Tag: Clinical-Nursing

  • Health federal bills congress

    Health federal bills congress

    There is much attention on federal health care policy and law. Health Bills: GovTrack.us provides a list of federal bills that are currently in process in Congressional Committees.

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    Go to https://www.govtrack.us/congress/bills/subjects/health/6130 (Links to an external site.)Links to an external site.

    Choose a health-related federal bill of interest to you. Read through the bill and post a summary in your own words. Include the bill number and name.

    How might this bill impact professional nursing practice standards if passed? If not passed?

    How might the bill impact your own nursing practice? Health federal bills congress.

  • Regulatory Environment and Requirements Essay

    Regulatory Environment and Requirements

    Select a risk management issue within a specific health care setting or organization. For your initial post to this discussion, construct a plan for regulatory compliance and address principles of high reliability organizations (Youngberg, 2011, p. 346–347). Begin your discussion by defining your selected issue and setting. Then, explain your plan and cite resources and personal experience as appropriate. The issue you select for this discussion will be the focus of the executive summary portion of this unit’s assignment, in which you must create an executive summary that describes your organization’s compliance with the regulatory requirement to promptly identify POAs and proactively assess and manage risk. Regulatory Environment and Requirements Essay.

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    Initial posts should be based upon peer-reviewed, evidence-based literature. In your post, include at least one APA-formatted in-text citation and accompanying, congruent APA-formatted reference. Your source can be a course textbook, assigned reading, or other scholarly source.

    Reference

    Youngberg, B. J. (2011). Principles of risk management and patient safety. Sudbury, MA: Jones and Bartlett.

    Response Guidelines

    Respond to the posts of other learners according to the Faculty Expectations Response Guidelines. If possible, respond to one learner who has a perspective, background, or goals that are similar to yours, and to one learner whose perspective, background, or goals are different. Peer responses should be substantive and must include one peer-reviewed source that aligns with the discussion thread. You may feel free to add an additional source that is new or provides a completely different perspective. “I agree” and “Thanks for sharing your insights” are examples of responses that do not contribute content for enhanced learning and are not acceptable. The goal is quality, substantive feedback that demonstrates higher order critical thinking and evaluation of peers’ initial posts. Regulatory Environment and Requirements Essay.

    DQ 2, 3 and 4 (24)

     

    [u03d1] Unit 3 Discussion 1
     

    Learning   from the Past

    Considering your analysis of St.   Anthony Medical Center’s Labor and Delivery service strengths and   opportunities, propose a list of features, advantages, and benefits for the   current service offering. With reference to the previous plan, explain your   reasoning for the new list.

    Response   Guidelines

    Respond to your fellow learners   according to the Faculty Expectations Response Guidelines. Focus on your   proposal in relation to that of your colleague: Where do your lists align?   Where do they differ? Support your thoughts with your own analysis.

    Resources

    Discussion Participation Scoring Guide
    .

     

    [u03d2] Unit 3 Discussion 2
     

    Competitive   Analyses

    Review the presentation given by   the marketing director in the media piece, Vila Health: Market Analysis. Then   construct a competitive analysis focused on social media use for St. Anthony   Medical Center’s Labor and Delivery service line versus the two other   competitor organizations. Post your document in the discussion space. This   completes step three of Kotler’s Marketing Plan format, presented in 
    Health   Care Marketing
    . Regulatory Environment and Requirements Essay.

    Response   Guidelines

    Review and respond to your fellow   learners according to the Faculty Expectations Response Guidelines. Focus   your response on a comparison with your own analysis–do you see any emerging   patterns? Support your response with reference to your texts and to the   information gleaned from St. Anthony Medical Center itself.

    Resources

    Discussion Participation Scoring Guide
    .

    Vila Health: Market Analysis
     | 
    Transcript
    .

    DQ 4

    High-Level Marketing Objectives

    Revisit the vision, mission, values and strategic plan summary for St. Anthony Medical Center. Given the directional strategy, analyze the current versus desired status of the Labor and Delivery service line. Propose conceptual-level marketing objectives, including performance indicators and proposed measurement units for each indicator. Explain your thinking for each objective.

    Response Guidelines

    Respond to your fellow learners according to the Faculty Expectations Response Guidelines, focusing on the similarities and differences between your two plans. Where do you see the biggest difference? Explain how you think will affect overall outcomes. Regulatory Environment and Requirements Essay

  • Case Study: Healing and Autonomy

    Case Study: Healing and Autonomy Assignment

    Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

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    Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?

    Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?

    According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?

    According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James? Case Study: Healing and Autonomy.

    Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

    This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Case Study: Healing and Autonomy.

     

    Case Study: End-of-Life Decisions

    Decisions regarding death and denying are very challenging to all individuals, including Christians. Despite death being inevitable, it is troublesome to think about when and how it will happen. In most cases, people apply philosophical and religious concepts while making decisions regarding death. However, Christians have a different perspective on various aspects of death such as euthanasia, which is mainly used in assisted dying (Inbadas et al., 2017). This discussion presents George’s end-of-life decisions.

