Category: Nursing

  • Assignment 1: Practicum – Client Termination Summary- WK1064N

    Assignment 1: Practicum – Client Termination Summary- WK1064N

    Learning Objectives

    Students will:

    • Develop client termination summaries

    To prepare:

    • For guidance on writing a Client Termination Summary, review pages 693–712 of the Wheeler text in this week’s Learning Resources.

    • Identify a client who may be ready to complete therapy.

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    The Assignment

    With the client you selected in mind, address the following in a client termination summary (without violating HIPAA regulations): SEE ATTACHED CLIENT INFORMATION- USE THIS FOR THE ASSIGNMENT BELOW

    • Identifying information of client (i.e., hypothetical name, age, etc.)

    • Date initially contacted therapist, date therapy began, duration of therapy, and date therapy will end

    • Total number of sessions, including number of missed sessions

    • Termination planned or unplanned

    • Presenting problem

    • Major psychosocial issues

    • Types of services rendered (i.e., individual, couple/family therapy, group therapy, etc.)

    • Overview of treatment process

    • Goal status (goals met, partially met, unmet)

    • Treatment limitations (if any)

    • Remaining difficulties and/or concerns

    • Recommendations

    • Follow-up plan (if indicated)

    • Instructions for future contact

    • Signatures

    Assignment 1: Practicum – Client Termination Summary- WK1064N

  • DNA, Gene Expression, and Biotechnology Essay assignments

    DNA, Gene Expression, and Biotechnology Essay assignments

    Chapter 5

    DNA, Gene Expression, and Biotechnology 

    Learning Objectives

    Understand the structure and function of DNA:

    -DNA is a molecule that all living organisms carry in almost every cell in their body.

    -It contains instructions for the functions of every cell. DNA, Gene Expression, and Biotechnology Essay assignments.

    Explain the relationship between genes and proteins:

    Genes are sections of DNA that contain instructions for making proteins.

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    Describe the processes of transcription and translation:

    -transcription, in which a copy of a gene’s base sequence is made, and

    -translation, in which that copy is used to direct the production of a polypeptide.

    Identify the impact and causes of mutations:

    Alteration of the sequence of bases in DNA

    -can lead to changes in the structure and function of the proteins produced

    -can have a range of effects

    Explain how genes with mutations can cause illness or disorder: DNA, Gene Expression, and Biotechnology Essay assignments.

    Can cause disorders and diseases causing the body to become un-adaptive. (Cancer, disorders…etc)

    Understand the basic tools used in the application of biotechnology:

    What is biotechnology- Adding, deleting, or transplanting genes from one organism to another, to alter the organisms in useful ways.

    (The 5 tools)

    Chop up the DNA from a donor organism that exhibits the trait of interest.

    Amplify the small amount of DNA into more useful quantities.

    Insert the different DNA pieces into bacterial cells or viruses.

    Grow separate colonies of the bacteria or viruses, each containing a different inserted piece of donor DNA.

    Identify the colonies that have received the DNA containing the trait of interest. DNA, Gene Expression, and Biotechnology Essay assignments.

    Explain how biotechnology can help produce pharmaceuticals, treat disease, and even prevent disease:

    Treatment of Diabetes

    Define terms such as genetic engineering, recombinant DNA technology, PCR, and transgenic organisms:

    Identify the strengths and weaknesses of gene therapy:

    Gene therapy has had a poor record of success in curing human diseases, primarily because of technical difficulties in transferring normal-functioning genes into the cells of a person with a genetic disease. DNA, Gene Expression, and Biotechnology Essay assignments.

    (1)Difficulty getting the working gene into the specific cells where it is needed.

     

    (2) Difficulty getting the working gene into enough cells and at the right rate to have a psychological effect.

     

    When will RNA polymerase bind to the lactose promoter?

     

    In the absence of the repressor protein

    In the absence of glucose

    In the presence of the activator protein

    All of the above.

    DNA, Gene Expression, and Biotechnology Essay assignments

  • Evidence-based practice guidelines and ethical considerations

    Evidence-based practice guidelines and ethical considerations

    you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.

    Scenario 1:

    The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.

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    Scenario 2:

    A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.

    Scenario 3:

    A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an extreme flare-up of his condition. He explains that he has not been able to afford his medications for the last few months and is concerned about the costs he may incur for treatment.

    Scenario 4:

    A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled. evidence-based practice guidelines and ethical considerations.

    Scenario 5:

    A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days.

    Scenario 6:

    A 12-year-old girl has come in for a routine check-up and has not yet received the HPV vaccine. Her family is very religious and believes that the vaccine would encourage premarital sexual activity.

