DNP Project

DNP Project/Practice Immersion Blog I

 

The DNP Residency is considered a key component of the Doctor of Nursing Practice educational program that combines clinical practicum experiences with scholarly activities to provide in-depth learning for students. Practice immersion experience provides the opportunity for students to synthesize and apply knowledge acquired across the program of study by practicing in the student’s area of expertise at a greater level of competence, as well as providing the context in which the DNP quality improvement project is implemented. The DNP Project/Practice Immersion Blog is intended to be a reflection of the DNP project and clinical practicum experiences.

 

Assignment Information:

 

For the purpose of this discussion, the student will reflect on the immersion experience, and how the residency experience has increased the student’s competencies in advanced nursing practice. The initial post should address the following questions:

 

  1. How has the practice immersion experience allowed the student to demonstrate competencies in advanced nursing
  2. What goals and accomplishments have been met up to this point in relation to the planning and development of the DNP quality improvement
  3. What barriers have been encountered during the planning and development process, and what strategies have been utilized to overcome any
  4. What is the current status of the DNP quality improvement

 

 

Objectives:

 

Assignment Objectives Course Objectives DNP

Essentials

For the purpose of this discussion, the student will reflect on the immersion experience and how the residency has increased the student’s competencies in advanced nursing practice. After the completion of this assignment, the student will be able to:

·         Appraise how the practice immersion experience has afforded the student to increase proficiency and demonstrate competency in a specialized advanced nursing practice focus;

·         Assess project goals and accomplishments up to this point related to the planning and development process of a DNP quality improvement project;

·         Evaluate barriers encountered during the planning and development

process, and list strategies used to overcome those barriers; and

·         Discuss the current status of implementation of the DNP quality improvement project

1, 2, 3, 4 I-     3; II-2a-e;

II-      3; III-2-

6; IV-1-3;

VI-1-3;

VII-1-3; VIII-2-6

 

Discussion Posts Grading Rubric Guidelines:

 

Grading Rubric: Practice Immersion Blog I

Category Exceeds

(10 points)

Average

(5-6 points)

Below Average

(0-1 point)

Total Points
Initial Post Displays an outstanding integration of required reading and other scholarly works supporting the points and topics of discussion (i.e. insightful discussion, thoughtful questions, opinions are supported with scholarly references).

(4 points)

Displays some integration of required reading and other scholarly works supporting the points and topics of discussion (i.e. insightful discussion, thoughtful questions, opinions are supported with scholarly references).

(2-3 points)

Displays poor integration of required reading and other scholarly works supporting the points and topics of discussion (i.e. insightful discussion, thoughtful questions, opinions are not supported with scholarly references). (0-1 points) 4
Peer Response/ Participation Displays outstanding knowledge of concepts and issues presented in the course as well as in their peers’ postings.

Active participation throughout the discussion with peers. (2 points)

Displays some knowledge of concepts and issues presented in the course as well as in their peers’ postings.

Minimal participation throughout the discussion with peers. (1 point)

Displays poor knowledge of concepts and issues presented in the course as well as in their peers’ postings. No participation in the discussion with peers. (0 points) 2
Timeliness Initial post is timely and relevant.

Crossposts are timely and allow for time for peer response(s) in the discussion.

(2 points)

Initial post is timely and relevant. Late response(s) in the discussion, not allowing for adequate time for peer response(s) in the discussion.

(1 point)

No response in the discussion after the initial post.

(0 points)

2
Scholarly Writing Posts have no grammatical, spelling, or APA 7th edition formatting mistakes. (2 points) Posts have few grammatical, spelling, and/or APA 7th edition formatting mistakes. (1 point) Posts have multiple grammatical, spelling, and/or APA format 7th edition formatting mistakes.

(0 points)

2
Total Points       10

 

Initial Post (400 words)

It is important that you post thoughtful messages that help move the conversation forward. Class discussion is a significant part of an online course and your participation in discussions is how you “participate” in class.

 

Your posts should demonstrate that you are knowledgeable regarding the topic. It is important that you apply the question at hand. You should do more than merely repeat-back what the text says; you should engage with the material by analyzing and interpreting it. Your posts should be grammatically correct and provide a thoughtful response. Your post should also contain at least one reference that backs up your point of view. The reference can be from your textbook or from a referred journal.

 

 

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Week 3: Non-Verbal Communication Essay

Requirements for this assignment:

Your paper should utilize appropriate course material that we have covered in regards to non-verbal communication.

