NURS 6512 Advanced Health Assessment final examination

NURS 6512 Advanced Health Assessment final examination

 

Which portion of the physical examination is best done with the patient standing? spinal

 

To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? patellar

 

To assess a cremasteric reflex, the examiner strokes the: lightly stroking the inner thigh

 
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Which condition is considered progressive rather than reversible? dementia

 

When palpating breast tissue, the examiner should use the _pads of the fingers____ at each site.

 

Palpation of a normal prostate in an older adult is likely to feel: rubbery

 

The difference in blood pressure readings between the right and the left arms is considered normal up to _5____ mm Hg.

 

Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her: menstrual cycles

 

Cranial nerve XII may be assessed in an infant by: sucking and swallowing

 

While collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding:

 

An idiopathic spasm of arterioles in the digits is termed: Raynauds

 

A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to: pregnancy

 

Assessing orientation to person, place, and time helps determine:

 

The rectal past medical history of all patients should include inquiry about:

 

To hear diastolic heart sounds, you should ask patients to:

 

Loss of immediate and recent memory with retention of remote memory suggests: dementia

 

Your patient’s chief complaint is repeated pencil-like stools. Further examination should include:

 

Kawasaki disease is suspected when assessments of a child reveal:

 

The examiner percusses for diaphragmatic excursion along the:

 

If pitting edema is unilateral, you would suspect occlusion of a:

 

Which medical condition would exclude a person from sports participation? fever

 

The Mini-Mental State Examination:

 

An ophthalmoscopic eye examination involves: Lens

 

The Denver II is a tool used to determine:

 

A common finding in markedly obese and pregnant women is: Lordosis

 

When conducting a geriatric assessment, basic activities of daily living (ADLs) include: Bathing

 

The finger-to-nose test allows assessment of: coordination

 

Inspection of the scrotum should reveal: left lower than the right

 

Part of the screening orthopedic component of the examination includes evaluating the person while he or she is:

 

In the most effective percussion technique of the posterior lung fields, the patient cooperates by: crossing arms in front

 

Normal changes of the aging brain include:

 

Ulnar deviation and boutonniere deformities are characteristic of: Rheumatoid arthritis

 

A cervical polyp usually appears as a:

 

Bimanual examination of the uterus includes:

 

If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?

 

Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: p wave

 

Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:

 

The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: QRS

 

As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.’s pattern as:

 

The reliability of health-related findings and observations is the responsibility of the: patient and examiner

 

The physical assessment technique most frequently used to assess joint symmetry is: inspection

 

The presence of cervical motion tenderness may indicate:

 

The goals of preparticipation sports evaluation include:

 

A patient in the deepest coma would be scored a __3___ on the Glasgow Coma Scale.

 

The adnexa of the uterus are composed of the:

 

Montgomery tubercles are most prominent in the breasts of:

 

Palpation of epitrochlear nodes is part of the: upper extremities

 

During chest assessment, you note the patient’s voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e’s sound like a s. This sound is indicative of: bronchial obstruction

 

When palpating joints, crepitus may occur when: irregular bony surfaces rub together

 

Examination of the patient in the lithotomy, or knee-chest, position includes: anal sphincter

 

The best way to ease the apprehension of a 3-year-old child before a physical examination is to: let him hold the stethoscope during the exam

 

Recent unilateral inversion of a previously everted nipple suggests: cancer

 

A grade IV mitral regurgitation murmur would:

 

Breath sounds normally heard over the trachea are called: bronchial

 

Nerves that arise from the brain rather than the spinal cord are called: cranial

 

The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: plan follow ups

 

You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of: schizophrenia

 

A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful upon palpation. The left inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with: hydrocele

 

Postural hypotension is defined as a ___15 mm hg decrease__ when the patient stands, compared with sitting or supine readings.

 

While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should: document in the record

 

You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: ask about previous infections

 

An examiner has rotated a brush several times into the cervical os. The brush was withdrawn and stroked lightly on a glass slide. The slide was sprayed with fixative. Which type of specimen requires this technique for collection? Cytology smear

 

When you attempt to move a 10-month-old child from his mother’s lap to the examination table, he screams loudly. Your best action is to: let them sit on the mothers lap

 

It is especially important to test for ankle clonus if: deep tendon reflexes are hyperactive

 

Which one of the following is a proper technique for use of a speculum during a vaginal examination?

