Consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure. · A friend calls and asks you to prescribe a medication for her. You have this autonomy, but you don’t have your friend’s medical history. You write the prescription anyway. · Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for GEORGIA. · Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family. ·  Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors. Write a 3-page paper that addresses the following: ·  Explain the ethical and legal implications of the scenario ( A friend calls and asks you to prescribe a medication for her. You have this autonomy, but you don’t have your friend’s medical history. You write the prescription anyway. ) on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family. · Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state. · Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. · Explain the process of writing prescriptions, including strategies to minimize medication errors.

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Reflection, Assignment #1 (10 pts.) Read or view film assigned, The Social Network (Netflix). Objective To relate the material in Chapter One, “Thinking,” to the assigned film(s). Your paper (3-4 pages) will consist of three sections as follows. Introduction Paragraph (2 pts.) Briefly summarize the film in five sentences or less. Thinking (6 pts.) What was Mark’s short term and long term goal in creating Facesmash? In establishing Facesmash, was Mark thinking critically? Why or why not? How might Mark have analyzed his decision? Was Mark being creative according to our text? How would you have gone about making a plan for Facesmash? What is thinking? Conclusion Paragraph (2 pts.) Briefly explain how the film relates to the text in Chapter One, Thinking. Follow MLA format in writing your paper. Include a reference page and a cover page. Look for ‘MLA style guide’ on the Internet for rules and examples. Chapter 1 is attached in Word Document

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Question 1 Statistics for 2008 to 2009 indicated that 20 . 7% of children lived in poverty . What health implications can be drawn from this statistic? Select all that apply . 1. These children run a higher risk of poor overall health status. 2. Public health clinics can provide preventive care. 3. Medicaid assistance can enable these children to receive health care. 4. Increased funding for children’s health has resulted from these statistics. Question 2 Which criterion limits access to health care? 1. No public transportation 2. Employment opportunities 3. Transition programs for newly arrived legal residents 4. Advocacy groups for immigrants Question 3 A patient in the Emergency Department is concerned about the cost of treatment because of no financial income . What areas would the nurse include when assessing this patient? Select all that apply . 1. Preventive care 2. Nutritional status 3. Number of accidents 4. Shelter 5. Status of current immunizations Question 4 While taking the health history, a Black Hispanic patient tells the nurse about having difficulty finding employment . The nurse realizes that which is a factor that causes income disparity within this segment of the population? 1. Shift to labor requiring higher technological skills 2. Increase in the real minimum wage potential 3. Increase in traditional labor skills for these groups 4. Shift of skilled jobs to unskilled labor Question 5 The nurse notes that a larger number of foreign-born patients are being seen in the hospital . From which countries are the majority of foreign-born legal permanent residents? Select all that apply . 1. Mexico 2. China 3. India 4. Europe 5. South America Question 6 A patient explains how a former job has been outsourced to another country . What impact has globalization had on the economy? 1. Increased income inequality for some groups in the United States 2. Improved income for all minority groups in the United States 3. Increased membership in labor unions 4. Decreased immigration Question 7 Legal permanent residents tend to initially settle in urban areas . What can be inferred from this? 1. Employment may be found but will probably be in lesser-paying jobs. 2. Unemployment will not be a concern. 3. Employment is easy to obtain in urban areas. 4. Income earning potential is higher. Question 8 A foreign-born patient tells the nurse about preparing for the naturalization exam . What kinds of questions will be on this exam? Select all that apply . 1. Questions about the Constitution 2. Parts of the US government 3. Who makes federal laws 4. The number of justices on the Supreme Court 5. Words of the US national anthem Question 9 While shifts in the population profile are occurring, what is an important consideration to address in health care? 1. Cultural health needs of varying groups must be considered. 2. Health care needs to be streamlined for consistent care delivery. 3. More physicians need to be trained to deliver health care. 4. Health care providers need to be younger to care for an aging population. Question 10 According to the 2010 Census, the percentage of the 65+ population of White non-Hispanics is at 13% . How will health planning needs be affected by this percentage? 1. This population will have greater demands on the health care system as it ages. 2. Planning needs for other segments of the population can be revised downwards. 3. There is no need to increase manufacture of childhood immunizations. 4. Cultural accommodations for other minority groups can be decreased. Question 11 A patient tells the nurse that she lives in Section 8 housing . The nurse realizes that eligibility for this program is determined by: 1. Low-income guidelines 2. Family size 3. Geographic address 4. Employment history Question 12 A patient, an immigrant from another country, is waiting to be seen in the Emergency Department . What difficulties is this patient dealing with since coming to a new country? Select all that app…