    George’s Interpretation of his Suffering is based on the Christian Narrative, Emphasizing the Fallenness of the World

    Christians consider suffering as part of their life. They attribute human suffering to the fallenness of the world. God was not happy with Adam and Eve when they sinned against Him by eating the forbidden fruit in the garden of Aden. Consequently, God made suffering part of human life. Adam would toil to get food. Genesis 3:19, “By the sweat of your brow will you have food to eat until.” Additionally, Eve would experience pain during childbirth. Genesis 3:16, “I will make your pains in childbearing very severe; with painful labor, you will give birth to children.” Based on this evidence, humans suffer as a curse from God for the mistakes of their forefathers. Therefore George should attribute his suffering to his sins.

    George’s interpretation of his Suffering is based on the Christian Narrative, Emphasizing the Hope of the Resurrection

    Christians suffer as a result of their sins. However, God still loves mankind and is willing to forgive those who rent their sins and allow them to overcome death. “Suffering because of sin is a tragic part of all human life. Though no trial can separate the Christian from Christ’s love,” (Romans 8:35). For the love that God has for mankind, he sent his only begotten son to rescue those who believe in Him from sins and allow him to enjoy life after death. Jesus died and defeated death through resurrection. Those who will die while believing in Him shall live again after resurrection. Thus, despite suffering, George will resurrect and enjoy eternal life when Jesus comes for the church if he repents his sins and seeks forgiveness.

    How would the Christian Worldview inform George about the value of his Life as a Person?

    It is challenging for George to cope with challenges associated with his condition, amyotrophic lateral sclerosis (ALS), including pain and disability. However, George should still value his life as a precious gift from God. Humankind is special since is superior to the rest of God’s creation. Additionally, humankind was created by God in His image and likeliness. “God created man in his image,” (Genesis 1:27). Therefore, despite the suffering George should view his life as a God-given gift and consider himself as the son of God. For this reason, George should not think of taking his life away since God alone the giver of life has the right of taking life away.

    The Christian Worldview Values and Considerations in Deciding if George should opt for Euthanasia

    Christians would consider suffering as part of Christian life in deciding if George. Based on the Christian worldview George should not opt for euthanasia since its immoral (Gorczyca, 2022). Christ suffered to save mankind despite being the son of God. His life indicated that suffering is part of Christians’ life. Therefore, George should embrace the suffering associated with ALS without thinking of terminating his life through euthanasia since it’s an essential part of the Christian journey. Secondly, Christians should perceive the reward at the end of their suffering. Despite being tortured and killed, Jesus was resurrected again, giving Christians hope for resurrection. Therefore, George should focus on resurrection after his suffering; hence should not opt for Euthanasia.  Furthermore, Christians should perceive suffering as a way of bringing them closer to God through repentance. In most cases, Christians tend to repent their sins and seek God’s intervention when facing difficulties in their lives. Accordingly, God is using suffering to bring George closer to him and to make him repent his sins and seek forgiveness. Thus, George should not opt for Euthanasia but should focus on seeking God’s divine intervention during this difficult moment.

    Morally Justified Decision for George in the Christian Worldview

    In the above question, the Christian worldview perceives suffering as part of the Christian life. Thus, being a Christian, George should endure all difficulties associated with his condition, including pain and disability. Additionally, George should use this opportunity to get closer to God by repenting his sins and seeking forgiveness. According to Paterson (2017), using euthanasia to end life prematurely is immoral. Therefore, the morally justified option is for George to continue valuing his life, trusting in God, and living according to God’s commandment until God, the giver of life takes his life away. Thus, the Christian worldview does not consider euthanasia an option for George despite his condition and related adverse outcomes.

    The decision that I would make if I was in George’s situation based on the Christian Worldview

               
    Based on a worldwide view, if I was in George’s situation, I would not opt for euthanasia. Instead, I would embrace suffering as part of the Christian life, repent my sins, and seek God’s forgiveness. Additionally, I would not opt for euthanasia since life is a precious gift given to humankind by God. Hence, God alone has the right to take life away.

    Conclusion

    The Christian worldview perceives suffering as an essential part of the Christian life. Thus, being a Christian George should embrace the suffering caused by his condition without thinking of taking his life away through euthanasia. Additionally, the Christian worldview believes in life after death. Therefore, George should repent of his sins and believe he will resurrect when Jesus will come for His church. For this reason, George should not opt for euthanasia.

    References

    Inbadas, H., Zaman, S., Whitelaw, S., & Clark, D. (2017). Declarations on euthanasia and assisted dying. 
    Death Studies
    , 
    41
    (9), 574-584.

    Paterson, C. (2017). 
    Assisted suicide and euthanasia: a natural law ethics approach
    . Routledge.

    Stokłosa, I., Stokłosa, M., Więckiewicz, G., Porwolik, M., Bugajski, M., Masarczyk, W., … & Gorczyca, P. (2022). Analysis of Factors Influencing Polish Students’ Opinions on Euthanasia. 
    International Journal of Environmental Research and Public Health
    , 
    19
    (9), 5019.