Ensure you address the following topics in your paper:

Pick three areas of interest from the article or video and discuss why you find it interesting, if you have seen any personal examples of it (i.e., someone who covers their mouth while talking, specific gender non-verbals, cultural differences).

This paper should be fun, I would suggest that you read/watch the materials as soon as possible and then start observing others around you for some non-verbal clues.

Remember your paper must include (all in proper APA 7th edition format):

Page 1 = Cover Page

Pages = 2-4 = Body (3 pages a minimum discussion of non-verbal areas of interest)

Page 5 = Reference Page

Make sure to use two additional resources from APUS online library or internet (Google Scholar is a great source)

Wikipedia, or similar sites are NOT acceptable sources for this paper

case study

case study

EF is a 74-year-old African American male who is seeing his PCP because he noticed when he woke up that his “heart was not beating right; it feels like it is going to slow.” He denies chest pain, SOB, N/V. He notes feeling dizzy earlier in the day. Six weeks earlier his PCP started him on Diltiazem CD to further lower his BP to goal. His Metoprolol was lowered at that time as well from 75 mg to 50 mg BID. His PCP recommends he be admitted to the hospital.

Upon presentation to the hospital:

 

PMH:

HTN x 7 years

Type 2 DM

CAD s/p angioplasty 2 years ago

MI 3 years ago

EF = 60%

PVD s/p left femoral to posterior bypass

Hx of A Fib x 4 years

 

Medications:

Digoxin 0.25mg once daily

KCl 40mEq once daily

Vitamin C 500mg once daily

Diltiazem CD 180mg once daily

ASA EC 325mg once daily

Vitamin E 400 IU once daily

Metoprolol tartrate 50mg twice daily

Warfarin 5mg once daily

Ibuprofen 200mg – 2 tabs prn headache

Lisinopril 20mg once daily

Famotidine 20mg once daily at bedtime

MVI once daily

Imdur 30mg once daily

Lantus 26U once daily at bedtime

Ca++/Vit D 500mg/200 IU twice daily

HCTZ 12.5mg once daily

Humalog 8U three times daily with meals

 

Vitals:

BP: 110/50

HR: 38 bpm

RR: 14/min

Rest of physical exam unremarkable

 

Labs:

Gluc 102

Na 135

K 6.9

BUN 35

Scr 1.9

WBC 5,800/mm3

Hct 35%

INR 2.3

Dig 2.78

 

Write a 2- to 3-page paper that addresses the following:

· Explain how the factor [genetics, gender, ethnicity, age, or behavior factors} you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study above.

· Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.

· Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

Florence Nightingale

Florence Nightingale

Discuss whether nursing is a profession or an occupation. What can current and future nurses do to enhance nursing’s standing as a profession? How was Nightingale the most influential in shaping our profession and why?

opyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Chapter 1
Philosophy, Science, and Nursing

 

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Topics for Discussion

  • Is nursing a profession or an occupation?

 

  • Is nursing a science? If yes, what type of science?

 

    • What is nursing’s theoretical base?

 

  • What are different kinds of knowledge?

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Nursing as a Profession

  • Characteristics of occupations
  • Varying levels of training or education
  • Variable defined knowledge bases
  • Varying levels of skill

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Nursing as a Profession—(cont.)

    • Examples of professions
    • Medicine
    • Law
    • Clergy
    • Education

 

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Question

Tell whether the following statement is true or false:

 

Nursing is a profession.

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Answer

True

 

Rationale: Nursing is a profession. Nursing meets the characteristics of a profession, and nurses are valued by society because the services they provide are beneficial to members of the society.

 

*

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Nursing as a Profession—(cont.)

  • All professions are occupations, but not all occupations are professions.

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Nursing as a Profession—(cont.)

  • What is our knowledge base?
  • Authority over education?
  • Registration?
  • Altruistic service?
  • Code of ethics?
  • Formal training?
  • Socialization process?
  • Autonomy?

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Nursing as an Academic Discipline

  • Discipline—a field of inquiry
  • Unique perspective and terminology
  • Determination of what phenomena are of interest
  • Determination of the context in which phenomena are viewed
  • Determination of what questions to ask
  • Determination of what methods of research are used and what evidence is proof

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Nursing as an Academic Discipline—(cont.)

  • A unique perspective
  • An identifiable philosophy
  • Conceptual frameworks/theories
  • Acceptable methodologic approaches for development of knowledge

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Academic Disciplines

  • Basic sciences
  • Physics
  • Biology
  • Chemistry
  • Sociology
  • Humanities
  • Philosophy
  • History
  • Fine arts
  • Languages

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Academic Disciplines—(cont.)

