Mandatory Question

The American Cancer Society (ACS) is a nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem. Together with its supporters, ACS is committed to helping people stay well and get well by finding cures and by fighting back.Critical Thinking Questions:

  1. Imagine that a family friend or colleague has just been diagnosed with cancer. Explain how the American Cancer Society might provide education and support. What ACS services would you recommend and why?
  2. According to statistics published by the American Cancer Society, there will be an estimated 1.5 million new cancer cases diagnosed each year over the next decade. What factors contribute to the yearly incidence and mortality rates of various cancers in Americans? What changes in policy and practice are most likely to affect these figures over time
  3. Select a research program from among those funded by the American Cancer Society. Describe the program and discuss what impact the research will have on the prevention or treatment of cancer.
 
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Mandatory Question 18987465

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

Case Scenario

Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

Subjective Data

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is “running away.”
  4. Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5 kg
  2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
  3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
  5. Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

 
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Mandatory Discussion Question

 

The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

  • Complains of pain and heaviness in her leg.
  • States she cannot bear weight on her leg and has been in bed for 3 days.
  • Lives alone and has not had anyone to help her with meals.

Objective Data

  • Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
  • Left leg red from knee to ankle
  • Calf measurement on left 3 in > than right
  • Temperature: 38.9 degrees C
  • Height: 160 cm; Weight: 83.7 kg

Laboratory Results

  • WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
  • Wound culture: Staphylococcus aureus

Critical Thinking Questions

  1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
  2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
  3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
  4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.
 
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Managing Disasters

Disasters come in many forms. There are natural disasters such as hurricanes, tornados or disease outbreaks such as Ebola. There are man-made disasters such as bombings, bioterrorism, or airplane crashes. We expect that someone will provide us with assistance to keep us safe and recover from these disasters. Have you ever thought about who is responsible for this assistance and how it is coordinated? Agencies at all levels: local, state, and federal have a role to play. Choose a government level and investigate what agencies have a role in disaster prevention and assistance. 

Create a PowerPoint presentation no longer than 10 slides (including title and reference slide in APA format) to discuss these agencies and what their role is in a disaster.

You should include a minimum of 3 references. Include a reference slide in APA format.

 
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Managing Conflict Resolution

 1000 words +/-10%. Word length excludes in-text referencing, your reference list, direct quotes and appendices. Please note markers will not mark beyond the word limit. Suggested (not mandatory) word count structure. Introduction (100 words) Choice of issue and justification (200 words) Explanation of impact if issue is left unresolved (300 words) Discussion of 3 realistic str 

 
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Managing Conflict 18959369

     

2. 3. 

Choose one of the issues raised by the graduate nurses described in the video. (Your choice is either scope of practice, skill mix or delegation). Justify your choice, by referring to your groups online discussions and selected literature. (Include a screen shot of the relevant discussions to reinforce your choice in an appendix). 

Explain how, if the issue is left unresolved, it could cause conflict in the workplace and impact on positive nursing teamwork. 

Discuss 3 realistic leadership strategies that a beginning registered nurse could use to resolve the identified conflict and enable team cohesion 

 
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Management Orientation Program Proposal

 

Management Orientation Program Proposal

You have the opportunity to create a proposal to present to the leadership team for the orientation of new nurse managers. This project will include the creation of an orientation using leadership and management topics that will be selected to support the nurse manager as he or she transitions into the new role.  This project will compile specific topics, resources and facilitators to support a new nurse manager as they get acclimated to the organization or unit. APA citations expected.  

Your proposal should include:

  • Introductory and concluding remarks
  • Identify 8 specific topics to support the new nurse manager
  • Learning objectives for the lesson(s)
  • Rationale for including each topic with a synthesis of professional literature
  • Recommendation of internal and or external materials for each topic
  • Recommendation of a facilitator for each topic
  • Rationale listing why the materials and facilitator(s) are the most appropriate choice for that topic 
  • Two or more scholarly resources to support the rationales

Support your discussion and opinions with facts, relevant examples from personal nursing practice.

All submissions must have a minimum of two scholarly references to support your work. 

Examples of work to show mastery:

  • 10-12 slide PowerPoint presentation – APA format
 
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Management Interviews

 

Management Interviews 

Interview two persons in a nursing leadership/management role, such as a Charge Nurse/Team Leader, Head Nurse/Manager, Director of Nursing, or Chief Nursing Officer.  Select one leader that has been in the role less than two years and the other that has at least two years of leadership or management experience. Compare and contrast the findings from the two interviews with the best practices identified in the literature. Then reflect on your own perceptions of the roles.   For example, would you see either as a career goal for yourself?  Why or why not?

In your interviews, ask each person the following questions:

  • What are the qualifications for your management position?
  • What type of training did you receive for this position?
  • Describe a challenge you have had related to decision making, staffing, conflict or discrimination.  How did you overcome it? 
  • Describe specific methods you utilize to build an effective health care team.
  • What skills are there to master to support your performance in your role?

Support your discussion and opinions with facts, relevant examples from personal nursing practice.

All submissions must have a minimum of two scholarly references to support your work. 

Examples of work to show mastery:

  • 3-4 page paper – APA format
 
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Management In A Patient Who Has To Frequently Self Catheterize

  

What is the self-directed learning issue that was identified in your oral presentation?

Management in a patient who has to frequently self-catheterize.

Research the self-directed learning issue and provide a summary of your findings which is fully supported by appropriate, scholarly, EBM references.

  • Guidelines
  • The report should be between 5-7 paragraphs in length, discussing something learned from the student’s research about the self-directed learning topic.
  • Correct grammar, punctuation, and spelling should be observed.  
  • In-text citations and reference page should be written in APA format and scholarly evidence-based medicine (EBM) references must be used.
 
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Market Segments And Distribution Channels For The Mcos

This week’s chapter discusses the various market segments and distribution channels for the MCOs. Outline the market segments and identify the most successful distribution channels for those markets. Use some outside research to support your statements. Why do you believe each distribution channel successfully reaches the targeted market?

Discussion Board Requirements: 250 word count One original post and two reply posts, APA Format, please include references 

Deadline: Saturday, March 2nd at 11:50 pm.

 
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