  • Eczema unresponsive to treatment

    Eczema unresponsive to treatment

    Patient care hinges in part on adequate and timely information exchange between treating providers. Referral and reply letters are common means by which doctors and nurse practitioners exchange information pertinent to patient care.

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    Ensuring that letters meet the needs of letter recipients saves time for clinicians and patients, reduces unnecessary repetition of diagnostic investigations, and helps to avoid patient dissatisfaction and loss of confidence in medical practitioners.As a Nurse Practitioner (NP) you will need to know the difference between a consultation and a referral for treatment, when ordering and when carrying out consultations or referrals.ConsultationsA consultation is a request for opinion or advice, so that the requestor can manage the patient. A consultation is billed under one of the consultation codes listed in Physicians’ Current Procedural Terminology (CPT) (99241-99245 for outpatient of office consultations). If the NP is the consultant, the NP should document the request for a consultation, the reason for the consult, and the NP’s evaluation and recommendations.When an NP requests a consultation from another provider, the N P should request “consultation” on the referral form, rather than “referring.”
    Referrals:
    A referral is made when the referring provider wants to turn the management of the patient over to the referred-to provider, at least for the current complaint.When a NP refers a patient, the NP should state on the referral form that the NP is “referring the patient for evaluation and treatment.” The referred-to provider will bill an evaluation and management code, rather than a consultation code. 
    Writing Assignment: Consult:
    Write up a consult request and include all key elements.Ms. Perez has been referred to Ms. Wilson FNP-C,APRN, MSN  for consultation regarding eczema unresponsive to treatment in the past six months. Document the evaluation and recommendations for how Ms. Wilson FNP-C,APRN,MSN should deal with the consultation request and bill a consultation code eczema unresponsive to treatment. 
    Writing Assignment: Referral:
     Write up a referral request and include all key elements.As an NP and Ms. Perez primary care provider, you decide to refer her to Dr. Owens a dermatologist for evaluation and treatment regarding eczema unresponsive to treatment in the past six months.1. Document your referral to Dr. Owens2. Document the evaluation and recommendations for how Dr. Owens should deal with the referral and bill a referral code.

    Written Paper (Microsoft Word doc): minimum 2000 words using 6th edition APA formatting  Please review the grading rubric under Course Resources in the Grading Rubric section. eczema unresponsive to treatment.

  • Reflective Practice: Pants on Fire

    Reflective Practice: Pants on Fire

    Read the section titled “Reflective Practice: Pants on Fire” from chapter “Health Policy, Politics, and Professional Ethics” and address the questions below:

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    How do you judge Palin’s quote? [“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.] Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?

    Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?

    Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act? Reflective Practice: Pants on Fire

    Reflective Practice: Pants on Fire

    Sarah Palin is famous for urging her supporters to oppose Democratic plans for health care using the scare tactic of death panels. She said the Democrats plan to reduce health care costs by simply refusing to pay for care:

    And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.

    In fact there was no panel in any version of the health care bills in Congress that judges a person’s level of productivity in society to determine whether they are worthy of health care.

    The truth is that the proposed health bill would have allowed Medicare, for the first time, to pay for optional doctors’ appointments for patients to discuss living wills and other end-of-life issues with their physicians. PolitiFact awarded Palin with the 2009 Lie of the Year for the death panel claim, but the political impact of her statement is hard to overstate. In 2011, the Obama administration even deleted all references to end-of-life planning in a new Medicare regulation when opponents interpreted the move as a back-door effort to allow such planning. So even, in the regulations Palin achieved her goal (Holan, 2009). Reflective Practice: Pants on Fire

  • Anatomy Physiology Questions and answers

    Anatomy Physiology MCQs

    1) What is the correct order of occurrence for the steps of protein synthesis?

    1. mRNA is produced in nucleus.

    2. Ribosome moves along mRNA

    3. DNA uncoils for transcription.

    4. Polypeptide is produced.

    5. tRNA brings amino acids to ribosome.

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    6. mRNA moves to ribosome. Anatomy Physiology Questions and answers.

    A) 3, 1, 6, 2, 5, 4

    B) 2, 4, 6, 1, 3, 5

    C) 2, 1, 5, 4, 3, 6

    D) 3, 5, 1, 6, 2, 4

    E) 1, 5, 3, 4, 2, 6

    2) The unit of DNA that specifies a certain amino acid is called a ________, the same unit of mRNA is called a ________, which, during protein synthesis, is matched by the ________ of tRNA.

    A) triplet; codon; anticodon

    B) nitrogen base; sugar; phosphate

    C) codon; anticodon; ribosome

    D) gene; triplet; amino acid

    E) triplet; co-triplet; gene

    3) The duplication of DNA is called ________, the copying of DNA to mRNA is called ________, and the reading of the mRNA by the cell to make a protein is called ________.

