NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers

NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers
NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers
NUR 514 – Organizational Leadership and Informatics Full Course
Topic 1 DQ1
Discuss the shift to value-based health care and its impact on the roles and responsibilities of advanced registered nurses. What major evolving trends in the health care policy and delivery systems will affect your practice in the next 3-5 years, and how do you think advanced registered nurse leaders will continue to influence the direction of health care?
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Topic 1, DQ2
From your experience, how can developing strong interprofessional relationships increase collaboration and benefit patient outcomes or organizational initiatives into today’s dynamic health care environment? What are some ways you can form an interprofessional team and collaborate with other advanced registered nurse roles in support of organizational initiatives or improved patient outcomes? Make sure to incorporate the Interprofessional Education Collaborative (IPEC) competencies in your response. NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers.
 Topic 2 DQ 1    
Describe a scenario in which there was a conflict between nurses working in your current or previous work environment. What was the primary cause of the conflict? What conflict resolution strategies would you employ to manage this conflict and promote civility in the workplace and why?
Topic 2 DQ2.
Compare and contrast servant leadership with another leadership style or theory such as transformational leadership. What are the primary characteristics of each? What appeals to you about them and what strengths and drawbacks do you see with each in terms of influencing organizational culture as a nurse leader?
Leading in a Complex, Evolving Environment
Details:
The purpose of this assignment is to examine the impact of contemporary challenges in care delivery facing nursing leadership. NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers. Select and research a major issue in the delivery of care facing nurse leaders today and write a 1,250-1,500 word paper addressing the following:

Explain the issue(s) you have selected. Why is it a problem? What fuels the issue? Who does it impact and what specific impact does it have on patient care?
Describe an option for addressing the issue from a systems perspective. What entities/interests (stakeholders, organizations, operational systems, political, economic, public, private, patient) must be taken into account and how are they impacted? Be sure to highlight the direct impact the option has on patient care.
Discuss the qualities and traits needed of nurse leaders to effectively tackle this issue through the proposed option. Incorporate a leadership theory and AONE Nurse Executive or Manager Competencies in your response.
Finally, discuss the impact not successfully resolving the issue could have on the future of health care delivery.

Integrate five scholarly sources into your paper.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite.
Study materials are:

Leadership in Nursing Practice: Changing the Landscape in health care Chapters  3,4,7
Great Leaders inspire Great Followership by Jose Cruz
Advancing the Nursing Profession Begins with Leadership by O’Neill from Journal of Nursing Administration (2013)
Nursing Leadership from bedside to boardroom:option Leades’Percetions by Blizzzard,Khoury,and McMurray(2015)
Leadership styles:Choosing the right approach for the situation located in mind tools website
Transformational Leadership:Becoming an inspirational leader located in mindTools website
Servant Leadership:Puttng your team first, and yourself second LPCA Te in MindTools
AONE The voice Of nursing Leadership (2018) “Nurse Executives Competencies and nurse manager competencies
Acnn.org – Complete the “nurse manager skills inventory by the nurse manager Leadership partnership(NMLP)
AONE.org Explore the “Nurse manager partnership section on the American organization of nurse executives website
Greenleaf.org – What is servant leadership ?” 