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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 What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.” 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. 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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The purpose of this assignment is to synthesize and integrate what you have learned about nursing as relational practice by focusing on leadership and engaging in caring relations.  It is not an assignment about a disease. You are asked to write a formal essay that is based on a situation where you are a nurse who is promoting the health of a selected client (the client you choose may be an individual, a family, or a community). There are two parts to this assignment. In Part 1, you will prepare an outline about a practice situation or case study that will be the basis of your formal essay. A case study is suggested as you may find it easier to draw on your past professional experience to create your essay outline. Part 1 is not worth marks but you must submit this as an Appendix to your assignment. Do not put this in the body of your paper. You do not have to hand this in to me to review. In Part 2, you prepare a formal essay that addresses your leadership role as well as your approach, and strategies for engaging in caring relations for your chosen client. In preparing Part 2, which will be a maximum of five pages (excluding title page, table of contents, and reference pages), you are expected to refer to at least two peer-reviewed nursing articles, published within the last five years, as evidence of researching information that is different from, or more in-depth, than that in the course materials. Correct APA format should be used in all of your writing. You may wish to review the materials and resources on writing a scholarly paper from HLTH 3611, Professional Growth. Deadlines for submission of each part of your assignment are set out in the Course Schedule. Part 1: Outline The purpose of the outline is to clearly indicate the content that will be included in each section of your proposed essay and to assist you in organizing your thoughts and ideas about the essay topic. The outline is divided into three sections; content should be logically linked together to support the development of your ideas and information about the role of leadership in engaging in caring relations in the context of nursing as relational practice. The outline sections are: Introduction: Introductory paragraph setting out what you will do or so in your paper. Case Study: The case study and practice situation is described briefly to provide evidence about a need for you as the nurse to lead and engage in a caring relationship with your identified client.You Appendix the detailed case study. Body: Main points to support the ways in which you will lead and engage in a caring, nurse-client relationship are outlined, barriers and enablers to building a trusting, caring relationship are considered. Strategies to promote health are also indicated. Include ideas about what you will reflect on to identify lessons learned from doing this paper about nursing as relational practice. Conclusion: Summarize main points to be examined or discussed in the paper. Part 2: Formal Essay (50 marks) There are four components on which your essay will be graded as follows: 1. Case Study Describe the practice situation or case study you have chosen and include the following information: Client characteristics—age? developmental stage? health-related needs? Situation characteristics—what is unique about this situation? Your role as the nurse—why are you involved? What contributes to a caring relation here? Are there any advocacy or social justice issues? Based on the described situation, what kind of nursing leadership will be used to further engage in caring relations with your identified client? 2. Body Describe the leadership role, your selected leadership style, and communication strategies to enhance trust building with your selected client. Support with theory. Describe challenges and enablers that support nursing as relational practice by focusing on leadership and engaging in caring relations. Include strategies (what you will do) to enhance even more…