    A) replication; transcription; translation

    B) interphase; replication; active transport

    C) replication; translation; transcription

    D) mitosis; duplication; protein synthesis

    E) reproduction; duplication; initiation

    4) What would the complimentary DNA template strand be to produce the mRNA sequence of

    UGU – CAA?

    A) ACA – GTT

    B) UCU – GUU

    C) CGC – ATT

    D) ACA – GUU

    E) TCT – GTT

    5) A gene is a set of specific instructions that

    A) produces amino acids for proteins.

    B) copies DNA strands for mitosis.

    C) controls the process of mitosis.

    D) indicates the sequence of amino acids in a protein molecule.

    E) directs carbohydrate synthesis.

    6) The DNA molecule is like a twisted ladder. What molecules form the “sides” of the DNA ladder?

    A) alternating molecules of sugar and phosphate groups

    B) carbohydrates and lipids

    C) repeating molecules of acids and bases

    D) amino acids and protein

    Anatomy Physiology Questions and answers

    E) nitrogen bases and sugar molecules

    7) What would the complimentary (matching) mRNA and tRNA molecules be from a DNA molecule that has the following triplets?

    coding strand: ATG-CAA

    template strand: TAC-GTT

    A) mRNA: AUG-CAA, tRNA: TAC-GTT

    B) mRNA: ATG-CAA, tRNA: TAC-GTT

    C) mRNA: UAC-GUU, tRNA: AUG-CAA

    D) mRNA: TAC-GTT, tRNA: AUG-CAA

    E) mRNA: AUG-CAA, tRNA: UAC-GUU

    8) Diffusion of a substance across the cell membrane is influenced by all of the following 
    except

    A) hydrolysis of ATP.

    B) the presence of the membrane channels.

    C) the charge on the ion.

    D) concentration gradient.

    E) lipid solubility.

    9) Water molecules and small ions enter a cell through

    A) channels formed by integral proteins.

    B) peripheral proteins.

    C) lipid channels.

    D) peripheral carbohydrates.

    E) defects in the lipid layer of the membrane.

    10) A solution that contains a lower osmotic pressure than the cytoplasm of a cell is called

    A) merotonic.

    B) hypertonic.

    C) isotonic.

    D) hypotonic.

    E) homotonic.

    11) If a red blood cell (RBC) is placed in a 0.5% salt solution, which of the following would occur?

    1. Water will move out of the RBC.

    2. RBC will hemolyze.

    3. RBC will crenate.

    4. Water will enter the RBC.

    A) 1 and 3 only

    B) 2 and 3 only

    C) 1 and 2 only

    D) 3 and 4 only

    E) 2 and 4 only

    12) Which of the following 
    best
     describes osmosis?

    A) active transport of water across the cell membrane

    B) diffusion of water from a greater to a lesser water concentration

    C) movement of water into a solute

    D) diffusion of water from a greater to a lesser water concentration across a selectively permeable membrane. Anatomy Physiology Questions and answers.

    E) random movement of water due to kinetic energy

    13) Osmotic pressure

    A) forces water to move toward the higher solute concentration.

    B) forces water to move across a semipermeable membrane.

    C) can be opposed by hydrostatic pressure.

    D) increases as solute concentration increases.

    E) All of the answers are correct.

    14) Red blood cell shrinkage is to ________ as red blood cell bursting is to ________.

    A) crenation; hemolysis

    B) lysis; crenation

    C) hypotonic; isotonic

    D) isotonic; hypotonic

    E) isotonic; hypertonic

    15) Identify the mismatched pair.

    A) receptor proteins — bind with enzymes

    B) channel proteins — provide passageway for ions

    C) recognition proteins — identify self

    D) carrier proteins — provide transport

    E) enzymes — speed up chemical reactions

    16) The cytoplasm contains the fluid cytosol and the suspended

    A) microvilli.

    B) nucleolus.

    C) enzymes.

    D) organelles.

    E) cilia.

    17) The process of forming mRNA is called

    A) replication.

    B) transcription.

    C) translation.

    D) ribolation.

    E) auscultation.

    18) The process of protein formation directed by mRNA is called

    A) replication.

    B) transcription.

    C) translation.

    D) mitosis.

    E) auscultation.

    19) As each codon arrives at the active site of a ribosome, it attracts another molecule containing the anticodon. This molecule is called

    A) DNA.

    B) mRNA.

    C) rRNA.

    D) tRNA.

    E) RER.

    20) The triplet codes needed to specify a specific polypeptide chain are found in the

    A) cytoplasm.

    B) gene.

    C) codon.

    D) anticodon.

    E) polypeptide itself.

    21) Some cells contain large numbers of mitochondria while others have relatively few or none. This suggests that

    A) cells with large numbers of mitochondria are short-lived.

    B) cells with large numbers of mitochondria have a high energy demand.

    C) cells with small numbers of mitochondria have a large ATP supply.

    D) cells with large numbers of mitochondria have a low energy demand.

    E) some cells are older than others.

    22) The following is a list of the steps involved in the process of secretion by the Golgi apparatus. What is the proper order for these steps?