 

Diabetic peripheral neuropathy will likely produce: decreased pain sensation

 

One of the most important aspects to consider in the orthopedic screening examination is: symmetry

 

The Mini-Mental State Examination should be administered for the patient who: get lost in their own neighborhood

 

When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:

 

During a routine prenatal visit, Ms. T. was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T. that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings: normal pregnancy

 

An apical PMI palpated beyond the left fifth intercostal space may indicate: left ventricular hypertrophy

 

Which one of the following techniques is used to detect a torn meniscus? McMurray

 

When assessing superficial pain, touch, vibration, and position perceptions, you are testing: sensory

 

Which of the following statements is true regarding the examination of peripheral arteries? Do not use your thumb

 

Tarry black stool should make you suspect: upper gastrointestinal bleed

 

A pulsation that is diminished to the point of being barely palpable would be graded as: 1

 

Temporalis and masseter muscles are evaluated by: clenching teeth

 

The foramen ovale should close: minutes after birth

 

A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is: riflery

 

When is the mental status portion of the neurologic system examination performed? constantly

 

Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify: uremia

 

You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her? Cervical radiographs

 

For purposes of examination and communication of physical findings, the breast is divided into: 4 quadrants and a tail

 

A red, hot swollen joint in a 40-year-old man should lead you to suspect: gout

 

You are examining Mr. S., a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of arterial occlusion? Lack of hair growth

 

You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive: Rombergs

 

Anterior cruciate ligament integrity is assessed via the _____ test. Lachmans

 

Throughout the history and physical examination, the clinician should:

 

Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by: auscultating lung bases

 

When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the _____ sign.

 

You are assessing Mr. Z.’s fluid volume status as a result of heart failure. If your finger depresses a patient’s edematous ankle to a depth of 6 mm, you should record this pitting as: 4+

A finding that is indicative of osteoarthritis is: Herberdens

 

To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: arm up over head and pillow behind one shoulder

 

You are conducting an examination of Mr. Curtis’s heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is: moderately loud

 

At your first meeting with a patient, it is usually best to say: Tell me about yourself

 

Functional assessment is most important during the examination of a(n): older adult

Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that Nancy, apart from occasional colds, Nancy is not prone to respiratory problems. What potential risk factor is most important to assess with regards to Nancy’s current problem? Cocaine

A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of “heart trouble.” The most important follow-up question you should pose is which of the following? How old was your father at the time of his death

Which cranial nerves are usually evaluated during the examination of the eyes?

 

While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John’s wort. You make a short note to check for results of the: MMSE


Global Healthcare Comparison Sample Paper

Global Healthcare Comparison Sample Paper
Global Healthcare Comparison Sample Paper
Global Health Comparison
Introduction
            During the pandemic year, several countries, including the United States took strict measures to stop the spread of the virus. Public gatherings were banned and religious institutions were highly targeted when the interventions were recommended. On roll call vote 117th Congress-1st session, S. Amdt. 1425 was introduced and sponsored by Senator Lee Mike on 04/14/2021 and proposed on 04/22/2021 (Congress.Gov., 2021). The amendment under Section 3 focuses on religious restrictions during the COVID-19 period. Its rationale is to justify why religious institutions remain inaccessible to the public, yet most commercial enterprises remain open as COVID-19 continues spreading. In Mexico, non-essential gatherings have been banned and even meetings in private enterprises stopped as critical public health measures to stop putting unnecessary risk on people. The extended ban is non-negotiable and even street markets are prohibited from operating, yet some American Senate members condemn the restrictions Global Healthcare Comparison Sample Paper.
Purpose
The bill’s purpose is to necessitate the production of a report on State restrictions on the freedom of religious congregation during the COVID-19 pandemic period.
Conclusion
163 Senators voted on April 22, 2021 but could not pass the bill with a popular majority of 3/5 or more. The result was that the amendment was rejected. Still, legislatures seek a comprehensive report on which occasioned the decision made through the popular majority in the Congress.
 
Part 1: Legislation Grid

Global Healthcare Issue
 
COVID-19

Description
Sec. 3. “Report on religious restrictions during the COVID–19 pandemic” intends to limit restraints on religious freedom during the pandemic year. 49 votes cast were YEAs, 48 counts were NAYs and 3 never voted (Congress.Gov., 2021). New York, New Jersey, Louisiana, Ohio, Massachusetts, Michigan, New Mexico, Mississippi, North Carolina, Arizona, Tennessee, Texas, Colorado, Florida, Pennsylvania, Arkansas, Indiana, and South Carolina opposed the bill believing that as long as congregants follow CDC guidelines and set World Health Organization protocols (Siddiqi, Graves-Fitzsimmons, & Gonzalez, 2020). The bill targets all countries, not only the United States. The bill was rejected by the popular majority Global Healthcare Comparison Sample Paper.