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Question Question 1 2 / 2 pts In hemolytic anemia, jaundice occurs only when the patient has elevations in aspartate transaminase (AST) and alanine transaminase (ALT) . heme destruction exceeds the liver’s ability to conjugate and excrete bilirubin . the erythrocytes are coated with an immunoglobulin . erythrocytes are destroyed in the spleen . Question 2 2 / 2 pts Symptoms of polycythemia vera are mainly the result of destruction of erythrocytes . neurologic involvement . increased blood viscosity . a decreased erythrocyte count . Question 3 2 / 2 pts The underlying disorder of _____ anemia is defective secretion of intrinsic factor, which is essential for the absorption of vitamin B12 . pernicious microcytic hypochromic hemolytic Question 4 2 / 2 pts Pernicious anemia generally requires continued therapy lasting 8 to 12 months . the rest of one’s life . until the iron level is normal . 6 to 8 weeks . Question 5 2 / 2 pts In some anemias, the erythrocytes are present in various sizes, which is referred to as microcytosis . poikilocytosis . isocytosis . anisocytosis . Question 6 2 / 2 pts Untreated pernicious anemia is fatal, usually because of renal failure . heart failure . brain hypoxia . liver hypoxia . Question 7 0 / 2 pts Local signs and symptoms of Hodgkin disease–related lymphadenopathy are a result of inflammation and ischemia . obstruction and pressure . ischemia and pressure . pressure and obstruction . Question 8 2 / 2 pts What is the most common cause of vitamin K deficiency? An IgG-mediated autoimmune disorder Liver failure Total parenteral nutrition (TPN) with antibiotic therapy Administration of warfarin (Coumadin) Question 9 2 / 2 pts Heparin-induced thrombocytopenia (HIT) is described as a(n) IgG immune-mediated adverse drug reaction that reduces circulating platelets . hematologic reaction to heparin in which the bone marrow is unable to produce sufficient platelets to meet the body’s needs . cell-mediated drug reaction in which macrophages process the heparin and platelet complexes that are then destroyed by activated cytotoxic T cells . IgE-mediated allergic drug reaction that reduces circulating platelets . Question 10 2 / 2 pts Which proinflammatory cytokines are responsible for the development and maintenance of DIC? Tumor necrosis factor-alpha (TNF-a); IL-1, IL-6, and IL-8; and platelet-activatingfactor (PAF) Granulocyte-macrophage colony-stimulating factor (GM-CSF); IL-3, IL-5, and IL-9, and IFN-? Granulocyte colony-stimulating factor (G-CSF); IL-2, IL-4, and IL-10; and IFN-? Macrophage colony-stimulating factor (M-CSF); IL-7, IL-11, and IL-14; and PAF Question 11 2 / 2 pts G6PD and sickle cell disease are diagnosed equally in men and women . inherited autosomal recessive disorders . inherited X-linked recessive disorders . disorders initiated by hypoxemia and acidosis . Question 12 2 / 2 pts The sickle cell trait differs from sickle cell disease in that the child with sickle cell trait has the mildest form of the disease with normal hemoglobin and hemoglobin F, which prevents sickling . has a mild form of sickle cell disease that causes sickling during fever and infection, but not during acidosis or hypoxia, whereas the child with sickle cells disease develops sickling during each of these conditions . has a milder form of the disease that is characterized by vaso-occlusive crises and is believed to result from higher hemoglobin values and viscosity . inherited normal hemoglobin A from one parent and Hb S from the other parent, whereas the child with sickle cell disease has Hb S from both parents . Question 13 2 / 2 pts Hemolytic disease of the newborn can occur if the mother is type AB blood and the fetus has type B . Rh-positive and the fetus is Rh-negative . Rh-negative and the fetus is Rh-positive . type A blood and the fetus has type O . Question 14 2 / 2 pts What is the name of the disorder in which levels of bilirubin remain excessively high in the newborn and are deposited in the…

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This is a discussion post, about 250 WORDS , tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred . QUESTION 2: Envision what the health care system of 2030 might look like? Describe at least two technological advancements that would be available to patients. How would technology help providers make health care decisions? How would patients and families interact with providers from their homes or in their communities? What would health care systems be able to do “in real time? A minimum of THREE academic references from credible sources are required for this assignment

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Discussion 2 -421 Briefly introduce a person you have recently cared for in your nursing practice. (Be sure not to include any identifying information that would be protected by HIPAA!) Discuss the person’s view of the cause of their health condition, the person’s health literacy, and the person’s identity on the continuum of privilege-disadvantage (Table 4 in the Lor article on p. 361). What was (or would be) your approach to care for him/her in a culturally competent way? Submission Instructions: Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Read the Module 2: Lecture Materials & Resources early in the week to help you respond to the discussion questions and to complete your assignment(s). Required Textbook Readings Ritter, L.A., Graham, D.H. (2017). Chapters 2 and 6

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Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project. Be sure to incorporate any feedback or changes from your presentation submission in Module 5. Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy

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Discuss why you have decided to complete your BSN at this time, and the concerns you have about completing your baccalaureate degree. Based on the readings in the course materials, what strategies can you implement to be a successful student? https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/dynamics-in-nursing_art-and-science-of-professional-practice_1e.php

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