Archive for category: My Nursing Writer

1. Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.

2. What similarities and differences can you identify among the above interactions?

3. Explain the concept of congruence between verbal and nonverbal communication.

4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective?

5. How have you seen ISBAR used during your clinical experiences?

6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports.

7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond?

8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?

9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.

10. Discuss the differences between direct delegation and indirect delegation.

1. You have to observe delegation procedures in your assigned unit:

A-What considerations does the RN take into account when delegating patient care?

2-You have to look at the unit census and prioritize the patient care:

A- Give the rationale foryour choices.

3. Answer the following questions during your clinical experiences:

a) What specific tasks did your patients require that you might have been able to delegate?

b) How effective was your nurse/preceptor in delegating tasks to others?

c) How did your nurse/preceptor ensure that the tasks were completed safely and appropriately?

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A group of nurses at Big Town Hospital filed a complaint charging the hospital with discrimination and alleged that the hospital had failed to implement changes that were recommended by an outside consultant the hospital hired to make sure that the hospital was complying with applicable employment laws.

A group of nurses at Big Town Hospital filed a complaint charging the hospital with discrimination and alleged that the hospital had failed to implement changes that were recommended by an outside consultant the hospital hired to make sure that the hospital was complying with applicable employment laws. The outside consultant stated that nursing positions were female-dominated jobs and recommended that job classifications related to nursing positions and compensation in those job classifications be modified so that they were more in line with other positions in the hospital that were not dominated by one gender or the other.
The hospital maintains that because nursing positions are generally filed by females there can be no discrimination of equal pay issue with regard to those positions. Who is right the nurses who contend that there is sex discrimination and violation of equal pay laws or the hospital that contends that only males who fill nursing positions can have a claim for sex discrimination and equal pay law violations?

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ANALYZE THEORIES FROM NURSING AND RELEVANT FIELDS WITH RESPECT TO THEIR COMPONENTS, RELATIONSHIPS AMONG THE COMPONENTS, LOGIC OF THE PROPOSITIONS, COMPREHENSIVENESS, AND UTILITY TO ADVANCED NURSING. (PO1) (CO#3) COMMUNICATE THE ANALYSIS OF AND PROPOSED STRATEGIES FOR THE USE OF A THEORY IN NURSING PRACTICE.

Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO1) (CO#3) Communicate the analysis of and proposed strategies for the use of a theory in nursing practice. (PO3, 7, 10) (CO#4) Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO4, 7) TOTAL POINTS POSSIBLE: 275

Application of Nursing Theory Guidelines PURPOSE The purpose of this assignment is to use nursing theory as a way to resolve a problem or issue occurring within nursing leadership, nursing education, nursing informatics, health policy, or advance clinical practice. COURSE OUTCOMES Through this assignment, a student will demonstrate the ability to: (CO#1) Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO1) (CO#3) Communicate the analysis of and proposed strategies for the use of a theory in nursing practice. (PO3, 7, 10) (CO#4) Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO4, 7) TOTAL POINTS POSSIBLE: 275

REQUIREMENTS Description of the Assignment: One nursing theory will be presented as a framework to resolve a problem occurring within one of the professional areas of leadership, education, informatics, healthcare policy or advance clinical practice. The same nursing theory selected in Assignment One may be used to resolve the identified problem. A specific nursing theory must be used. No non-nursing theories are permitted. A category of nursing theory (grand, middle range, practice) may not be used—only a specific, published nursing theory is to be selected and applied to the issue or concern important to the profession of nursing as documented in the nursing literature. Please note: Do not rely on .com sites to identify the nursing theory as they do not provide accurate information in all cases.

Content 1. Introduction: The introduction for this paper includes: • A nursing theory is required; non-nursing theories may not be used. • General statements on the idea of nursing theory being applied to solve problems/issues in nursing practice. You do not need to go into the specialty area of practice in-depth as this will be covered in another section of the paper. • A one-paragraph summary of the selected specific nursing theory is required. • Information identifying the sections of this assignment. • References from nursing literature are required.

2. Description of Issue or Concern: The selected issue or concern must be clearly identified as being significant to the professional area of either leadership, education, informatics, healthcare policy or advance clinical practice. The issue or concern must be presented comprehensively, but concisely by answering each of the following questions. • What is the specific issue or concern being presented? • Why should the nursing profession care about this issue or concern? • What does the nursing literature have to say about this issue or concern including its frequency of occurrence? • Who are the stakeholders or the people affected by the issue or concern?

References from nursing literature are required.