    1. Material moves from cisterna to cisterna by means of transfer vesicles.

    2. Exocytosis

    3. Products from RER are packaged into transport vesicles.

    4. Secretory vesicles are formed at the maturing face.

    5. Vesicles arrive at the forming face. Anatomy Physiology Questions and answers.

    6. Enzymes modify arriving proteins and glycoproteins.

    A) 5, 6, 1, 4, 2, 3

    B) 2, 3, 5, 6, 1, 4

    C) 4, 3, 1, 6, 5, 2

    D) 3, 5, 6, 1, 4, 2

    E) 1, 3, 6, 4, 2, 5

    23) Each of the following is a function of smooth endoplasmic reticulum 
    except

    A) storage and release of calcium ions.

    B) modification of protein.

    C) synthesis of steroid hormones.

    D) synthesis of triglycerides.

    E) detoxification of drugs.

    24) Which of the following statements concerning mitochondria is 
    false
    ?

    A) The cristae increase the inner surface area of the organelle.

    B) The matrix contains metabolic enzymes involved in ATP synthesis.

    C) Respiratory enzymes are attached to the surface of the cristae.

    D) The mitochondria require carbon dioxide and produce oxygen in the process of energy transformation.

    E) The mitochondria produce most of a cell’s ATP.

    25) Which of the following statements about the Golgi apparatus is 
    false
    ?

    A) It receives transport vesicles from the RER.

    B) It sends transport vesicles to the RER.

    C) It produces lysosomes.

    D) It supplies new membrane components.

    E) It produces secretory vesicles.

    26) Peroxisomes

    A) contain enzymes that break down hydrogen peroxide.

    B) absorb and break down fatty acids, generating hydrogen peroxide in the process.

    C) are produced from other peroxisomes.

    D) are more abundant in cells with higher metabolic rates.

    E) All of the answers are correct.

    27) Match the organelle (1-4) with the correct description (5-8).

    1. mitochondrion 5. intracellular transport

    2. centriole 6. liquid in cell

    3. endoplasmic reticulum 7. provides cell energy

    4. cytosol 8. aids the formation of the spindle apparatus

    A) 1 and 7, 2 and 6, 3 and 8, 4 and 5

    B) 1 and 8, 2 and 5, 3 and 6, 4 and 7

    C) 1 and 7, 2 and 8, 3 and 5, 4 and 6

    D) 1 and 5, 2 and 6, 3 and 7, 4 and 8

    E) 1 and 6, 2 and 8, 3 and 5, 4 and 7

    28) The endoplasmic reticulum is responsible for

    A) drug and toxin neutralization.

    B) lipid synthesis.

    C) modification of new proteins.

    D) shipping molecules to the Golgi apparatus.

    E) All of the answers are correct. Anatomy Physiology Questions and answers.

    29) Microtubules have which of the following functions?

    A) They form structural components of organelles.

    B) They move chromosomes during cell division.

    C) They provide a mechanism for changing the cell shape.

    D) Molecular motors move along them.

    E) All of the answers are correct.

    30) Which form of endoplasmic reticulum modifies and packages newly synthesized proteins?

    A) ribosomal endoplasmic reticulum

    B) proteosomes reticulum

    C) raised endoplasmic reticulum

    D) smooth endoplasmic reticulum

    E) rough endoplasmic reticulum

    31) Renewal or modification of the cell membrane is a function of the

    A) microtubules.

    B) mitochondria.

    C) rough endoplasmic reticulum.

    D) ribosomes.

    E) Golgi apparatus.

    32) Synthesis of lipids and glycogen takes place at the

    A) ribosomes.

    B) rough ER.

    C) smooth ER.

    D) Golgi apparatus.

    E) mitochondria.

    33) Microfilaments

    A) anchor the cytoskeleton to membrane proteins.

    B) control the consistency of cytoplasm.

    C) with myosin, produce cell movement.

    D) consist of the protein called actin.

    E) All of the answers are correct.

    34) The organelles and the watery component of the cell together is called

    A) cytosol.

    B) protoplasm.

    C) extracellular fluid.

    D) interstitial fluid.

    E) cytoplasm.

    35) Identify the role of cholesterol in the plasma membrane.

    A) enables ions to pass

    B) forms enzymes

    C) affects membrane permeability

    D) anchors the phospholipids

    E) All of the answers are correct.

    36) The study of tissues is called

    A) cytology.

    B) toxicology.

    C) micrology.

    D) histology.

    E) mycology.

    37) An epithelial cell can be divided into two functional regions. They are the ________ and the basal surface.

    A) apical

    B) pinnacle

    C) topical

    D) crest

    E) apogeal

    38) ________ are proteins that connect adjacent cells at a gap junction.

    A) Bindins

    B) Adhesions

    C) Connexins

    D) Attachons

    E) Tieons

    39) The epithelium that lines the body cavities is known as

    A) perithelium.

    B) myothelium.

    C) intrathelium.

    D) endothelium.

    E) mesothelium.