Leading in a Complex, Evolving Environment 
NUR 514 – Organizational Leadership and Informatics Full Course
Topic 3 DQ 1
Discuss organizational factors that can drive the change within a health care organization. Also, discuss the ethical, social, legal, economic, or political implication of the change within an organization and on the profession of nursing. Integrate a specific example of organizational change you have witnessed in your response
Topic 3 DQ 2
You have been selected to serve on a community outreach committee within your state’s nursing organization. The committee includes registered nurses of different specialties. At your first meeting, it becomes evident that not everyone is in agreement with a recent position statement about the role of spiritual care, with some members arguing they will no longer support the committee if the position statement is not revised or reversed. As a nurse leader, how could you draw from change theory to address these concerns and encourage collaboration on the committee.
Discuss organizational factors that can drive the change within a health care organization.
Also, discuss the ethical, social, legal, economic, or political implication of the change within an organization and on the profession of nursing.
NUR 514 – Organizational Leadership and Informatics SAMPLE
Topic 3 DQ 1
Changes within a health care organization are pervasive nowadays as most healthcare facilities are struggling to adapt in the current volatile environment of a universal economic and political world. Some factors, such as technological innovations, professionalism, crisis, increased need for patient care, and changes in government regulations, among others, shape the process of change in most healthcare organizations (Haluza, & Jungwirth, 2015). For instance, ‘wearable techno patches’ are currently able to monitor an individual’s body temperature, heart rate, and other vital signs. In as much as this new technology has transformed the quality of healthcare, it posed a considerable challenge to most health care organizations and medical professionals, including nurses. Most patients had to be trained on how to use the gadget, and for this reason, practicing nurses had to go back and acquire adequate knowledge on the use of most technical devices that were not available during the period of their training.
Economically, most healthcare organizations had to do away with the previous electronic devices to purchase new and current machines which are very costly (McGonigle, & Mastrian, 2018). Professional nurses also incurred training costs, on the operation of the new devices to enhance the provision of healthcare services. The nursing education curriculum also had to be revised occasionally to accommodate the latest technical information. However, the social life of most patients with chronic illness was enhanced as they no longer needed close supervision form critical care nurses (DeNisco, & Barker, 2016). The changes have also resulted in the creation of new career opportunities and broaden the nursing profession in various fields such as information technology. Generally, the positive influence on healthcare organizational changes as a result of technological innovation outweighs the drawback.
NUR 514 Week 4 and 5 DQ
WK 4 QD 1
Imagine you are working in an outpatient specialty office. Your nursing director has informed you that due to “accountable care” your office might be penalized by having too many diabetic patients that are above the hemoglobin A1C (HBA1C) goal of 8. The national benchmark is that only 20% of your population should be above 8 and your office shows 40%. Your physicians have also been informed by their management of the same issue.
Develop a plan using enhanced communications with patients to reach the benchmark goal. What might you do if you had the resources to accomplish this? You should consider all the technology you might be able to use such as a patient portal, wireless home monitor, texting, and secure messaging for example.
WK 4 DQ 2
What challenges do current reimbursement models pose for nurse leaders in their obligations to promote quality, cost effective patient care. What strategies can effective nurse leaders use to overcome those challenges? Discuss any specific examples you may have witnessed a leader implement in the practice environment in your response.
WK 5 DQ 1
Review the Graduate QSEN Competencies. Focusing on the areas of Quality Improvement (QI), Safety, and Informatics, summarize the essential knowledge, skills and attitudes that an advanced registered nurse should possess to competently promote the use of health care data and information to improve care in the clinical setting. Discuss two specific ways information and technology can improve clinical practice, administration, education, or research in your response.
Wk 5 DQ 2
Discuss a key event in the evolution of nursing informatics and the characteristics of nursing informatics as a specialty. In what ways do the roles of informatics nurses and nurse leaders intersect?
Topic 6 DQ 1 What are the primary challenges related to interoperability and the exchange of health information in the practice environment and how might these impact patients’ access to the best care? Discuss a particular challenge with clinical provide order entry (CPOE) in your response
Topic 6 DQ 2 Discuss the benefits and drawback of clinical decision support systems, including the challenges of avoiding alert fatigue. Considering your interactions with patients and systems in the clinical environment, what best practices related to human factors and user-centered design would you recommend to designers of such systems?
NUR 514 – Organizational Leadership and Informatics Full Course
Topic 7 DQ 1 Discuss an example of a personal health, mobile heath, or telehealth-related application that you think can improve patient care. What are some of the primary challenges with integrating data from a mobile device or application with data within an EHR? Do you think most patients are comfortable with sharing their personal data in the clinical environment? Supposing the sharing of such information is beneficial for their health, what can be done to help patients overcome their reticence? NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers.
Topic 7 DQ 2 Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Discuss possible consequences for compromising patient data and measures you can implement in your own practice to protect patient privacy and confidentiality.
Topic 8 DQ 1  What quality standards or performance measures guide your role or specialty as an advanced registered nurse? Using these standards, discuss how informatics can be used to improve quality of care. Make sure to discuss meaningful use and incorporate the topic materials, such as the American Health Information Management Association (AHIMA) and Information Governance websites in your response. NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers.
Topic 8 DQ 2 There are several project management methodologies available to nurse leaders for supporting the implementation of quality and performance improvement initiatives in the practice environment. Two well-known ones are Lean and Six Sigma. Compare and contrast two project management methodologies you think are promising in the health care environment. Discuss their relative benefits and drawbacks and discuss why you think they can be successful for implementing quality improvement initiatives.
 