Country
United States
 
Mexico

Describe the policy in each country related to the identified healthcare issue
Following an upsurge in COVID-19 cases, the United States decided to ban all physical religious gatherings. The rationale was to reduce the spread of the virus by maintaining social distancing.
Mexican legislatures unanimously agreed on the need to put strict health care or law enforcement to flatten the curve. The religious restrictions or sanctions extend to streets and private spaces to limit or stop COVID-19 spread (“The Associated Press,” 2020).

What are the strengths of this policy?

Limits the spread of the virus.
Creates enough time for people to take advantage of technology in congregating.
Speeds up the process of flattening the curve.

Helps in keeping Mexicans accountable.
Assists with flattening the curve.

What are the weaknesses of this policy?

Opponents and proponents are almost the same population but the former has more power.

Mexico is a Catholic country that is highly religious. Restrictions affect their freedom and ability to enjoy their faith.

Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples)
 

Assembling and socializing affect social distancing and congregating in church increases the rates of COVID-19 transmissions.
Still, socializing online has proven difficult, especially for religious gatherings.

Mexicans are generally social characters. Inability to gather in religious places for worship negatively affects their mental health.

How has each country’s government addressed cost, quality, and access to the selected global health issue?

Limiting public gatherings in more states reduces the risk of exposure to the virus, and this minimizes the cost of treating COVID-19.
Writing the report will require additional costs of research and policymaking meetings.

 

Everyone unanimously agrees that restrictions on physical meetings in religious, public, and private spaces are a short-term intervention that reduces medical costs associated with treating the coronavirus disease (“The Associated Press,” 2020).

How has the identified health policy impacted the health of the global population? (Be specific and provide examples)

Inability to meet physically in religious places affects the spiritual and mental health of various congregants globally.

The situation is similar to that of the United States.

Describe the potential impact of the identified health policy on the roles of nurses in each country.

Registered nurses are forced to assume research and leadership positions. The rationale is to incorporate in decision-making issues with an emphasis on policymaking.

Nurses are taking more responsibilities in primary care service delivery.

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

Local authorities must adhere to World Health Organization protocols, which several opponents of the bill endorse when supporting stay-at-home orders.
Centers for Disease Control and Prevention also issue directives on ways of preventing the spread of COVID-19.

The situation is similar to the United States.

General Notes/Comments

The amendment necessitated the provision of a comprehensive report on religious restrictions during the COVID-19 pandemic.

No form of amendment necessitated the unanimous agreement that people should stay at home and avoid religious gatherings.

Part 2: Legislation Testimony/Advocacy Statement
It takes 180 days post-enactment for the Attorney General to submit the COVID-19 report on the restrictions on religious activities imposed by States. It is vital to establish why the restrictions applied to religious entities and excluded secular institutions. Additionally, it is critical to understand if the decision made by Congress was aligned with the Supreme Court of the U.S. decision on the S.Amdt. 1425 (Congress.Gov., 2021). Therefore, I support the bill but oppose an amendment that would stop the stay-at-home order on religious gatherings. COVID-19 directives issued by the WHO, including stay-at-home orders are meant for reducing the spread of the coronavirus disease and flattening the curve. Such restrictions are not permanent, and it is illogical to seek an amendment to SA 1425. Instead, a report will convince Americans that the federal government made the right decision to restrict physical public gatherings, yet people can meet virtually Global Healthcare Comparison Sample Paper.
I would address the opponent by asking them to explain how the report will help in combating COVID-19 while equally minimizing the psychosocial impacts of restrictions on religious gatherings on the affected groups. In essence, the report will come at an additional cost, but opponents equally need justification that the restrictions are similar to those that apply to secular organizations. Additionally, the opponents need to confirm that the report offers a solution of a similar status as that of Hate Crimes and COVID-19 (Congress.Gov., 2021). In essence, the U.S. is on a cost-saving mission and only priority areas receive the desired attention. Currently, a report on a rejected amendment bill would be illogical and unrealistically costly. Inability to prove why more expenses should be incurred on the report writing activity process means that there is no need for further pursuing the amendment Global Healthcare Comparison Sample Paper.
References
Siddiqi, M., Graves-Fitzsimmons, G., & Gonzalez, E. (2020 March 27). Religious exemptions during the Coronavirus pandemic will only worsen the crisis. Center for American Progress. Retrieved from https://www.americanprogress.org/issues/religion/news/2020/03/27/482359/religious-exemptions-coronavirus-pandemic-will-worsen-crisis/
The Associated Press. (2020 March 31). The Latest: Mexico broadens shutdown, prohibits gatherings. Retrieved from https://apnews.com/article/mexico-united-nations-south-korea-china-religion-1fd6413c9615da74d44d971075ebf4ff
Congress.Gov. (2021). April 22, 2021 – Issue: Vol. 167, No. 70 — Daily Edition. Retrieved from https://www.congress.gov/congressional-record/2021/04/22/senate-section/article/S2140-2 Global Healthcare Comparison Sample Paper
Assignment: Global Healthcare Comparison Matrix and Narrative Statement

Note: This Assignment is due on Day 5 of Week 11.