    40) Gland cells produce

    A) mesenchyme.

    B) antibodies.

    C) secretions.

    D) phagocytes.

    E) fibers.

    41) Which of the following glands have a compound rather than a simple structure?

    A) salivary glands

    B) sebaceous glands

    C) mucous glands

    D) sweat glands

    E) gastric glands

    42) The process of lactation (milk production) depends on both merocrine and ________ secretion by mammary gland epithelial cells.

    A) epicrine

    B) eccrine

    C) holocrine

    D) apocrine

    E) endocrine

    43) The viscous component of connective tissue is called. Anatomy Physiology Questions and answers.

    A) basal layer.

    B) ground substance.

    C) matrix.

    D) lymph.

    E) plasma.

    44) The combination of fibers and ground substance in supporting connective tissues is known as

    A) collagen.

    B) cartilage.

    C) chondroitin.

    D) matrix.

    E) scaffold.

    45) The watery fluid component of blood is called

    A) hemosol.

    B) liquid elements.

    C) formed elements.

    D) hemoplasm.

    E) plasma.

    46) In areolar connective tissue, ________ cells release histamine.

    A) plasma

    B) mast

    C) mesenchymal

    D) gland

    E) goblet

    47) The three major subdivisions of extracellular fluid found in the body are plasma, interstitial fluid, and

    A) synovial fluid.

    B) urine.

    C) sweat.

    D) lymph.

    E) serous fluid.

    48) Interstitial fluid that enters a lymphatic vessel is called

    A) plasma.

    B) lymph.

    C) blood.

    D) humoral fluid.

    E) plasmin fluid.

    49) The three kinds of formed elements in blood are erythrocytes, leukocytes, and

    A) lymphocytes.

    B) platelets.

    C) phagocytes.

    D) plasma cells.

    E) mast cells.

    50) Lymphocytes can develop into cells that secrete defense proteins against disease. These cells are termed ________, while these proteins are called antibodies.

    A) T cells

    B) B cells

    C) plasma cells

    D) immunocytes

    E) phagocytes

    51) Defense cells in blood are called white blood cells or. Anatomy Physiology Questions and answers.

    A) leukocytes.

    B) lymphocytes.

    C) erythrocytes.

    D) thrombocytes.

    E) immunocytes.

    52) Antiangiogenesis factor is a chemical produced by ________ that blocks the growth of blood vessels.

    A) leukocytes

    B) lymphocytes

    C) chondrocytes

    D) erythrocytes

    E) mesenchymal cells

    53) A herniated disc is an injury of the pads of cartilage between the vertebrae in which the cartilage bulges from normal position. What type of cartilage is affected?

    A) mesenchymal

    B) fibrous

    C) elastic

    D) hyaline

    E) articular

    54) Growth of cartilage by accumulation of matrix around chondrocytes is called ________ growth.

    A) appositional

    B) intrasitional

    C) transitional

    D) transformational

    E) interstitial

    55) In ________ growth, cartilage grows wider or thicker in diameter.

    A) appositional

    B) intrasitional

    C) transitional

    D) transformational

    E) interstitial

    56) Epithelia and connective tissues combine to form ________ that cover and protect other structures and tissues in the body.

    A) fasciae

    B) aponeuroses

    C) organ capsules

    D) cutaneous layers

    E) body membranes

    57) The loose connective tissue component of a mucous membrane is called the

    A) lamina densa.

    B) basal lamina.

    C) areolar lamina.

    D) lamina propria.

    E) mucina lamina.

    58) Accumulation of fluid in the peritoneal cavity as a result of liver or kidney disease, malnutrition, or heart failure is known as. Anatomy Physiology Questions and answers.

    A) edema.

    B) ischemia.

    C) inflammation.

    D) ascites.

    E) infarction.

    59) The function of ________ is to propagate electrical signals from one place to another.

    A) muscle cells

    B) neurons

    C) transmitter cells

    D) teleocytes

    E) neuroglia

    60) ________ support, protect, and nourish nerve cells.

    A) Nurse cells

    B) Neuroglia

    C) Neurons

    D) Nurturons

    E) Nutrient cells

    61) The body’s first tissue response to any injury is

    A) fever.

    B) inflammation.

    C) bleeding.

    D) shivering.

    E) All the above.

    62) Accumulations of fluid within the epidermis or between the epidermis and the dermis is/are called

    A) keloids.

    B) scabs.

    C) blisters.

    D) scars.

    E) pus.

    63) Rapid water loss from burned skin is an extreme form of ________ perspiration.

    A) imprudent

    B) non-sense

    C) impractical

    D) vacuous

    E) insensible

    64) The pigment found in vegetables that can make the skin appear orange or yellow is called

    A) cadmium.

    B) carotene

    C) hemoglobin.

    D) keratin.

    E) melanin.

    65) Melanin is produced by melanocytes within the stratum

    A) corneum.

    B) lucidum.

    C) granulosum.

    D) spinosum.

    E) basale.

    66) Myosatellite cells are found in association with ________ muscle.