NUR 514 – Organizational Leadership and Informatics
Addressing Challenges With Interoperability
View Rubric
Due Date: Jan 30, 2019 23:59:59       Max Points: 150
Details:
The purpose of this assignment is to investigate solutions to challenges with interoperability in health care delivery environments. To complete the assignment, you will select a problem with interoperability you have witnessed in your current or past work environment, evaluate options for addressing the problem, and recommend a solution based on evidence.
Write a 750-1,000 word paper that addresses the following:

Describe the problem with the lack of interoperability witnessed in the healthcare care delivery environment. Include details about the scope of the problem, including who and what was impacted and how. NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers.
Provide an analysis of the workflow and structure related to the problem to identify its root cause.
Recommend a potential solution to the problem and provide evidence from the literature demonstrating its successful implementation in other cases to support your recommendation.

Integrate 3-5 scholarly sources into your recommendation.
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.
You are required to submit this NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers to LopesWrite.
Staffing Models Scenario Paper
Details:
The purpose of this assignment is to consider factors that impact efficient staffing models and work practices within health care organizations. Select one of the two scenarios at the end of Chapter 5 in Leadership in Nursing Practice: Changing the Landscape of Health Care. In 500-750 words, address the questions in the scenario is specific detail. Additionally, comment on how lean staffing models could positively contribute to more efficient staffing and work practices.
Integrate 2-3 resources into your response.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion paper An abstract is required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite.
Implementing Change With an Interprofessional Approach Presentation
Details:
In a complex and fast-paced healthcare environment, change is inevitable and constant. The advanced practice nurse is required to lead and adapt to the constant changing environment while working with multidisciplinary teams. Imagine you are assigned by your director to work with a multidisciplinary team that is assisting with transition from the current paper record-based system to an electronic health record (EHR). NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers.
Create a PowerPoint presentation (10-15 slides) in which you will assess the situation and the steps that should be taken to successfully implement the change. Be sure to include 100-250 word presenter’s notes per slide. Your presentation should address the following:

Describe the driving forces that relate to the need for implementing electronic health records.
Identify the key interprofessional stakeholders (both internal and external) that should be involved in change efforts.
Outline how you would initiate the change and be a change advocate. Utilizing change theory and innovative models of care, explain how you would provide a structure for the planned change to achieve successful implementation of the EHR.
Demonstrate how the change will affect current workflows. What revised workflow would you implement?
Identify resources (human, time, material, etc.) required for implementation NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers.
Identify risks within the implementation plan. What are the impacts of the poor planning on cost, quality, and safety?
Identify potential barriers when implementing the change and discuss how you will handle resistance.

Integrate 3-5 scholarly sources into your presentation.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers to LopesWrite.
Top of Form
Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.
NUR 514 – Organizational Leadership and Informatics
Benchmark – Quality Improvement Initiative
Details:
One way informatics can be especially valuable is in capturing data to support quality improvements in practice. Nurse leaders play a pivotal role in leading and managing quality initiatives that impact patient outcomes, safety, and health care organizations’ compliance with regulatory agencies. For this NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers, you will locate 1-2 quality measures and determine how that measure will be incorporated in nursing and provider documentation. You will formulate requirements and a plan for collecting and reporting the data. You will also reflect on how you would lead and manage such a project.
In a paper of 1,500-1,750 words, address the following:

Identify the selected quality measure(s).
Describe your plan for collecting the data related to the measure. What key information/fields would be needed in the database for you to capture the needed data? How would this data be mapped to the quality measure(s)?
What role would the advanced registered nurse play in ensuring the correct data is captured? Which additional systems and staff members would need to be involved in the design and implementation process and team?
What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the plan?
How would you communicate any necessary changes related to your plan to any affected stakeholders?
Describe the leadership skills and project management knowledge you would employ to successfully collaborate with the interprofessional team in this scenario to ensure your facility is providing evidence-based care to its patients? NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers.