    Scenario 7:

    A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient unit at a hospice to receive end-of-life care, but his wife wants him to remain at home.

    To prepare:

    • Select one scenarios, and reflect on the material presented. evidence-based practice guidelines and ethical considerations.

    • What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?

    • Consider how you would respond as a nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

    To complete:

    Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as a practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least 3 different references from current evidence based literature. evidence-based practice guidelines and ethical considerations.

  • Biofuels and Fossil Fuels

    Biofuels and Fossil Fuels

    Chapter 4 Energy:

    (Understand that energy from the sun fuels all life on earth)

    Describe the various types of energy and how energy can be stored in different molecules:

    (Biofuels and Fossil Fuels)

    Biofuels- Energy from plants; fuels produced from plant and animal products

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    Fossil fuels:
    (
    Most vehicles). These fuels (which also include oil, natural gas, and coal) are produced from the decayed remains of plants and animals modified over millions of years by heat, pressure, and bacteria. Biofuels and Fossil Fuels.

     

    Explain the laws of thermodynamics and how they relate to all living organisms:

     

    -The study of the transformation of energy from one type to another, such as from potential energy to kinetic energy, is called thermodynamics.

    1
    st
    law – Energy can never be created or destroyed; it can only change from one form to another.

    2nd Law- Every conversion of energy includes the transformation of some energy into heat; Heat is almost completely useless to living organisms

    (Adenosine triphosphate (ATP)) Biofuels and Fossil Fuels

  • The Role of the PMHNP

    The Role of the PMHNP

    Use APA writing guidelines. You do not need a cover page for discussion but please include references. Your discussion should be about 1 page, Write about 3 paragraphs. Each paragraph is 4-5 sentences.

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    Where does the psychiatric mental health nurse practitioner fit in within a mental health treatment team of social worker, therapists, psychologist, psychiatrist, and family care? What does it mean to specialize? What goes into being confident and competent provider? Are psychiatric nurse practitioners too medication focused? The Role of the PMHNP

  • Cell theory – eukaryotic and prokaryotic Cells Essay

    Cell theory – eukaryotic and prokaryotic Cells Essay

    Chapter 3 Cells:

    Explain the two principles of the cell theory:

    All living organisms are made up of one or more cells.

    All cells arise from other pre-existing cells.

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    Compare and contrast prokaryotic and eukaryotic cell structure:

    A
    eukaryotic cell

    has a central control structure called a nucleus which contains the cell’s DNA.

    eukaryotes

    A
    prokaryotic cell

    does not have a nucleus; its DNA simply resides in the middle of the cell

    cell theory – eukaryotic and prokaryotic Cells Essay

    prokaryotes

    Animal cells- chloroplasts, cell wall, vacuole

     

    Plant cells- No centriole

     

    -Discuss the theories of endosymbiosis and invagination as a means to explain the presence of organelles in eukaryotic cells:

    Developed to explain the presence of two organelles in eukaryotes, chloroplasts in plants and algae, and mitochondria in plants and animals. cell theory – eukaryotic and prokaryotic Cells Essay

     

    Describe the overall structure of the plasma membrane as well as the structure of individual phospholipids:

    Plasma membrane: a plasma membrane, a two-layered membrane that holds the contents of a cell in place and regulates what enters and leaves the cell.

    Describe the following passive transport methods: diffusion, facilitated diffusion, osmosis:

    Diffusion: (Solutes and solvents)

    Simple Diffusion: Molecules pass directly through the plasma membrane without help of another membrane

    Facilitated diffusion: Molecules move across with help of another channel or carrier.

    Osmosis: Osmosis is the passive diffusion of water across a membrane. cell theory – eukaryotic and prokaryotic Cells Essay.

    Describe what happens to cells in isotonic, hypertonic, and hypotonic solutions

    Contrast the various types of active transport methods:

    (Active transport, cells use energy to move small molecules into and out of the cell)

    -Primary active transport:

    uses energy directly from ATP

    -Secondary-An indirect method many transporter proteins use for fueling their activities

     

    The transport protein simultaneously moves one molecule against its concentration gradient while letting another flow down its concentration gradient. cell theory – eukaryotic and prokaryotic Cells Essay

     

    No ATP is used directly.

     

    At some other point and in some other location, energy from ATP was used to pump one of the types of molecules involved against their concentration gradient.

     

    Explain the various structures that allow for connection and communication between cells:

    -Connections between cells hold them in place and enable them to communicate with each other.

