore the topic of your choice.

How do you assess a client when the nurse suspects onset of CVA?
Provide discharge information for a client with mild TBI.
Discuss surgical management of brain tumors.
Describe postoperative complications of a craniotomy.

You volunteered for an international assignment and have been training for the move. Your spouse was resistant to the assignment because of being away from a parent undergoing chemotherapy treatments. Your boss just announced that to save money, the current home leave allowance of two trips back home per year will be reduced to once every other year. You know that your spouse will likely not accompany you overseas now. How would you get this program to pay for at least one home trip per year? Explain your reasoning.

You volunteered for an international assignment and have been training for the move. Your spouse was resistant to the assignment because of being away from a parent undergoing chemotherapy treatments. Your boss just announced that to save money, the current home leave allowance of two trips back home per year will be reduced to once every other year. You know that your spouse will likely not accompany you overseas now. How would you get this program to pay for at least one home trip per year? Explain your reasoning.

You are preparing to work as a nurse in the neurology unit. The preceptor informs you to be prepared to discuss the following topics as they are commonly seen on the unit. In order to prepare, choose one of the following topics of interest as your initial discussion posting. Use this course’s resources and one evidenced-based article to explore the topic of your choice.

How do you assess a client when the nurse suspects onset of CVA?
Provide discharge information for a client with mild TBI.
Discuss surgical management of brain tumors.
Describe postoperative complications of a craniotomy.

There is a one in a million chance of a person being harmed while travelling by plane. In comparison, there is a one in 300 chance of a patient being harmed while receiving health care. One estimate is a cost of nine billion dollars annually.

What is the most frequent patient incident on your unit and how have nursing leaders intervened to decrease the number of incidents?
How much interaction is there between your healthcare organization and nursing leaders and the nursing staff about the nurses’ role in patient safety?

A 23-year-old healthy man has been unable to father a child. He and his wife have a workup for infertility. His wife’s reproductive function is normal. On physical examination both his testes are palpable in the scrotum and the testes and scrotum are normal in size, with no masses palpable. However, the spermatic cord on the left has the feel of a ‘bag of worms’. Laboratory studies show oligospermia. Which of the following conditions is this man most likely to have? Explain your answer.

A Hydrocele

B Testicular torsion

C Spermatocele

D Varicocele

E Seminoma

For this assignment, imagine a breakthrough wearable remote monitoring device that could be used to not only detect emergency health conditions before they seriously impact the patient but also dispense life-saving medicine.

Based on this scenario, create a MS Word document that answers the following questions:

Describe your device, its purpose, and functionality.
Explain legal issues that relate to the device.
Explain ethical issues that the device manufacturers, users, and healthcare companies/workers might face.
Identify and explain how your device might impact society. This can include local community or a larger scope.

Scenario
You are working in a university counselling centre for students, and have been asked by your manager to write an essay that will be included in a bigger publication by your centre. The question to address in your essay is:
Based on the evidence summarised in a review of self-control strategies by Duckworth and colleagues, what is one recommendation that you can give to students and one recommendation that you can give to university teachers or managers, about strategies for improving student self-control in relation to study or wellbeing in life as a university student?
Please note that you cannot write about either of the two strategies discussed in the sample
assignment: planning and changing microenvironments.
Your task
Your task is to submit a text document (Word or pdf), in which you write an essay addressing the question above. Your essay should discuss two self-control strategies or interventions reviewed by Duckworth et al. (2018): one self-deployed and one other-deployed. As you present your argument for why your chosen interventions are particularly suitable, you will
need to:
Define the strategy: what does it involve doing and how or why might it help improve self-control, generally?
Describe how the strategy could be feasibly implemented in relation to student life.
Comment on the strengths and weaknesses of the research evidence base for the strategy (drawing on evidence presented by Duckworth et al., 2018).
Note that the focus here is on strengths and weaknesses of any research evidence used to support the effectiveness of the strategy, rather than simply the possible benefits/pitfalls of the strategy itself. You will need to summarise some particular studies cited by Duckworth et al. and discuss, for instance: are there any design flaws or generalisability issues?