You are required to cite 5-10 sources to complete this assignment. Sources must be published within the last five years and appropriate for the assignment criteria and nursing content.
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. NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers.
You are required to submit this assignment to LopesWrite.
Staffing Models Scenario Paper
Staffing Models Scenario Paper
View Rubric
Due Date: Jan 16, 2019 23:59:59       Max Points: 100

Details:
The purpose of this assignment is to consider factors that impact efficient staffing models and work practices within health care organizations. Select one of the two scenarios at the end of Chapter 5 in Leadership in Nursing Practice: Changing the Landscape of Health Care. In 500-750 words, address the questions in the scenario is specific detail. Additionally, comment on how lean staffing models could positively contribute to more efficient staffing and work practices.
Integrate 2-3 resources into your response.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers to LopesWrite.
Staffing Models Scenario Paper Rubric

 
1

Unsatisfactory

0.00%
2

Less than Satisfactory

80.00%
3

Satisfactory

88.00%
4

Good

92.00%
5

Excellent

100.00%

70.0 %Content
 

50.0 %Scenario Questions Answered
Answers to the chosen scenario is not included.
Answers to the chosen scenario is incomplete or incorrect.
NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers
Answers to the chosen scenario is included, but lacks supporting detail.
Answers to the chosen scenario is completed and includes supporting detail.
Answers to the chosen scenario is extremely thorough and includes substantial details.

20.0 %Lean Staffing Model Contribution
A description of how lean staffing models could contribute to more efficient staffing and work practices is not included.
A description of how lean staffing models could contribute to more efficient staffing and work practices is incomplete or incorrect.
A description of how lean staffing models could contribute to more efficient staffing and work practices is included, but lacks supporting detail.
A description of how lean staffing models could contribute to more efficient staffing and work practices is completed and includes supporting detail.
A description of how lean staffing models could contribute to more efficient staffing and work practices is extremely thorough and includes substantial details.

20.0 %Organization and Effectiveness
NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers

7.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis is insufficiently developed or vague. Purpose is not clear.
Thesis is apparent and appropriate to purpose.
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

20.0 %Organization and Effectiveness
 

8.0 %Argument Logic and Construction
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers

20.0 %Organization and Effectiveness
 

5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.
Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
Writer is clearly in command of standard, written, academic English

10.0 %Format
 

5.0 %Paper Format (Use of appropriate style for the major and assignment)
Template is not used appropriately or documentation format is rarely followed correctly.
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
Template is used, and formatting is correct, although some minor errors may be present.
Template is fully used; There are virtually no errors in formatting style.
All format elements are correct.

10.0 %Format
NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers

5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

100 %Total Weightage

Implementing Change With an Interprofessional Approach Presentation Rubrics

 
1

Unsatisfactory

0.00%
2

Less than Satisfactory

80.00%
3

Satisfactory

88.00%
4

Good

92.00%
5

Excellent

100.00%

100.0 %Conte
 

5.0 %Driving Forces of EHRS
A description of the driving forces that related to need for implementing EHRs is not included.
A description of the driving forces that related to need for implementing EHRs is incomplete or incorrect.
A description of the driving forces that related to need for implementing EHRs is included, but lacks supporting detail.
A description of the driving forces that related to need for implementing EHRs is completed and includes supporting detail.
A description of the driving forces that related to need for implementing EHRs is extremely thorough and includes substantial details.

5.0 %Key Interprofessional Stakeholders
Identification of the key interprofessional stakeholders is not included.
Identification of the key interprofessional stakeholders is incomplete or incorrect.
Identification of the key interprofessional stakeholders is included, but lacks supporting detail.
Identification of the key interprofessional stakeholders is completed and includes supporting detail.
Identification of the key interprofessional stakeholders is extremely thorough and includes substantial details

10.0 %Change Initiative and Being a Change Advocate
An outline of how change would be initiated is not included.
An outline of how change would be initiated is incomplete or incorrect.
An outline of how change would be initiated is included, but lacks supporting detail.
An outline of how change would be initiated is completed and includes supporting detail.
An outline of how change would be initiated is extremely thorough and includes substantial details.