    -Gap Junctions- pores surrounded by special proteins that form open channels between two cells

    -Tight Junctions-form continuous, water-tight seals around cells and also anchor cells in place

    Particularly important in the small intestine where digestion occurs cell theory – eukaryotic and prokaryotic Cells Essay

    -Desmosomes-are like spot welds or rivets that fasten cells together into strong sheets

    Function like Velcro: they hold cells together but are not water-tight

    Found in much of the tissue-lining cavities of animal bodies

    Describe the major landmarks of eukaryotic cells:

    The nucleus—the largest and most prominent organelle in most eukaryotic cells. cell theory – eukaryotic and prokaryotic Cells Essay

     

    The nucleus has two primary functions:

    Genetic control center

    Storehouse for hereditary information

     

    -Chromatin- a mass of long, thin fibers consisting of DNA with some proteins attached

    Nucleolus-an area near the center of the nucleus where subunits of the ribosomes are assembled

     

    Ribosomes are like little factories.-

     

    Explain the structural differences between animal and plant cells:

     

    Animal cells- chloroplasts, cell wall, vacuole

     

    Plant cells- No centriole

     

    Self-Quiz:

     

    Used for detoxification.

    Garbage disposal of the cells.

    Used to maintain turgor pressure.

    Converts light into chemical energy.

    Converts chemical energy into ATP.

     

    Answers:

    1=smooth ER

    2=lysosome

    3=vacuole

    4=

    5=mitochondria

    cell theory – eukaryotic and prokaryotic Cells Essay

  • Differential diagnosis Essay

    Differential diagnosis Essay

    Case Study 2

    Liz is a 79-year-old female with a history of aortic stenosis and hypertension. The patient underwent elective aortic valve replacement yesterday. This AM during rounds, the patient is sitting up in the chair. Vital signs: 99.4-54-20-85/50. Pa 29/13, CVP10. Urine output 20 ml/hr for the last 3 hours. Cardiac output 3.9, cardiac index 1.8. Patient’s preop ef was 50%. Labs are as follows:

    • K 4.0 Normal

    • Cr 1.5 Adult female 0.5-1.1 mg/dL

    • BUN 42 8-21 mg/dL

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    • Decreased Output

    • Hgb 9.8 Adult female11.7-15.5 g/dL

    • Hct 29.1 Adult female 38-44%

    • Plt 138 150-450 x 10^3/uL Thrombocytopenia

    • Postoperative chest X-ray normal

    • Slightly elevated temperature

    • Bradycardia

    • Hypotension

    • Pa 29/13 Normal 20-30/8-12

    • CVP 10 Normal 2-6

    • Cardiac output 3.9 Normal 4-8 L/min

    • Cardiac index 1.8 Normal 2.5-4.0

    What is the diffenfential diagnosis. Please do not chose hypovolemia?

    What treatment and management will this patient being on?

    What patient education will you provide for your patient?

    What is Norvasc used for? what are the side effects? What is the black box warning on Norvasc?

    Please use resources that are less than five-year-old. Thank you. Differential diagnosis Essay

  • Atomic structure – principles of chemistry and study of biology

    Atomic structure – principles of chemistry and study of biology

    Chapter 2 : Chemistry

    Relate major principles of chemistry to the study of biology

    Understand atomic structure

    Compare and contrast the major chemical bonds involved in important molecules and compounds

    Identify the major macromolecules that make up living organisms carbon,oxygen,nitrogen,hydrogen

    Explain the importance of the function of each of the four major macromolecules

    Carbs-Primary fuel for organisms (CONTAIN CARBON,HYDROGEN,AND OXYGEN)

    Lipids- store energy, (hydrophobic, hydrophilic, nonpolar, don’t dissolve in water, phospholipids-most important factor in the cell membrane hydrophilic heads and hydrophobic tails)

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    Proteins- body building macromolecules-help fight invading microorgnaisms,control cell activity and some hormones, allow muscle contraction, heart pumping,sperm swim,carry molecules such as oxygen around the body –Amino acids (20) strung together to build up a protein, enzymes are proteins that speed up chemical reactions. atomic structure – principles of chemistry and study of biology.

    Nucleic acids- store information on how to build and run a body. There are two types-Deoxyribonucleic acid (DNA) – DNA holds the genetic information to build an organism.

    Ribonucleic acid (RNA) – RNA is a universal translator, reading DNA and directing protein production.

    Both play central roles in directing the production of proteins

    The information in a molecule of DNA is determined by its sequence of bases.