  • Professional disciplines
  • Medicine
  • Law
  • Dentistry
  • Engineering
  • Nursing

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Science

  • Science is concerned with causality (cause and effect).
  • Science is both a process and a product.
  • A body of empirically tested knowledge
  • A system of gathering and verifying information (process)
  • Science represents knowledge and is generated by the application of methods to acquire that knowledge.

 

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Science—(cont.)

  • A discipline’s science:
  • Focuses on solving problems related to the discipline
  • Directs answering questions of the discipline
  • The science contains the research aspect of the discipline.
  • A discipline’s science is tied to its philosophy.

 

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Classification of Sciences

  • Natural sciences
  • Chemistry, physics, biology, geology
  • Basic or pure sciences
  • Mathematics, chemistry, physics, language
  • Human or social sciences
  • Psychology, anthropology, economics
  • Practice or applied sciences
  • Engineering, medicine, pharmacology, law

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Classification of Sciences—(cont.)

  • Nursing draws on basic/pure sciences (physiology, biology).
  • Nursing has characteristics of social sciences.
  • Nursing is without question an applied science.

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Philosophy

  • Philosophy is the “study of . . . the nature of existence, knowledge, morality, reason and human purpose.”
  • Philosophy seeks to:
  • Discover knowledge and truth
  • Identify what is valuable

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Philosophy—(cont.)

 

  • Philosophy is concerned with:
  • Purpose of human life
  • Nature of being and reality
  • Source(s) of knowledge

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Question

Which of the following do science and philosophy have in common?

A. Hypothesis testing

B. Nature of being

C. Goal of increasing knowledge

D. Verifiability of information

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Answer

C. Goal of increasing knowledge

 

Rationale: Science and philosophy share the common goal of increasing knowledge. Science is tied to the philosophy of the discipline, with a shared goal to increase the knowledge of the discipline.

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Branches of Philosophy

    • Metaphysics—study of nature of reality and existence
    • Ontology—study of the theory of being
    • Cosmology—study of the physical universe
    • Epistemology—study of knowledge (ways of knowing)
    • Logic—study of principles and methods of reasoning (inference and argument)
    • Ethics (axiology)—study of values (right and wrong)
    • Esthetics—study of appreciation of arts or things beautiful

 

 

 

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Nursing Philosophy

  • Statement of foundational and universal assumptions, beliefs, and principles about the nature of knowledge and thought (epistemology) and the nature of entities represented in the metaparadigm (i.e., nursing practice and human health [ontology])
  • Provides perspectives for practice, scholarship, and research

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Science and Philosophy—Worldviews

  • Empiricism/positivism (received view)
  • What is experienced is what exists.
  • Examines parts to understand the whole (reductionistic)
  • Individuals learn by being told or receiving knowledge.

 

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Science and Philosophy—Worldviews—(cont.)

  • Empiricism/positivism (received view)—(cont.)
  • Knowledge is described and verified through scientific methods (experimentation).
  • Theories are generated which describe, explain, and predict phenomena of interest.

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Science and Philosophy—Worldviews—(cont.)

  • Empiricism/positivism (received view)—(cont.)
  • Dominant worldview of the pure and basic sciences (e.g., physiology, biology)

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Science and Philosophy—Worldviews—(cont.)

  • Perceived view—phenomenology, constructivism, humanism
  • Focus is on perceptions of the subject and the researcher.
  • Phenomena are studied and described from lived experiences, interrelatedness, interpretation, and learned reality.
  • Desire is to understand the actions and meaning of individuals.

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Science and Philosophy—Worldviews—(cont.)

  • Perceived view—phenomenology, constructivism, humanism—(cont.)
  • What exists depends on what individuals perceive to exist.
  • Knowledge is subjective and created by individuals.
  • Research investigates the individual’s world.

Emphasis is on subjectivity, multiple truths, trends and patterns, discovery, description, and understanding.

 

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Science and Philosophy—Worldviews—(cont.)

  • Perceived view—phenomenology, constructivism, humanism—(cont.)
  • Dominant worldview of the social/human sciences (e.g., psychology, sociology)

 

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Science and Philosophy—Worldviews—(cont.)