3. Application of Selected Nursing Theory to Issue or Concern: This section of the assignment focuses on using the selected nursing theory to resolve the described issue or concern. Required information includes: • Restating the selected nursing theory to be used • Identification of one strategy useful in resolving the identified issue or concern. • The strategy should be presented in depth with the following information being required: o A specific description of how the selected nursing theory can help to resolve the issue or concern o A specific and detailed description of the strategy to be used o A specific and detailed description of how the strategy can be implemented o A specific and detailed description of one suggestion for future research into either the selected nursing theory or selected issue or concern.

References from nursing literature are required.

4. Conclusion: This section provides a summary or review of the key elements of the assignment including the selected nursing theory and its application to the issue or concern.

The concluding statements include self-reflection on the new knowledge gained about applying nursing theory to a professional issue or concern.

PREPARING THE ASSIGNMENT Format and Special Instructions 1. A nursing theory is required; non-nursing theories are not allowed to be used. 2. Paper length: 6 pages minimum; 8 pages maximum, excluding title page and reference page. Points will be deducted for not meeting these requirements. 3. A minimum of 6 (six) scholarly references are required. References must be current – not older than 5 years, unless a valid rationale is provided and the instructor has approved them. Consult with the course instructor about using an older source. 4. A dictionary, required textbooks for this course and Chamberlain College of Nursing lesson information, may NOT be used as scholarly references for this assignment. For additional information regarding scholarly references, please review “What is a scholarly source?” located in the Course Resource tab. Information from .com websites may be incorrect. 5. Title page, running head, body of paper, and reference page(s) must be in APA format as presented in the 6th edition of the manual 6. Ideas and information from readings and other sources must be cited and cited correctly. 7. Grammar, spelling, punctuation, and citations are consistent with formal academic writing as presented in the 6th edition of the APA manual

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Healthy People Initiative (graded)
As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic woman who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After doing her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She is in class a total of 15 hours per week, plus 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children.She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1hour from campus and commutes each day.Using .healthypeople.gov/”>Healthy People 2020as a guide:
1. What additional information would you like to gather from Maria?
2. What are Maria’s real and potential health risks?
3. Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?

Cultural Bias (graded)
Understanding cultural phenomena is essential to the completion of an accurate health assessment. Please choose a cultural group from Table 4.1 from your text and describe the cultural differences pertinent to that group. Remember, the table may not include all cultural groups. Let’s try to include all the groups listed in the discussion, so please do not choose a group that has already been done. To expedite this, please use the group name in the title of your post.

week 2

Pain Assessment (graded)
John, a 46-year-old African-American male presents for admission to your hospital for hemi-colectomy for colon polyps. He is complaining of chronic back pain. Patient is on disability from work related injury. History of two (2) previous back surgeries with relief of numbness in RLE but pain has not been relieved. His current medications include Methadone, Neurontin and Norco. John states he takes Benadryl PM every night in addition to his prescribed medications. John is a smoker and smokes 1 PPD. John confides in you that he is considering a spinal cord stimulator for the chronic pain.
• What risk factors does John have for risk of opioid withdrawal during this hospitalization?
• Is there a stigma connected to being disabled and or methadone?
• Does the nurse need to be concerned about acetaminophen use?
• What are the differences in acute and chronic pain?
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Nutritional Assessment (graded)
Yulang Lei, an 82-year-old Vietnamese man, was admitted to your floor with dehydration and a urinary tract infection following a fall at home. He is alert and oriented, but weak. He appears frail. His admission history includes the following.
• He lives alone; his wife died 6 months ago.
• He states he ran a traditional Vietnamese family, unlike his children, who are married and have now moved away.
• His wife did all the cooking and he hasn’t had much of an appetite since she died. He eats rice and some vegetables, but rarely “bothers to cook meat for just one person.”
• Usual daily activity is reading the Vietnamese community newspaper with his morning tea for breakfast. He says he usually eats lunch, but can’t remember what he usually eats. He has rice and a few vegetables for dinner.
• You notice that his clothes fit very loosely. He states he weighed 140 pounds at his doctor’s office 5 months ago. When you weigh him, he weighs 123 pounds and is 5’8″ tall.
Look at the list of nursing diagnoses in Appendix A of your text. What nursing diagnoses would you choose for Mr. Lei?
• What additional questions would you ask to confirm your diagnosis?
• What physical examination and laboratory findings would you expect Mr. Lei to have?
• What psychosocial and cultural factors should you consider when assessing Mr. Lei?

General Survey and Health History (graded)
Casey is a 17-year-old high school student admitted to the ER with a compound fracture of the left leg obtained falling at the local skateboard park while practicing for a national competition. He has never been hospitalized before. His mother has been notified and is on her way. The EMTs gave him morphine and he reports his pain level as “okay.”
• What part of the interview and examination can be done prior to his mother’s arrival?
• As you enter the room for the first time, what should you observe as part of the general survey?
• As you complete his history, what areas are especially important?
• What are the important developmental considerations for Casey?

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