Personal Philosophy of Nursing Essay 

Use the questions from Box 3-2 on page 111 of your textbook as a guide as you write your personal philosophy of nursing. The essay is to be typewritten and double-spaced (1,000 words) and should include the following: 

1. Introduction that includes who you are and where you practice nursing 

2. Definition of nursing 

3. Assumptions or underlying beliefs 

4. Definitions and examples of the major domains of nursing 

5. Summary that includes answers to the following questions: a. How are the domains connected? b. What is your vision of nursing for the future? c. What are the challenges that you will face as a nurse? d. What are your goals for professional development? 

 

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Reflect on what is important to you as an individual and as a nursing student. Think about what you believe and what you value. Develop a paper that includes the following:

• Personal Values: In one brief paragraph identify 3-5 values and beliefs that are important to you personally.
• Professional Values: In one brief paragraph identify the values and beliefs that you feel are important in nursing and why you feel they are important.
• Alignment of Values: In one brief paragraph describe where your personal values/beliefs align with the values/beliefs in nursing.
• Conclusions: In one brief paragraph, based on your personal and professional beliefs/values, explain how you hope to make a difference in the lives of others as a registered professional nurse at home, where you hope to work, and in your community.

 

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 Chapter: 24.Putting it All Together   Examining the patient

1. Give examples of blockers and facilitators to communication.
2. Outline the steps involved in building rapport before performing an examination.
3. List cultural considerations when taking a history and performing a physical examination.
4. Differentiate between the human and the scientific understanding of illness.

Name three observations that a human can make better than a machine.

1. Discuss the phrase “Deal with the total person.”
2. Discuss comfort and privacy issues related to positioning during the examination.
3. Review ways to maintain privacy during the examination process.
4. Discuss methods to reduce anxiety in persons of various ages during the examination process.

  You overhear another student complaining about how frustrated she was during her first practice examination of an infant. “He was sleeping when it was time to begin the examination,” she explains. “I woke him up so I could get started, but then he started crying. He finally quit crying, but by then I’d already lost a lot of time.” What critique can you offer for the scenario? What advice do you have for this student examiner? 

When does the process of inspection begin with the patient? 

The physical examination of an older patient should include mental status evaluation with particular attention to which three areas?

For children who are small enough, where should they be examined?

The child’s ability at any age to react socially offers clues to which two types of well-being?

What does observing a child playing on the floor afford us?

KM is a 46-year-old male patient who presents for a routine physical examination. He presents today without complaints. He wants to be sure that he is on the right track to maintain his health because he is in his fourth decade of life.

1- What components of the exam would be completed with the patient seated and the back exposed?

2- You are preparing to complete a rectal examination. What are the possible positions for this examination?

3- Describe the components of the rectal examination.

 

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1.Compare landmarks of the neck on a male versus those on a female. Which is the largest endocrine gland in the body, and what two hormones does it produce?  In older adults, why does the thyroid gland become more fibrotic?  : Beginning after 16 weeks of gestation, many pregnant women develop blotchy, brownish hyperpigmentation of the face, particularly over the malar prominences and the forehead. Name this condition. A newborn admitted to the nursery is observed to have bruising on the side of the face and molding. What pertinent history must be obtained concerning this newborn? List the techniques necessary for accurate thyroid gland examination. Examination of a newborn 24 hours after birth reveals subcutaneous edema in the parietal region, which when palpated is firm and well defined and does not cross suture lines. What is the physiologic basis of this finding? Name the technique used for every newborn and older infant who has a suspected intracranial lesion or rapidly increasing head circumference    Ectropion.      ectropion  Which structures comprise the external eye?   The four rectus and two oblique muscles attached to the eye are innervated by which cranial nerves?  Compare and contrast changes in the eye associated with the following conditions: a.     Hyperthyroidism b.     Cataracts c.     Diabetes mellitus d.     Glaucoma e.     Chronic hypertension How is visual acuity recorded, and what does it indicate?  What is characterized by loss of definition of the optic disc that initially occurs superiorly and inferiorly and then nasally and temporally?  Differentiate between flame-shaped, round, and dot hemorrhages.  At 3 years of age, what visual acuity is expected?  Which disorder is caused by the interruption of the sympathetic nerve supply to the eye and results in ipsilateral miosis and mild ptosis?    What are the functions of the ear?  What are the functions of the nose and nasopharynx? Compare the risk factors for hearing loss in infants and children versus those for adults. Explain the effect of anticholinergic drugs on oral mucous membranes. : Otitis Externa, Acute Otitis Media, and Otitis Media with Effusion.  Create a chart differentiating these conditions by listing signs and symptoms of each. Explain the potential effect on nasopharynx or oropharynx development if substance abuse occurs during the first trimester of pregnancy  During a routine examination of a 3-month-old infant, the mother becomes concerned because her child will not turn his head toward a sound. What is the appropriate response to give this mother? Describe the measures required to carry out a safe otoscopic examination on a toddler. : A pregnant woman at 21 weeks of gestation is concerned about her decreased sense of smell and loss of hearing. What is the cause of this patient’s concerns? Discuss the risk factors of oral cancer. An older male patient tells you that he is experiencing a sudden hearing loss. What is the priority consideration?  : An infant’s hearing may be impaired as a result of an insult to him or her during which trimester of pregnancy?  : A negative Rinne test result, or bone conduction heard longer than air conduction in the affected ear, is indicative of which type of hearing loss? DK is a 29-year-old patient who presents to the health clinic with multiple complaints. His past medical history includes allergies and allergic rhinitis.  His social history includes cigarette smoking. His family history includes a mother who had allergies and a father who had asthma. The signs and symptoms include cough worse at night, purulent nasal discharge, frontal headache, maxillary sinus tenderness on palpation, orbital swelling, and maxillary tooth pain. 1. Identify the patient’s signs of sinusitis. 2. Identify the patient’s symptoms of sinusitis. 3. What is the primary etiology of the sinusitis?

 

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