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?
You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.
Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.
In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.
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.
Review and download the Global Health Comparison Matrix provided in the Resources Global Healthcare Comparison Sample Paper.

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

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.
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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

By Day 5 of Week 11

Submit Part 1 and Part 2 of your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.
Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission Global Healthcare Comparison Sample Paper.

 

NURS_6050_Module06_Week11_Assignment_Rubric

Excellent
Good
Fair
Poor

Global Healthcare Issues and Policies
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.

45 (45%) – 50 (50%)

Response provides a clear and accurate explanation of the strengths and weaknesses of policies in the U.S. and another country.
Response provides a clear and accurate explanation of how the social determinants of health impact the issue in the U.S. and in another country. Specific examples are provided.
Response provides a clear and accurate explanation of how the governments of the two countries address cost, quality, and access related to the issue.
Response provides a clear and accurate explanation of how the policy in each of the two countries impacts the health of the global population. Detailed and accurate supporting examples are provided.
Response provides a clear and complete explanation of how the policies in each country impact the role of the nurse.
Response provides an accurate and detailed explanation of how the global health issues impact local healthcare organizations and policies in each of the two countries Global Healthcare Comparison Sample Paper.

40 (40%) – 44 (44%)

Response provides an explanation of the strengths and weaknesses of policies in the U.S. and another country.
Response provides an explanation of how the social determinants of health impact the issue in the U.S. and in another country. Specific examples may be provided.
Response provides an explanation of how the governments of the two countries address cost, quality, and access related to the issue.
Response provides an explanation of how the policy in each of the two countries impacts the health of the global population. Supporting examples may be provided.
Response provides an explanation of how the policies in each country impact the role of the nurse.
Response provides an explanation of how the global health issues impact local healthcare organizations and policies in each of the two countries.

35 (35%) – 39 (39%)

Explanation of the strengths and weaknesses of policies in the U.S. and another country is vague or inaccurate.
Explanation of how the social determinants of health impact the issue in the U.S. and another country, and/or the examples, are vague or inaccurate.
Explanation of how the governments of the two countries address cost, quality, and access related to the issue is vague or inaccurate.
Explanation of how the policy in each of the two countries impacts the health of the global population, and/or supporting examples, is vague or inaccurate.
Explanation of how the policies in each country impact the role of the nurse is vague or incomplete.
Explanation of how global health issues impact local healthcare organizations and policies in each of the two countries is vague or inaccurate.

0 (0%) – 34 (34%)

Explanation of the strengths and weaknesses of policies in the U.S. and another country is vague and inaccurate, or is missing.
Explanation of how the social determinants of health impact the issue in the U.S. and in another country, and the examples, are vague and inaccurate, or is missing.
Explanation of how the governments of the two countries address cost, quality, and access related to the issue is vague and inaccurate, or is missing.
Explanation of how the policy in each of the two countries impacts the global population, and supporting examples, is missing.
Explanation of how the policies in each country impact the role of the nurse is vague and inaccurate, or is missing.
Explanation of how global health issues impact local healthcare organizations and policies in both countries is missing.

The Nurse’s Role in Global Healthcare
Part 2: A Plan for Social Change
Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment. 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.

32 (32%) – 35 (35%)

Response provides a clear and thorough explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader.
Response provides a clear and thorough explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader.
Response clearly and thoroughly explains in detail how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change. Accurate and detailed supporting examples are provided.

28 (28%) – 31 (31%)

Response provides an explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader.
Response provides an explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader.
Response explains how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change. Some supporting examples are provided.

25 (25%) – 27 (27%)

Explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader is vague or incomplete.
Explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader is vague or incomplete.
Explanation of how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change, and/or supporting examples provided, are vague or incomplete.

0 (0%) – 24 (24%)

Explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader is vague and incomplete, or is missing.
Explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader is vague and incomplete, or is missing.
Explanation of how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change, and/or supporting examples, is missing.

Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.

5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
Purpose, introduction, and conclusion of the assignment is vague or off topic.

0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors Global Healthcare Comparison Sample Paper. 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors. 0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. 5 (5%) – 5 (5%) Uses correct APA format with no errors. 4 (4%) – 4 (4%) Contains a few (1-2) APA format errors. 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors. 0 (0%) – 3 (3%) Contains many (≥ 5) APA format errors. Total Points: 100 Global Healthcare Comparison Sample Paper


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