Florida National University E

I’m working on a Nursing exercise and need support.

You are a supervisor in a neurologic care unit. One morning, you receive a report from the night-shift registered nurses, Nurse Caldwell and Nurse Jones. Neither of the nurses reports anything out of the ordinary, except that a young patient with head injury has been particularly belligerent and offensive in his language. This young man was especially annoying because he appeared rational and then would suddenly become abusive. His language was particularly vulgar. You recognize that this is fairly normal behavior in a patient with a head injury, but yesterday morning, his behavior was so offensive to his neurosurgeons that one of them threatened to wash his mouth out with soap.

After both night nurses leave the unit, you receive a phone call from the house night supervisor who relates the following information: When the supervisor made the usual rounds to the neuro unit, Nurse Caldwell was on a coffee break and Nurse Jones was in the unit with two licensed vocational nurses/licensed practical nurses. Nurse Jones reported that Nurse Caldwell became very upset with the patient with head injury because of his abusive and vulgar language and had taped his mouth shut with a 4-in piece of adhesive tape. Nurse Jones had observed the behavior and had gone to the patient’s bedside and removed the piece of tape and suggested that Nurse Caldwell go get a cup of coffee.

The supervisor observed the unit several times following this, and nothing else appeared to be remiss. Stating that no harm had come to the patient, Nurse Jones was reluctant to report the incident but believed that perhaps one of the supervisors should counsel Nurse Caldwell. You thank the night supervisor and consider the following facts in this case:

image Nurse Caldwell has been an excellent nurse but is occasionally judgmental.

image Nurse Caldwell is a very religious young woman and has led a rather sheltered life.

image Taping a patient’s mouth with a 4-in piece of adhesive tape is very dangerous, especially for someone with questionable chest and abdominal injuries and neurologic injuries.

image Nurse Caldwell has never been reprimanded before.

You call the physician and explain what happened. The physician believes that no harm was done and notes that it is up to you to determine if and how to discipline the employee. He does, however, express significant concern about her judgment to safely care for patients.

You phone the nurse and arrange for a conference with her. She tearfully admits what she did. She states that she lost control. She asks you not to fire her, although she agrees this is a dischargeable offense. You consult with the administration, and everyone agrees that you should be the one to decide the disciplinary action in this case.

DQ: Decide what you would do. You have a duty to your patients, the hospital, and your staff. List at least four possible courses of action. Select from among these choices and justify your decision.

Discussion Protocol. Please observe the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences.

All answers or discussions comments submitted must be in APA

format according to Publication Manual American Psychological Association (APA)

(7th ed.)

Discussions must have a minimum of two references, not

older than 2016.

Florida National University E

For this assignment, you will write an introduction. Refer to Module 3: Lecture Materials & Resources to help you complete this assignment.

Your Introduction must include: Paper needs to be sent through turnitin ( free of plagiarism)

  • Your PICOT question.
  • Purpose of or rationale for the scholarly project:
    • Provide an evidence-based explanation of why it is necessary to complete your scholarly project and what benefit will be gained (health promotion, fiscal, and efficiency).
  • Background on the problem or population of interest:
    • Using primary sources, provide data on your topic.
    • Providing the background will demonstrate the focused need for your project.
  • Significance of the problem to nursing and health care:
    • State how your problem or population of interest aligns with the larger interest of health care in the community.
    • Create a context to why your topic is important.
  • Benefit of the project to nursing practice:
    • State what will be gained from your project.
    • Describe the expected outcomes of your project to practice within your population and setting.
    • Relate the outcomes to evidence-based guidelines and outcomes.
    • Describe how your project may influence other populations or settings.

Submission Instructions:

  • The introduction is original work and logically organized.
  • The paper is 2-3 pages in length and follows current APA format including citation of references.
  • Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
  • Journal articles and books should be referenced according to the current APA style (the library has a copy of the APA Manual).
    Essay/Paper Rubric
    Criteria Ratings Points
    Identification of Main Issues/Problems Distinguished – 4 points
    Identify and demonstrate a sophisticated understanding of the issues/problems.
    Excellent – 3 points
    Identifies and demonstrate an accomplished understanding of most of issues/problems.
    Fair – 2 points
    Identifies and demonstrate an acceptable understanding of most of issues/problems.
    Poor – 1 point
    Identifies and demonstrate an unacceptable understanding of most of issues/problems.
    4 points
    Analysis and Evaluation of Issues/Problems Distinguished – 4 points
    Presents an insightful, thorough analysis and evaluation of issues/problems.
    Excellent – 3 points
    Presents a thorough analysis and evaluation of most of the issues/problems.
    Fair – 2 points
    Presents a superficial or incomplete analysis and evaluation of issues/problems.
    Poor – 1 point
    Presents unacceptable analysis and evaluation of issues/problems.
    4 points
    Demonstrates a Conceptual Understanding Distinguished – 4 points
    Provides a thorough, competent and interpretive responses to all issues/problems, and shows a high level of conceptual understanding.
    Excellent – 3 points
    Provides a competent and interpretive responses to all issues/problems, and shows a moderate level of conceptual understanding.
    Fair – 2 points
    Provides a competent responses to all issues/problems, but lacks interpretation and a moderate level of conceptual understanding.
    Poor – 1 point
    Provides an unacceptable response to all issues/problems, and lacks interpretation and a moderate level of conceptual understanding.
    4 points
    Use of Citations to Course Readings and Additional Research/Literature Distinguished – 4 points
    Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing.
    Excellent – 3 points
    Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing.
    Fair – 2 points
    Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing.
    Poor – 1 point
    Ineffectively uses the literature and other resources to inform their work. Unacceptable use of citations and extended referencing.
    4 points
    Writing Mechanics and APA Formatting Guidelines Distinguished – 4 points
    Demonstrate a high level of clarity, precision, and attention to detail. APA style is correct and writing is free of grammar and spelling errors.
    Excellent – 3 points
    Demonstrate a high level of clarity. APA style and writing mechanics need more precision and attention to detail.
    Fair – 2 points
    Demonstrate a moderate level of clarity. APA style and writing mechanics need more precision and attention to detail.
    Poor – 1 point
    Demonstrates issues in writing and communicating clearly. APA style and writing mechanics need serious attention.
    4 points
    Total Points 20

Florida National University E

Gina is the charge nurse of the 3:00 PM to 11:00 PM shift on the acute care unit where you have worked for 18 months since your graduation. Your supervisor has asked you if you would like to learn the duties of the relief charge nurse. You were thrilled that she approached you for this position. Because it was a relief position, it was permissible for your supervisor to appoint you and not necessary for you to formally apply for the position.

One day each week, for the last 2 weeks, you have been working with Gina about the responsibilities of the position. There are several things Gina does that bother you, and you are not sure what you should do. For example, if used supplies were inadvertently not charged to patients at the time of service, Gina admitted she would just charge them to whoever patients she thought were likely to have used them. When you questioned Gina about this, she said, “Well, at the end of the day, the unit needs to make sure that all supplies have been charged for, or the CFO will be after all of us. It is one of the charge nurses’ responsibilities, and I don’t have time to chase everyone down to find the correct patient to charge and besides everyone has insurance and so it does not come out of the patient’s pocket. Most importantly, we must make sure the hospital gets reimbursed or we won’t have our jobs.”

In addition, when Gina does the staffing correlation for the upcoming shift, you notice that she fudges a bit and makes sure the night shift is given credit for needing more staff than they need. When questioned, she said, “Oh, we have to take care of each other, better too much staff than not enough.”

You think Gina’s actions are unethical, but you do not know what to do about it. It does not directly harm a patient, but you feel uncomfortable about what she is doing and feel it is not the ethical thing to do.

DQ: You have many options here including doing nothing. Using the MORAL ethical problem-solving model, solve this case and compare your solution with others in the class while responding to them throughout the week.

Discussion Protocol. Please observe the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences.

All answers or discussions comments submitted must be in APA

format according to Publication Manual American Psychological Association (APA)

(7th ed.)

Discussions must have a minimum of two references, not

older than 2016.

Florida National University E


  1. Question 1

    0.4 PointsFor each animal cell that begins oogenesis, the number of ova produced is four.__________________


  2. Question 2

    0.4 PointsWhat color does chlorophyll reflect?


  3. Question 3

    0.4 PointsEukaryotic chromosomes are composed of:


  4. Question 4

    0.4 PointsPlant hormones known as ____ stimulate mitosis.


  5. Question 5

    0.4 PointsTo prevent disastrous consequences, the eukaryotic cell cycle is controlled by:


  6. Question 6

    0.4 PointsAn enzyme raises the activation energy of the reaction it catalyzes.__________________


  7. Question 7

    0.4 PointsSome enzymes have a receptor site that is other than the active site. This is also referred to as a(n) ____ site.


  8. Question 8

    0.4 PointsThe cell maintains a ratio of ATP to ADP that is at the equilibrium point.__________________


  9. Question 9

    0.4 PointsNucleosomes are best described as:


  10. Question 10

    0.4 PointsIn what part of a chloroplast are chlorophyll and accessory photosynthetic pigments associated?


  11. Question 11

    0.4 PointsA(n) closed system does not exchange energy with its surroundings.__________________


  12. Question 12

    0.4 PointsWhy are enzymes considered important biological catalysts?


  13. Question 13

    0.4 PointsThe direction of an exergonic reaction can best be describe as moving:


  14. Question 14

    0.4 PointsDuring prophase, ____ is(are) compacted into visible chromosomes.


  15. Question 15

    0.4 PointsCyclic electron transport is different from noncyclic electron transport in that cyclic electron transport produces NADPH.__________________


  16. Question 16

    0.4 PointsSurrounding the grana is the thylakoid lumen.__________________


  17. Question 17

    0.4 PointsIn fungi and protists, gametes produced by ____ of haploid cells fuse to form a ____ zygote, which then undergoes ____ to restore the haploid chromosome number.