Received View—Empiricism Perceived View—Humanism
Reality/truth considered separate from context Reality/truth considered in context
Objective Subjective
Prediction and control Description and understanding
Deductive Inductive
One truth Multiple truths
Quantitative research methods Qualitative research methods

 

 

 

 

 

 

 

 

 

 

 

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Nursing Science

  • System of relationships of human response in health and illness (includes biologic, behavioral, social, and cultural domains)

 

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Nursing Science and Worldviews

  • Nursing is both a practice science and a human science.
  • Practice sciences typically use quantitative research methods (e.g., controlled experimentation) to develop knowledge.
  • Human sciences typically use qualitative research methods (e.g., phenomenology, ethnography) to develop knowledge

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Nursing Science and Worldviews—(cont.)

  • Until very recently, quantitative methods for research were most valued.
  • Nursing scholars are still undecided about which method (quantitative or qualitative) best demonstrate the essence and uniqueness of nursing.

 

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Nursing Science and Worldviews—(cont.)

  • In recent years, it has been argued that both approaches are important and essential for nursing science.
  • Thus, multiple approaches to knowledge development and methodological pluralism should be encouraged.

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Question

Tell whether the following statement is true or false:

 

There is only one research method of value for use in nursing.

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Answer

False

 

Rationale: Quantitative and qualitative research methods are both of value for use in nursing research.

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Ways of Knowing in Nursing

  • Nursing epistemology is the study of the origins of nursing knowledge, its structure and methods, the patterns of knowing of its members, and the criteria for validating its knowledge claims.

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Ways of Knowing in Nursing—(cont.)

  • Understanding how nursing knowledge develops
  • Allows judgment of the validity and appropriateness of the knowledge
  • Determines appropriateness of methods used to develop knowledge
  • Nursing has both scientific knowledge and knowledge that can be termed “conventional wisdom.”

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Ways of Knowing in Nursing—(cont.)

  • Empirics—the science of nursing
  • Esthetics—the art of nursing
  • Personal knowledge in nursing
  • Ethics—moral knowledge in nursing

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Question

Tell whether the following statement is true or false:

 

The only true way of knowledge development is through empirics and science.

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Answer

False

 

Rationale: There are multiple ways of knowing and knowledge development. There are many theories on knowledge and learning. Nursing epistemology is the study of the origins of nursing knowledge and encompasses much more than empirics.

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Empirical Knowledge

  • Objective, verifiable, and generally quantifiable knowledge
  • When verified through research/testing, empirical knowledge becomes laws, theories, and principles that explain and predict.

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Empirical Knowledge—(cont.)

  • The most emphasized way of knowing in nursing
  • Purpose is to describe, explain, and predict phenomena of concern to nurses.

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Esthetic Knowledge

  • Expressive, subjective, experiential understanding
  • Includes sensing the meaning of a moment
  • Expressed in actions, conduct, attitudes, and interactions of the nurse

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Esthetic Knowledge—(cont.)

  • Relies on perception
  • Incorporates empathy, intuition, values, and understanding
  • Not expressed in words

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Personal Knowledge

  • Subjective view of the self and the client
  • Promotes integrity in personal encounters
  • Incorporates experience, personal maturity, knowing, encountering, and actualizing the self within the practice

 

 

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Personal Knowledge—(cont.)

  • May include spiritual or metaphysical elements
  • Largely expressed in personality—therapeutic use of self

 

 

 

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Ethical Knowledge

  • Moral code for nursing
  • Based on obligation to service and respect for human life
  • Occurs as moral dilemmas arise in ambiguous and uncertain situations

Copyright © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins

Ethical Knowledge—(cont.)

  • Requires evaluation of what is good, valuable, and desirable
  • Must address conflicting norms, interests, and principles

Managing Projects

Managing Projects

which core competencies and skill sets are required for managing projects and programs as a nurse leader? Explain why you choose each? List at least 3

1 Page

1 scholarly article

Module 09 Concept Map and Self-Reflection Part I 

Module 09 Concept Map and Self-Reflection Part I 

 

 

 

 

 

 

1. What is your plan to continue to prepare for NCLEX? How will you maintain the momentum to ensure that your knowledge and test-taking strategies remain “second nature”?

 

1. What is your plan to maintain competency and becoming a lifelong learner? Where will you find resources to assist in this process? What does certification mean to you?

 

 

1. What is your plan to assist in the role transition from expert student to novice graduate nurse? How will you gain your new professional identity?

 

 

2 years post graduation

 

 

PROFESSIONAL GOAL:

 

 

PERSONAL GOAL?

 

 

3 years post graduation

 

 

 

 

 

 

 

 

5 years post graduation.