5.0 %Impact of the Change on Current Workflows
A description of how the change will affect current workflows is not included.
NUR 514 – Organizational Leadership and Informatics Essay Assignment discussion papers
A description of how the change will affect current workflows is incomplete or incorrect.
A description of how the change will affect current workflows is included, but lacks supporting detail.
A description of how the change will affect current workflows is completed and includes supporting detail.
A description of how the change will affect current workflows is extremely thorough and includes substantial details.

5.0 %Required Resources for Implementation
Identification of required resources for implementation is not included
Identification of required resources for implementation is incomplete or incorrect.
Identification of required resources for implementation is included, but lacks supporting detail.
Identification of required resources for implementation is completed and includes supporting detail.
Identification of required resources for implementation is extremely thorough and includes substantial details.

5.0 %Risks Within Implementation
A description of potential risks within the implementation plan is not included.
A description of potential risks within the implementation plan is incomplete or incorrect.
A description of potential risks within the implementation plan is included but lacks supporting detail.
A description of potential risks within the implementation plan is completed and includes supporting detail.
A description of potential risks within the implementation plan is extremely thorough and includes substantial details.

5.0 %Potential Barriers
A description of potential barriers when implementing the change and handling resistance is not included.
A description of potential barriers when implementing the change and handling resistance is incomplete or incorrect.
A description of potential barriers when implementing the change and handling resistance is included, but lacks supporting detail.
A description of potential barriers when implementing the change and handling resistance is completed and includes supporting detail.
A description of potential barriers when implementing the change and handling resistance is extremely thorough and includes substantial details.

30.0 %Presentation of Content
The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear.
The content is vague in conveying a point of view and does not create a strong sense of purpose. Includes some persuasive information.
The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other.
The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Includes persuasive information from reliable sources.
The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

10.0 %Layout
The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident.
The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text.
The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability.
The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text.
The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

10.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.)
Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does n


NRNP – 6531 Week 8 Knowledge Check

NRNP – 6531 Week 8 Knowledge Check
NRNP – 6531 Week 8 Knowledge Check
 
Week 8 Knowledge Check
 
Question 1
The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is:

a.
Oral ciprofloxacin (Cipro)

b.
Oral doxycycline (Virbamycin) plus intramuscular ceftriaxone

c.
Oral trimethoprim-sulfamethoxazole (Bactrim DS)

d.
Intramuscular penicillin

 

Oral doxycycline (Virbamycin) plus intramuscular ceftriaxone

 
Question 2
Diagnostic confirmation of acute leukemia is based on:

a.
Bone marrow aspiration and biopsy

b.
Pancytopenia

c.
Hyperuricemia

d.
All of the above

Bone marrow aspiration and biopsy

 
Question 3
After thorough history, physical examination, and laboratory tests, a patient is diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment plans is currently considered most effective? NRNP – 6531 Week 8 Knowledge Check

a.
A low fat, tyramine-free, caffeine-free, high fiber diet, along with a daily diary, and attention to psychosocial factors.

b.
Referral to a gastroenterologist for colonoscopy.

c.
Treatment with a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac) or sertraline (Zoloft).

d.
Antibiotics, nutritional support, and high fiber diet.

 

A low fat, tyramine-free, caffeine-free, high fiber diet, along with a daily diary, and attention to psychosocial factors

ORDER A PLAGIARISM-FREE PAPER OR EXAM HERE
Question 4
A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes trans illumination of the scrotum. NRNP – 6531 Week 8 Knowledge Check. What is the most likely diagnosis?

a.
Indirect inguinal hernia

b.
Hydrocele

c.
Orchitis

d.
Testicular torsion

 

Hydrocele

 
Question 5
The National Cholesterol Education Program’s Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than:

a.
160 mg/dL

b.
130 mg/dL

c.
100 mg/dL

d.
70 mg/dL

 

100mg/dL  

 
Question 6
Which of the following are classic features of ulcerative colitis?

a.
Right lower quadrant pain, frequently accompanied by a palpable mass, fever, and leukocytosis.

b.
Painful hematemesis, occasionally accompanied by melena. NRNP – 6531 Week 8 Knowledge Check

c.
Rapidly progressive dysphagia with ingestion of solid foods, anorexia, and weight loss out of proportion to the dysphagia.

d.
Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain and weight loss.

