Examine Case Study: An Elderly Iranian Man With Alzheimer’s Disease . You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. At each decision point stop to complete the following: Decision #1 Which decision did you select? Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? Decision #2 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? Decision #3 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Also include how ethical considerations might impact your treatment plan and communication with clients.

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Question 1 A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are associated with this drug, one common adverse effect that can be severe is A) headache B) irritability C) dry mouth D) heart palpitations Question 2 A patient on 5-FU calls the clinic and reports that he has between five and seven loose bowel movements daily. The nurse will instruct the patient to A) treat the diarrhea with OTC medications B) avoid protein-rich foods C) avoid grapefruit and grapefruit juice D) notify the clinic if the stools are black or if there is evidence of blood Question 3 A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of GERD. Why are H2RAs more effective than H1 receptor antagonists in the treatment of diseases of the upper GI tract? A) H2RAs have a longer duration of action and fewer adverse effects than H1RAs B) The parietal cells of the stomach have H2 receptors but not H1 receptors C) H2RAs may be administered orally and in an outpatient environment but H1RAs require intravenous administration D) H2 receptors in the upper GI tract outnumber H1 receptors by a factor of 2:1 Question 4 To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate, the nurse will instruct the patient to take the medication A) once a day B) twice a day C) every 2 hours D) four times a day Question 5 A 22-year-old male college senior has lived with a diagnosis of Crohn’s disease for several years and has undergone several courses of treatment with limited benefit. Which of the following targeted therapies has the potential to alleviate the symptoms of Crohn’s disease? A) Tositumomab plus 131I (Bexxar) B) Muromonab-CD3 (Orthoclone OKT3) C) Infliximab (Remicade) D) Eculizumab (Soliris) Question 6 A patient has been prescribed rabeprazole (Aciphex). It will be important for the nurse to assess the patient’s drug history to determine if the patient is taking which of the following drugs? A) Levodopa B) Morphine C) Digoxin D) Dicyclomine hydrochloride Question 7 An adult patient who has been diagnosed with a rectal tumor is scheduled to begin treatment with cisplatin. The nurse has conducted patient teaching about the possibility of nausea and vomiting. In order to reduce the patient’s risk of severe nausea, the nurse should A) place the patient on a low-residue diet B) ensure that the patient is NPO from midnight prior to receiving the drug C) administer a combination of antiemetics prior to the administration of the drug D) encourage the patient to request antiemetics if the nausea becomes unbearable Question 8 It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed. Which of the following should the nurse monitor to assess the efficacy of the lactulose therapy? A) Water levels in the colon B) Oncotic pressure in the colon C) Blood ammonia levels D) Relief from symptoms Question 9 A 60-year-old man has scheduled a follow-up appointment with his primary care provider stating that the omeprazole (Prilosec) which he was recently prescribed is ineffective. The patient states,“I take it as soon as I feel heartburn coming on, but it doesn’t seem to help at all.” How should the nurse best respond to this patient’s statement? A) “It could be that Prilosec isn’t the right drug for you, so it would be best to talk this over with your care provider.” B) “Prilosec won’t really decrease the sensation of heartburn, but it is still minimizing the damage to your throat and stomach that can be caused by the problem.” C) “Prilosec will help your heartburn but it’s not designed to provide immediate relief of specific episodes of heartburn.” D) “A better strategy is to take a dose of Prilosec 15 to 30 minutes before meals or drinks that cause you to get heartburn.” Question 10 A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed simethicone (Mylicon) for he…

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The benchmark assesses the following competency: 4.2 Communicate therapeutically with patients. The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities. Note:  The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal. Select one of the following as the focus for the teaching plan: Primary Prevention/Health Promotion Secondary Prevention/Screenings for a Vulnerable Population Bioterrorism/Disaster Environmental Issues Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment. After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community. Request feedback (strengths and opportunities for improvement) from the provider. Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5. Prepare this assignment according to the guidelines found in the APA Style

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Nurse Manager Include your nurse facilitator’s credentials, position, scope of responsibilities, length of time as a manager, etc. Describe his or her participation in professional organizations, which professional journals he or she typically reads, and other pertinent information related to ongoing professional development. Communication Provide specific examples of communications interactions upward, downward, as well as peer communication. How effective or ineffective is the manager in various roles, and what recommendations do you have that would help him or her to be a more effective communicator? Nurse Leader Describe the leadership style of the nurse manager with supportive references cited. Provide specific examples of how he or she handles responsibilities and indicate whether you believe the responsibilities were handled effectively or ineffectively. Provide at least two specific examples of leadership skills in practice, and critique the effectiveness/ineffectiveness for the identified situation. (Examples may include situations related to use of power, conflict management, managing personnel, crisis management, effective delegation, team building, etc.)