  18. Question 18

    0.4 PointsA cell is dividing by binary fission. What can you conclude?


  19. Question 19

    0.4 PointsAn enzyme binds its substrate at the active site.__________________


  20. Question 20

    0.4 Points____ organized on chromosomes carry the information that controls the functions of the cell.


  21. Question 21

    0.4 PointsDuplicated centrioles move to opposite poles of a dividing ____ cell during the ____ of the cell cycle.


  22. Question 22

    0.4 PointsChemical energy is a form of kinetic energy.__________________


  23. Question 23

    0.4 PointsAccording to the second law of thermodynamics, energy cannot be created nor destroyed.__________________


  24. Question 24

    0.4 PointsEnergy that is useable and organized is classified as having ____.


  25. Question 25

    0.4 PointsThe nuclear envelope fragments during the prometaphase stage.__________________


Florida National University E

Make 3 different works.

1. with More than 350 words and more than 3 references with at least one references no older than 5 years.

2. & 3., each one with more more then 159 words ( initial and references not included). and at least 2 refernces.

Discussion # 2 : End of Life initial post.

End-of-Life Care (including advanced directives, palliation) Topics to review: Article: Nurses roles and responsibilities Providing care and support at end of life. https://www.nursingworld.org/~4af078/globalassets/… /endoflife-positionstatement.pdf

For your initial post/ threat choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management

Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.

Practice

1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.

2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.

3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.

4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.

Education

1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.

2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.

3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.

4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.

Research

1. Increase the integration of evidence-based care across the dimensions of end-of-life care.

2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.

3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.

4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.

5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.

Administration

1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.

2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.

3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.

4. Support the development and integration of palliative care services for all in- and outpatients and their families.






Florida National University E


  1. Question 1

    2.5 PointsIdentify the population and the samle:A survey of 1300 credit card found that the average late fee is $25.75.


  2. Question 2

    2.5 PointsThe number of students in a room is an example of a continuous variable.


  3. Question 3

    2.5 PointsThe average weight of the students in the Statistics class is an example of a continuous variable.


  4. Question 4

    2.5 PointsThe Social Security numbers of the employees at an engineering firm are an example of qualitative variables.


  5. Question 5

    2.5 PointsIdentify which sampling technique was used in the following study:Calling randomly generated telephones numbers, a study asked 1256 U. K. adults which medical conditions could be avoided by their diet.


  6. Question 6

    2.5 PointsIdentify which sampling technique was used in the following study:Calling randomly generated telephones numbers, a study asked 438 U. S. adults which tooth paste they prefer.


  7. Question 7

    2.5 PointsEach value in a data set may be referred to as either a data value or a(n) ____________.


  8. Question 8

    2.5 PointsWhat type of sampling is being employed if the country is divided into economic classes and a sample is chosen from each class to be surveyed?


  9. Question 9

    2.5 PointsAn independent variable can also be called a(n)


  10. Question 10

    2.5 PointsWhat level of measurement allows for the ranking of data, a precise difference between units of measure, and also includes a true zero?


  11. Question 11

    2.5 PointsWhich of the following is a frequency polygon?


  12. Question 12

    2.5 PointsThirty students recorded the colors of their eyes, choosing from the colors brown, blue, green, hazel, and black. This data can be appropriately summarized in a(n)______________ .


  13. Question 13

    2.5 PointsThe lower class limit represents the smallest data value that can be included in the class.


  14. Question 14

    2.5 PointsFind the class with the greatest number of data values.


  15. Question 15

    2.5 PointsGreg wants to construct a frequency distribution for the political affiliation of the employees at Owen’s Hardware Store. What type of distribution would be best?


  16. Question 16

    2.5 PointsA weatherman records the amount of rain that fell in Portland, Oregon each day for a year. What type of graph should he use to show how rainfall changes during the year ?


  17. Question 17

    2.5 PointsWhich of the following pairs of class limits would be appropriate for grouping the numbers 10, 13, 8, and 15 ?


  18. Question 18

    2.5 PointsWhich of the following does not need to be done when constructing a frequency distribution?


  19. Question 19

    2.5 PointsWhich of the following is a histogram?


  20. Question 20

    2.5 PointsWhich graph should be used to represent the frequencies with which certain courses are taken at Highlands Middle School?


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