 

Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain and weight loss

 
Question 7
Reed-Sternberg B lymphocytes are associated with which of the following disorders:

a.
Aplastic anemia

b.
Hodgkin’s lymphoma

c.
Non-Hodgkin’s lymphoma

d.
Myelodysplastic syndromes

 

Hodgkin’s lymphoma

 
Question 8
Which of the following patients most warrants screening for hypothyroidism?

a.
A young adult female with postpartum depression lasting 2 weeks.

b.
A patient taking thyroid replacement preparation.

c.
A 40 year old male with unexplained tremors.

d.
An elderly female with recent onset of mental dysfunction.

 

An elderly female with recent onset of mental dysfunction

 
Question 9
Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid?

a.
Apples

b.
Peppermint

c.
Cucumbers

d.
Popsicles

 

Peppermint

 
Question 10
Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?

a.
Difficulty initiating a urine stream

b.
Nocturia

c.
Urinary retention

d.
Increased force of urine flow

 

Increased force of urine flow

 
Question 11
Microalbuminuria is a measure of:

a.
Total urinary protein.

b.
Late renal compromise in a diabetic patient.

c.
Early glycemic abnormality. NRNP – 6531 Week 8 Knowledge Check

d.
Protein lost into the urine.

 

Protein lost into the urine

 
Question 12
Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?

a.
Doxycycline 100 mg qd

b.
Nitrofurantoin 100 mg qd

c.
Bactrim DS qd

d.
Erythromycin qd

 

Erythromycin qd

 
Question 13
What is the most common cause of Cushing’s syndrome? NRNP – 6531 Week 8 Knowledge Check

a.
Excessive ACTH production

b.
Administration of a glucocorticoid or ACTH

c.
Pituitary adenoma or a non-pituitary ACTH-producing tumor

d.
Autonomous cortisol production from adrenal tissue

 

Administration of a glucocorticoid or ACTH

 
Question 14
John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened for hypercholesterolemia?

a.
Every 5 years

b.
Every 2 years

c.
Every year

d.
Whenever blood work is done

 

Every 5 years

 
Question 15
Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? NRNP – 6531 Week 8 Knowledge Check

a.
Hypertriglyceridemia and low high-density lipoprotein (HDL)

b.
Gestational diabetes and polycystic ovarian syndrome

c.
Hispanic, African-American, Native-American, and Pacific Islander ethnicity

d.
Postprandial hypoglycemia

 

Postprandial hypoglycemia

 
Question 16
Of the following choices, the least likely cause of cough is:

a.
Asthma

b.
Gastroesophageal reflux

c.
Acute pharyngitis

d.
Allergic rhinitis

 

Acute pharyngitis

 
Question 17
Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver function studies. The patient’s aminotransferase (ALT) is elevated. What laboratory test(s) should be ordered? NRNP – 6531 Week 8 Knowledge Check

a.
Serologic markers for hepatitis

b.
Serum bilirubin

c.
Serum cholesterol with HDL and LDL

d.
A liver biopsy

 

Serologic markers for hepatitis

 
Question 18
The most commonly recommended method for prostate cancer screening in a 55 year old male is:

a.
Digital rectal examination (DRE) plus prostate specific antigen (PSA)

b.
Prostate specific antigen (PSA) alone

c.
Transrectal ultrasound (TRUS) alone

d.
Prostate specific antigen (PSA) and Transrectal ultrasound (TRUS)

 

Digital rectal examination (DRE) plus prostate specific antigen (PSA)

 
Question 19
A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH? NRNP – 6531 Week 8 Knowledge Check

a.
1 week

b.
2 weeks

c.
4 weeks

d.
8 weeks

 

8 weeks

 
Question 20
A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on life style modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he was “fine” as long as he took the medication. The most appropriate next step is:

a.
Referral for surgical intervention such as a partial or complete fundoplication

b.
Dependent upon how sever the practitioner believes the condition

c.
To repeat the 8 week course of drug therapy while continuing lifestyle modifications

d.
Investigation with endoscopy, manometry, and/or pH testing

 

Investigation with endoscopy, manometry, and/or pH testing
NRNP – 6531 Week 8 Knowledge Check


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