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Culture and Conflict Reflection Essay In this essay, you will reflect on the causes and consequences of prejudice, and apply the theories and strategies of conflict resolution to a fictional situation. Respond to the following statement: “All those women on welfare have it made. All they do is stay home and make babies while the rest of us have to work and pay taxes to support them.” Reflect on this statement in the context of what we have learned about prejudice. This should not just be writing down your first reaction or what you already know. Reflection involves critical thinking, which means rethinking your existing knowledge and previously held opinions in light of what we have learned about prejudice. Propose strategies that could resolve this particular prejudice. Your essay should be 1-2 pages in length. APA style.

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Read Chapter on Davis Plus : Discussion of Triaxial of action: Policy, Politics,and Nursing 1- What is Policy? 2- Explain each of them:     Public policy— Private policy— Health policy— Social policy— Organizational policy? 3- Who was F lorence Nightingale, and what was her contribution to the Nursing Field? 4- Who was Lillian Wald? 5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?6_ what is (ICN), and what they do? 7- What is s (NLCA) and they do? Jeanne Blum, RN, is a nurse on a  LDRP unit. Recently, the policy and    procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient    as a practice acceptable for nurses to perform. Jeanne    and some of her coworkers shared their concern over    lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and    other potential medical complications resulting from    this practice. Jeanne gathered data from her state and    many others states and noted that her hospital was    not in compliance with her professional organizationpractice standards. Jeanne shared this information   with her coworkers. She volunteered to contact the    state board of nursing on their behalf to request a    declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes.    Her state board’s clinical practice committee    reviewed her request for a declaratory statement and    gathered information from other states. A formal    declaratory statement was drafted by the board and    made it available on its Web site. A letter from the    board was sent to Jeanne’s institution, informing it of    the declaratory statement, which stated that the task    nurses were requested to perform was beyond their    scope of practice based on the Nurse Practice Act. 8-Which stage of the policy model does this scenario    represent? ■ 0

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List the elements of malpractice and give examples of each element in professional nursing practice, including ways to avoid or lessen the potential of future malpractice cases. Read the following article: https://www.napnap.org /sites/default/files/userfi les/for_providers/NP_ Malpractice_FAQ_NS O.pdf. Must be in APA format and at least two references

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Purpose The Course Outcome covered this week is CO1. CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1) Discussion We encounter patients after they have explored various avenues of self-help. At times, these avenues involve the use of complementary and alternative medicine (CAM). Our readings this week are very helpful. Select a common (or not so common) illness or condition that affects a specific ethnic group. Identify two (2) CAM therapies that patients are likely to try before seeking (or in addition to) allopathic, osteopathic, or ayurvedic medical intervention for the illness or condition. Discuss the effectiveness of each therapy you identified. Note : Do not discuss an illness or condition about which a classmate has already posted. The diversity will lead to a more robust discussion. There are many examples you may discuss, including sickle-cell disease in African Americans, constipation in the elderly people, or the use of Reiki for mental and emotional healing by Japanese people. Think of others from your practice settings or prelicensure experiences. professor’s comment: Hello All, This is one week I am really looking forward to because you are all experts in this area from all of your work with the patients and families you care for.  We all encounter patients after they have explored various avenues of self-help. At times, these avenues involve the use of complementary and alternative medicine (CAM). I look forward to your choice for an illness that affects an ethnic group that you have worked with and the CAM therapies you identify. Example: Class and Professor, One not so common illness discussed is depression amongst Chinese population. There are cultural differences that must not be overlooked within this population when dealing with depression. While sadness may be reported, it also may not and it was repeated in multiple studies that often other symptoms are more prominent. “In a study to differentiate somatic versus psychological symptoms as a cultural expression of depression, Chinese outpatients reported more somatic symptoms compared to Euro-Canadians, who reported more psychological symptoms” (Andrews & Boyle, 2016).  As a health care provider it is important to recognize the differences. Unlike persons living in the general U.S. population, Chinese and Chinese Americans often do not report feeling sad when they are depressed. Depression-related signs and symptoms that are commonly reported by Chinese patients include the following: Boredom, discomfort, pain fatigue, unexplained physical abnormalities” (Smith, 2018). Frequently, signs will be down-played or ignored by the patient for fear of embarrassment of diagnosis of a mental health condition. “There is a strong social stigma and sense of shame in Chinese culture regarding depression ” (Smith, 2018). Because of this seeking care may not be an option and care may be delayed. Other than being prescribed medications as what seems last resort for depression, complementary and alternative medicine (CAM )therapies may be used. CAM therapies that are explored are Chinese herbal therapy, acupuncture, and movement therapy known as t’ai chi. As noted by Smith (2018), they are the most commonly used interventions for treatment of depression that is also known as “shenjing” in Chinese culture. There was such noted success with movement therapy, a study was formally recognized showing huge improvement of signs and symptoms among participants over a 12 week course (Smith, 2018). Movement therapy, specifically T’ai Chi should be explored as a recommendation for individuals who are capable and willing to try it before prescribing medications that often come with side effects. -Allyson Reference Andrews, M. M., & Boyle, J. S. (2016). Transcultural concepts in nursing care (7th ed.). Philadelphia: PA. Wolters Kluwer. Smith, N. (2018) Chinese Patients: Providing Culturally Competent Care to Patients with Depression . Ip…