    Adenine, guanine, cytosine, and thymine

     

    Compare and contrast DNA and RNA  :

    RNA differs from DNA in 3 ways: The sugar molecule of the sugar-phosphate backbone

    Single-stranded

    Uracil (U) replaces thymine (T)

    atomic structure – principles of chemistry and study of biology

  • CAUTI PICOT – Qualitative Research Critique and Ethical Considerations

    CAUTI PICOT – Qualitative Research Critique and Ethical Considerations

    Use the practice problem and a qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

    In a 1000-1,250 word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

    Refer to the resource ”Research Critique Guidelines” for suggested headings and content for your paper.

    Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required.

    You are required to submit this assignment to Turnitin.

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    PICOT Statement:

    For hospitalized adult patients (P), does use of the CAUTI Bundle/Guide (I) compared with CAUTI without the use of Bundle/Guide (C) reduce the rate of CAUTI (O) within 180 days of process improvement implementation (T)? CAUTI PICOT – Qualitative Research Critique and Ethical Considerations

  • Hands On Lab: Diffusion and Osmosis

    Hands On Lab: Diffusion and Osmosis

     
    Submission instructions

    If an assignment is submitted incorrectly, you will be contacted and the assignment will not be graded unless resubmitted properly. Late penalties may apply.

     

    Type your answers and copy all pictures directly into this Word document. Submit it via the blackboard submission link in Word format (docx).

    Answers typed into a blank document or submitted in the incorrect format will not be accepted.

    Pictures will not be accepted as stand-alone files.

    Assignments may not be submitted via email without express permission from the instructor. Hands On Lab: Diffusion and Osmosis

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    Introduction

    One of the universal activities within the body is the movement of substances into and out of cells. Gases, nutrients, wastes, chemicals, and water must all be transported in a controlled manner for cells to maintain homeostasis. For example, if a cell contains too much or too little salt, then it will die.

     

    The plasma membrane is the major regulator of cellular transport. This lab will demonstrate the two simplest transport mechanisms used by the plasma membrane, diffusion and osmosis.

     

    Prelab Questions

    Answer the following questions in
    complete sentences
    . (5pts. each)

    To facilitate transport, the plasma membrane of a cell is selectively permeable. Define this term.

     

    A selectively permeable cell membrane allows certain molecules or ions to pass through it by means of active or passive transport.

     

    What is a solution? Describe and give examples of the two major components of solutions.

     

    A Solution is a liquid mixture in which the solute is uniformly distributed within the major component. Two major components are salt and water. Salt is the solute.

     

    Explain concentration and concentration gradient.

     

    The term concentration refers to the amount of a substance per defined space. A concentration gradient occurs where the concentration of something changes over a certain distance. For example, movement of molecules continue as long as there is a concentration gradient.

     

    Define diffusion and osmosis.

    Diffusion is the intermingling of substances by the natural movement of their particles. Osmosis is the process by which molecules of a solvent tend to pass through a semipermeable membrane from a less concentrated solution into a more concentrated one. The result equalizes the concentrations on each side of the membrane.

     

    Compare and contrast diffusion and osmosis. Give at least 2 differences and 2 similarities.

     

    Diffusion can occur in any medium, such as liquid, solid, or gas. Osmosis can only occur in a liquid (water). Also, diffusion does not require a semipermeable membrane, but osmosis does.

     

    In relation, osmosis and diffusion equalize the concentration of two solutions. Also, they both are a passive transport process.

     

    Part 1: Diffusion

    In this activity, you will observe a substance diffusing through a selectively permeable membrane. As evidence of diffusion, we will use iodine, an indicator that turns blue-black the presence of starch.

     

    Materials

     

    2-cup clear glass container

    Size does not have to be exact, but it should be taller than it is wide

    Drinking glasses or measuring cups work fine.

    1 sandwich size Ziploc bag

    The cheaper the bag, the better this experiment will work

    ~10 drops liquid Iodine

    Warning: Handle with care, toxic if ingested and can stain!

    Can be obtained in any drugstore

    Do NOT purchase colorless iodine! It will not work. Iodine should be brownish-yellow in color.

    ~2 tablespoons Cornstarch

    Water

    Camera

     

     

     

    Procedure

    Fill the glass container with 200 mL (~1 cup) of water and add 10 drops of iodine

    Place 2-4 tablespoons of cornstarch in a plastic bag and add 100 mL of water.

    Carefully close the bag and gently squeeze to mix the cornstarch and water.

    Gently place the bag into the container so that the cornstarch solution is submerged in the iodine solution.