    A) skeletal

    B) smooth

    C) cardiac

    D) involuntary

    E) both smooth and cardiac

    67) All of the following are true of neurons 
    except
     that

    A) when mature, they lose the ability to divide.

    B) they conduct a nervous impulse.

    C) they are composed of a cell body and axon.

    D) they are a very specialized form of connective tissue.

    E) they are separated from one another by synapses.

    68) During an inflammatory response to injury, which of the following is the 
    least
     likely in the region of the injury?

    A) increase in basophils

    B) increase in histamine

    C) increase in blood flow

    D) cold, pale skin

    E) swelling

    69) Microscopic examination of a tissue reveals a loose framework of fibers embedded in a large volume of fluid ground substance and adipocytes and mast cells fibers. This tissue would most likely have come from the. Anatomy Physiology Questions and answers.

    A) inner wall of a blood vessel.

    B) lungs.

    C) spleen.

    D) superficial fascia between skin and muscle.

    E) bony socket of the eye.

    70) The framework of connective tissue between the skin and underlying muscles is called the

    A) dermis.

    B) superficial fascia.

    C) deep fascia.

    D) subcutaneous layer.

    E) subserous fascia.

    71) The three categories of connective tissues are

    A) connective tissue proper, fluid connective tissue, and supporting connective tissue.

    B) epithelial connective tissue, muscle connective tissue, and neural connective tissue.

    C) glandular connective tissue, exocrine connective tissue, and endocrine connective tissue.

    D) connective tissue proper, cartilage connective tissue, and bone connective tissue.

    E) areolar connective tissue, adipose connective tissue, and dense connective tissue.

    72) Two classes of macrophages include

    A) mesenchymal cells and melanocytes.

    B) mast cells and basophils.

    C) fixed macrophages and free macrophages.

    D) neutrophils and eosinophils.

    E) microphages and adipocytes.

    73) Tissues that provide strength and support for areas subjected to stresses from many directions are

    A) all connective tissues proper.

    B) elastic and hyaline cartilage.

    C) dense irregular connective tissues.

    D) reticular connective tissues.

    E) dense regular connective tissues.

    74) Loose connective tissue functions in all of the following ways 
    except

    A) providing strong connections between muscles and bones.

    B) supporting epithelia.

    C) anchoring blood vessels and nerves.

    D) cushioning and stabilizing.

    E) filling spaces between organs.

    Anatomy Physiology Questions and answers

  • Effective communication essay assignment

    Effective communication essay assignment Homework # 5

    Read Chapter 6 & 7

    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?

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    5. How have you seen ISBAR used during your clinical experiences? effective communication essay assignment.

    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. effective communication essay assignment.

    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? effective communication essay assignment

  • SLMC Budget Development Essay Paper

    SLMC Budget Development Essay Paper

    SLMC Budget Development – The objectives of the SLMC Budget Development assignment entail the (a) identification and articulation of fundamental concepts of budget-development stratagems involving the cardiac unit at Saint Louis Medical Center (SLMC) that encompasses appraising variance analyses as they extend to the nursing budgets within healthcare organizations (CO 2); (b) formulation of a revenue-and-expense budget regarding a nursing unit inside a healthcare organization (CO 1); and (c) communicating the resultant information in a succinct, concise and scholarly manner.

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    SLMC Budget Development Requirements:

    This paper will … graded on quality of information, use of citations, use of standard English grammar, sentence structure, and organization, based on the required components.

    Create this assignment using Microsoft Word, which is the required format for all Chamberlain documents. You can tell that the document is saved as an MS Word document because it will end in 
    .docx
    . SLMC Budget Development Essay Paper.

    Submit the paper to the appropriate CCN Dropbox by 11:59 p.m. MT on Sunday of the week due. Any questions about this paper may be discussed in the weekly Q & A Discussion topic.

    The length of the paper is to be 
    no greater than three pages, excluding title page and reference page
    . Extra pages 
    will not
     … read by the instructor and 
    will not
     count toward your grade.

    APA format (6
    th
     edition) is … in this assignment, including a title page and a reference page. Use APA level 1 headings for the organizational structure of this assignment. Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is ….. the introduction. See the APA manual for details. SLMC Budget Development Essay Paper. See the resource in Doc Sharing called Guidelines for Writing Professional Papers. Use the suggested format and headings to organize your assignment:

    Include an introduction (do not label it as a heading in APA format)

    Identify steps to develop a budget

    Analysis of sample budget development

    Strategies to improve budget development

    Supporting evidence

    Conclusion

     Preparing the SLMC Budget Development Paper:

    As the nurse executive of a healthcare organization, you were provided a sample budget for the cardiac unit at SLMC. You must analyze the proposed budget and make recommendations to improve the development of the budget. Evidence will … used to support your strategies.

    Clearly introduce your budget-development assignment in the introduction paragraph, including a sentence that states the purpose of your paper. SLMC Budget Development Essay Paper.

    Clearly articulate the steps you would take, as the nurse executive, to develop a budget for your cardiac unit at SLMC.