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WRITE A PARAGRAPH ON EACH QUESTION. 1.  Discuss the example of Harry Truman dropping nuclear weapons on  Hiroshima and Nagasaki in the context of the Utilitarian and Kantian  principles. Also include a discussion of Elizabeth Anscombe’s critic of  Truman. 2.  Describe the Categorical Imperative. Be sure to include a description  of how Kant derives the principle from an understanding that Morality is  a matter of reason not emotion. 3.  What is Kant’s argument against lying? What is problematic about it,  and what happens when it comes into conflict with other absolute rules? 4. How do Kant’s core values cause him to embrace retribution, and reject rehabilitation? 5. What are the Utilitarian arguments for the implementation of retribution? 6.  Discuss Kolberg’s six stages of moral development. Include in your  discussion the examples of Amy and Jake, and how their different  approaches to a moral dilemma would be understood in the context of  Kohlberg’s theory. 7.  Discuss Giligan’s Objection to Kolberg’s labeling of Amy and Jake. What  are the differences between the way men and women approach moral  dilemma’s according to Giligan? 8.  Discuss the ethics of care. How does it differ from the pre-dominantly  male oriented approaches to morality that have been discussed?

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TO REPLY 1 COMMENT TO EACH POST WITH CITATION AND TWO REFERENCE EACH COMMENT APA ABOVE 2013. POST 1 Three Questions for the Patient After reviewing the material presented in this case study, there are some concerning questions regarding this patient’s psychiatric history. Additional questions would include: After each discontinuation of medication after an episode of depression, was this decision the choice of a physician or self -initiated? This question would provide knowledge of the patient’s medication compliance. For example, does the patient stop taking prescribed medication on symptoms are alleviated? What were the circumstances prior to each depressive episode? his question would enlighten the practitioner on triggers and factors that personally affect the patient before a depressive episode occurs. There appears to be history of alcohol abuse and depression in your family, has anyone in your family received treatment? This question would provide a view into the patient’s understanding of psychiatric treatment. Since the patient does not believe in psychotherapy due to religious reason, the patient may not know what treatments were, are or will be available to him. Feedback from People in Patient’s Life The patient has been married for 33 years. Assuming his spouse is around before, during and after an episode, she may provide information the patient failed to share or may not have been honest about. The first person to be questioned would be the patient’s wife. Some of the questions for the patient’s wife would include onset of symptoms. What occurs before each episode of depression? Is there conflict between you and your spouse? Are there any stressors, such as financial plaguing your spouse and you? The patient also has three children. All three of his children suffer from some form of depression. Questioning the patient’s children may provide a historical history of the patient. For example, the children may have noticed symptoms leading to the patient’s depression years ago. Questions for the children may include did your parent’s argue often while you were growing up? Did your father ever lose interest in your childhood years? Did you feel love or rejection while growing up from your father? What were your father’s behaviors? Did you ever notice any alcohol or drug abuse while growing up? Physical and Diagnostic Exams for Patient Unfortunately, there is not a certain test for depression. The primary goal of physical exam and diagnostic testing would to rule out other conditions causing similar symptoms. A physical exam should be preformed assessing respiratory and cardiovascular system. Vital signs should be taken as well. Certain labs should be assessed in the patient. The practitioner should check the patient’s thyroid levels. Thyroid hormones have been linked to depression (Stahl, 2008). Depression can be caused by an underactive or overactive thyroid. Another lab test to consider would be dexamethasone suppression test. This test assesses the negative affect of dexamethasone. Once given dexamethasone, in a small dose, cortisol levels are decreased in healthy adults, but may remain elevated in depressed patients (Smith, et al., 2013). Depressive disorders have been linked to certain inflammatory biomarkers. This blood test assesses nine biomarkers, alpha-1 antitrypsin, apolipoprotein CIII, BDNF, cortisol, epidermal growth factor, myeloperoxidase, prolactin, resin, and soluble tumor necrosis factor α type II. These biomarkers represent the inflammatory and metabolic pathways associated with depression (Serra et al., 2015). Three Differential Diagnosis Based on the symptoms listed by the patient, there a multiple diagnosis this patient could be suffering from. Recurrent Major Depressive Disorder with melancholic features. This diagnosis is due to the patient’s major depressive symptoms, such as depressed mood most of the day, increased anxiety, and suicidal thoughts (Zaninotto et al., 2016). The spe…

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