    Gather data

    Take a picture at the start (0min) and end of your experiment (60min). Post these pictures in the results section.

    In the provided data table, record the starting color of the solution in the beaker and bag, then observe and record color changes every 15 minutes for 1 hour.

     

     

     

    Results

    0min Picture (4pts)

     

     

    60min Picture (4pts)

     

     

    Data Table
    (6pts)

    Solution

    0 min

    15min

    30min

    45min

    60min

    Color in Container

    Light Brown

    Light Brown

    Light Brown

    Light Brown

    Light Brown

    Color in  Bag

    White

    Hint of Blue

    Purple

    Dark and Light Purple

    Dark Purple

     

    Part 1 Conclusion Questions

    Answer the following questions in
    complete sentences
    . (5pts. each)

    Based on your observations, which substance moved, the iodine or the cornstarch? How can you tell?

     

    The cornstarch did not transfer but the iodine moved into the bag because the cornstarch inside the bag changed color. The iodine solution outside of the bag did not change color. Hands On Lab: Diffusion and Osmosis

     

    What would happen if you did an experiment in which the iodine solution was in the plastic bag and the cornstarch solution was in the beaker?

     

    The iodine would diffuse out of the bag and into the cornstarch solution in the beaker. The iodine solution in the bag would continue to be light brown and the cornstarch solution in the beaker would become blackish. Hands On Lab: Diffusion and Osmosis

    Part 2: Osmosis

    In this activity, you will observe osmosis through a selectively permeable membrane. Osmosis is easily observed in plants, as the osmotic pressure of the water is what provides support (this is why plants wilt when they need water). In this lab you will observe the effect of osmosis using a very familiar plant, the potato.

     

    Materials

    2 clear glass containers

    Size does not have to be exact, but shallow bowls work best

    1 Potato

    Salt

    Water

    Camera

     

    Procedure

    Label or mark your containers #1 and #2—Any method works, as long as you can tell them apart.

    In container 1, mix 15 m (one tablespoon) of salt with 100 ml (~1/2 cup) of water and stir until the salt is completely dissolved.

    In container 2, fill with 100ml (~1/2 cup) of pure water.

    Cut 2 strips of potato about the size of a French fry. They should be no thicker than 0.5 cm (~⅓ in). Make sure to remove all of the skin from the potato.

    Gather preliminary data

    Take a picture of both potato strips at the start (0min) of your experiment. Post this picture in the results section.

    Examine each strip and record your observations of the firmness of the strips in the provided data table

    Place one of the strips in container #1 (salt water) and the other strip in the container #2 (pure water). Make sure that both potato strips are completely submerged. Hands On Lab: Diffusion and Osmosis

    Leave the strips in the water for 60 minutes.

    Gather Results

    Take a picture of both potato strips at the end (60min) of your experiment. Post this picture in the results section.

    Examine each strip and record your observations of the firmness of the strips in the provided data table

    Results

     

    0min Picture (4pts)

     

    60min Picture (4pts)

     

    Data Table
    (6pts)

    Container

     Firmness @ 0 min

    Firmness @ 60min

    1 (salt water)

    Firm

    Limp

    2 (Pure water)

    Firm

    Firm

     

    Part 2 Conclusion Questions

    Answer the following questions in
    complete sentences
    . (5pts. each)

    This experiment showed osmosis. Based on your results would you classify the salt water as hypertonic or hypotonic? Why?

     

    The salt water was hypertonic and caused the water inside the potato to move out by osmosis.

     

     

    This experiment showed osmosis. Based on your results would you classify the pure water as hypertonic or hypotonic? Why? Hands On Lab: Diffusion and Osmosis

     

    The pure water was hypotonic. This made the water retained inside the potato causing cells to swell.

     

     

    10-18 (3pts each): Hypothetically, use red blood cells to explain osmosis and states of tonicity. Red blood cells naturally are approximately 0.9% salt in content. We introduced red blood cells to the following solutions:

    100% water

    0.9% saline

    10% saline

    Hands on Lab- Diffusion and Osmosis

    Match solutions A, B, or C with the criteria (each letter used 3x):

    Solution Type

    Solution A, B, or C

    Net Water Movement

    Solution A, B, or C

    Cell Change

    Solution A, B, or C

    Hypertonic

    10. C

    Into Cell

    13. A

    No Change

    16. B

    Hypotonic

    11. A

    No Water Movement

    14. B

    Crenation

    17. C

    Isotonic

    12. B

    Out Of Cell

    15. C

    Swelling/ Lysis

    18. A

    Hands On Lab: Diffusion and Osmosis