    … analyze the proposed sample budget developed for the cardiac unit at SLMC.

    Clearly articulate your strategies to improve the budget development for the cardiac unit at SLMC.

    Include of a minimum of three sources of scholarly, empirical evidence that support your budget strategies.

    Provide conclusion statements for your overall assignment content.

    The paper will be a length of 
    three pages maximum
    , excluding title and reference page(s).

    Title and reference page(s) must be in APA format (6
    th
     edition).

    Use 12-point Times New Roman font and one-inch margins on all sides of the SLMC Budget Development paper. SLMC Budget Development Essay Paper.

  • World Health Organization’s (WHO) global health agenda

    World Health Organization’s (WHO) global health agenda

    To Prepare:

    Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.

    Select at least one additional country to compare to the U.S. for this Assignment.

    Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected. World Health Organization’s (WHO) global health agenda.

    Review and download the Global Health Comparison Matrix provided in the Resources.

    The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

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    Part 1: Global Health Comparison Matrix

    Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

    Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.

    Explain the strengths and weaknesses of each policy.

    Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.

    Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected. World Health Organization’s (WHO) global health agenda.

    Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.

    Explain how the health policy you selected might impact the role of the nurse in each country.

    Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

    Part 2: A Plan for Social Change

    Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader. World Health Organization’s (WHO) global health agenda.

    In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

    Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.

    Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.

    Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples. World Health Organization’s (WHO) global health agenda

  • Counseling Adolescents Discussion

    Counseling Adolescents Discussion

    Discussion: Counseling Adolescents – The adolescent population is often referred to as “young adults,” but in some ways, this is a misrepresentation. Adolescents are not children, but they are not yet adults either. This transition from childhood to adulthood often poses many unique challenges to working with adolescent clients, particularly in terms of disruptive behavior. In your role, you must overcome these behaviors to effectively counsel clients. Counseling Adolescents Discussion. For this Discussion, as you examine the Disruptive Behaviors media in this week’s Learning Resources, consider how you might assess and treat adolescent clients presenting with disruptive behavior.

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    Learning Objectives: Discussion: Counseling Adolescents

    Students will:

    Assess clients presenting with disruptive behavior

    Analyze therapeutic approaches for treating clients presenting with disruptive behavior

    Evaluate outcomes for clients presenting with disruptive behavior

    To prepare:

    Review this week’s Learning Resources and reflect on the insights they provide.

    View the media, Disruptive Behaviors. Select one of the four case studies and assess the client.

    For guidance on assessing the client, refer to pages 137-142 of the Wheeler text in this week’s Learning Resources.

    Note: To complete this Discussion, you must assess the client, but you are not required to submit a formal Comprehensive Client Assessment. Counseling Adolescents Discussion.

    Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the ”Post to Discussion Question” link and then select ”Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!

    By Day 3 of Discussion: Counseling Adolescents

    Post an explanation of your observations of the client in the case study you selected, including behaviors that align to the criteria in DSM-5. Counseling Adolescents Discussion. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature.

    Read a selection of your colleagues’ responses.

    Learning Resources

    Discussion: Counseling Adolescents Required Readings

    Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. Counseling Adolescents Discussion.

    Chapter 17, “Psychotherapy With Children” (pp. 597–624)

    American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

    Discussion: Counseling Adolescents Note: You will access this text from the Walden Library databases.

    Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. International Journal of Behavioral Consultation and Therapy, 9(2), 4–8. doi:10.1037/h0100991

    Note: You will access this article from the Walden Library databases.

    Koocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. Journal of Clinical Psychology, 59(11), 1247–1256. PMID:14566959

    Note: You will access this article from the Walden Library databases. Counseling Adolescents Discussion.

    McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow, M. A., Weisz, J. R., & Kendall, P. C. (2016). The role of setting versus treatment type in alliance within youth therapy. Journal of Consulting and Clinical Psychology, 84(5), 453–464. doi:10.1037/ccp0000081

    Note: You will access this article from the Walden Library databases.

    Zilberstein, K. (2014). The use and limitations of attachment theory in child psychotherapy. Psychotherapy, 51(1), 93–103. doi:10.1037/a0030930

    Note: You will access this article from the Walden Library databases.

    Discussion: Counseling Adolescents Required Media

    Laureate Education (Producer). (2013a). Disruptive behaviors – Part 1 [Multimedia file]. Baltimore, MD: Author. Counseling Adolescents Discussion.

    Laureate Education (Producer). (2013a). Disruptive behaviors – Part 2 [Multimedia file]. Baltimore, MD: Author.

    Walker, R. (n.d.). Making child therapy work [Video file]. Mill Valley, CA: Psychotherapy.net.

    Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 95 minutes.

    Optional Resources

    Bruce, T., & Jongsma, A. (2010a). Evidence-based treatment planning for disruptive child and adolescent behavior [Video file]. Mill Valley, CA: Psychotherapy.net.

    Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 63 minutes. Counseling Adolescents Discussion.