 

 

 

 

 

 

 

 

Educational goal?

 

 

 

 

 

 

 

 

 

 

 

 

 

6 weeks post graduation

 

 

Pass NCLEX

 

 

Attain employment

 

 

6 months post gradaution

 

 

what is your professional goal? (working where? specialty?)

 

 

what is yoru personal goal? (house, married, children, dog…)

 

 

1 year post graduation

 

 

professional goal?

 

 

personal goal?

 

 

Educational goal in addition to renew license: need CEU.

 

 

 

 

 

 

 

 

 

 

 

 

 Compare and examine the consequences of an unethical behaviors in a nursing Master’s program

Compare and examine the consequences of an unethical behaviors in a nursing Master’s program and in the nursing practice by providing one example for each.

The discussion must address the topic.

Rationale must be provided

350 words in your initial post.

Minimum of two scholarly references in APA format within the last five years published

You must post two answers to your peers of 150 words. Please each answer to peer is independent and needs at least one reference.

Advanced Layer Techniques & Automating Tasks

Advanced Layer Techniques & Automating Tasks

Discussion Points: There are many different graphic file formats. Some store raster data while others store vector data. List and define five different vector AND raster formats. Select one raster AND one vector format and compare them. Discuss the strengths and weaknesses of each. Try not to use formats already discussed. In the United States, a work is copyrighted as soon as it is created. What constitutes a \”work\” is a complex subject and is beyond the scope of this topic. Generally, however, it includes written works (e.g., books, articles, etc.), pictures (including original art), and music, among others. In this discussion answer the listed questions. Should anyone be allowed to use any picture (or other copyrighted work) without permission and/or compensation from the copyright holder? How do you know a work is copyrighted? If it is, how do you get permission to use it? What are the ramifications of using a copyrighted work? How can you protect your own work so it is protected?Image Source: APUS director

Pathophysiology

Pathophysiology

Does not require references but must be 100% original. Do not copy or paste, it will be verified

1) Minimum 8 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page

Does not require references but must be 100% original. Do not copy or paste, it will be verified

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.

         Bulleted responses are not accepted

         Don’t write in the first person 

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

__________________________________________________________________________________

Part 1: Pathophysiology

Does not require references but must be 100% original. Do not copy or paste; it will be verified

Questions with (***) must be completed with the necessary words, not an explanation.

Each question must be a paragraph, except for questions marked with (****) and questions that require two paragraphs.

 

1. Characteristics of tension pneumothorax (One paragraph)

2. What medical term is used to identify the accumulation of air in the pleural space?****

3. Type of pleural effusion in which fluid become watery and diffuse out of the capillaries because of increased blood pressure or decreased capillary oncotic pressure?****

4. What condition is often associated with meconium ileus?****

5. Clinical manifestation of obstructive sleep apnea (One paragraph)

6. How is the Mantoux test read? (Two paragraphs)

7. What is RSV

a. What is it associated with?

8. Treatment of acute bronchitis(One paragraph)

9. Hand, foot, and mouth disease (HFMD) presentation? (One paragraph)

10.  Which immunoglobulin (Ig) may contribute to the pathophysiologic characteristics of asthma?*****

11. late asthmatic response? (One paragraph)

12. How is empyema characterized for? (One paragraph)

13. Describe metabolic acidosis (One paragraph)

14. Describe respiratory alkalosis(One paragraph)

15. Describe respiratory acidosis (One paragraph)

16. Describe metabolic alkalosis (One paragraph)

17. How does osmotic forces occur? (One paragraph)

18. What is hydrostatic pressure? (One paragraph)

19. Venous obstruction is a cause of edema because of an increase in which pressure?****

20. Differences between (Two paragraphs)

a. Isotonic

b. Hypertonic

c. Hypotonic

d. Normotonic solutions

21. What causes the clinical manifestations in hypernatremia for (Two paragraphs)

a. Confusion

b. Convulsions

c. Cerebral hemorrhage

d. Coma

22. Parathyroid hormone and calcitonin responsible for? (One paragraph)

23. What does Kussmaul respirations indicate? (One paragraph)

24. Chvostek and Trousseau are signs of? (One paragraph)

25. Sodium and water retention are caused of? (One paragraph)

26. The primary organ regulating electrolyte and fluid balance is?****

27. Healthy kidneys can excrete up to _______ per hour.****

28. Hyponatremia causes? (One paragraph)

29. Which vitamin aids in calcium absorption.*****

30. What is the cause of hyperphosphatemia? (One paragraph)