Tag: Clinical-Nursing

NRNP – 6552 Advanced Nurse Practice in Reproductive Health Care Midterm Exam

Olivia presents with a complaint of “bumps” around her vagina. They are nonpainful and nonpruritic. Upon inspection, you note several flesh colored and pearly white papules with depressed centers. This appearance is characteristic of:

A.

Condyloma lata

B.

Genital warts

C.

Malignant melanoma

D.

Molluscum contagiosum

 

Pelvic support structures include:

A.

Muscles and connective tissue of the pelvic floor

B.

Fibromuscular tissue of the vaginal wall

C.

Endopelvic connective tissue

D.

All of the above NRNP – 6552 Advanced Nurse Practice in Reproductive Health Care Midterm Exam.

 

Serum FSH indirectly measures ovarian function, with _______ levels of FSH indicating normally functioning ovaries.

A.

Lower

B.

Median

C.

Higher

D.

Absent

 

The term used to describe painful cramps that occur with menstruation is:

A.

Amenorrhea

B.

Menorrhagia

C.

Uterine atony

D.

Dysmenorrhea

ORDER A CUSTOM-WRITTEN PAPER OR EXAM

One of the reasons that substance use is a concern in LBQ and TGNC communities is:

A.

It has been shown to be a confirmed genetic risk

B.

Bars and club scenes have long been safe spaces for gay, LBQ, ad TGNC people

C.

A and B

D.

None of the above

One of the reasons that substance use is a concern in LBQ and TGNC communities is:

A.

It has been shown to be a confirmed genetic risk

B.

Bars and club scenes have long been safe spaces for gay, LBQ, ad TGNC people

C.

A and B

D.

None of the above

 

n physical examination, pale atrophic depigmented tissue that has a “cigarette paper” appearance is consistent with:

A.

Vaginal candidiasis

B.

Contact dermatitis

C.

Lichen sclerosis

D.

Gonorrhea

 

A type of contraceptive that does not contain hormones is:

A.

Paragard IUD

B.

Mirena IUD

C.

Nuvaring

D.

Evra patch

 

The following are the four basic Caldwell-Moloy pelvic types.

A.

Gynecoid, android, anthropoid, platypelloid

B.

Gynecoid, antecoid, retrocoid, flexed

C.

Anterverted, anteflexed, retroverted, retroflexed

D.

None of the above

 

The least invasive way to assess bladder capacity is through:

A.

Filling cystometrogram

B.

3-day voiding diary

C.

Quantified standing stress test

D.

Urethral pressure profile

 

Strong evidence shows that first trimester abortions, whenever performed safely, increases a women’s risks of:

A.

Subsequent infertility

B.

Ectopic pregnancy

C.

Birth defects

D.

None of the above NRNP – 6552 Advanced Nurse Practice in Reproductive Health Care Midterm Exam.

 

Hirsutism is defined as:

A.

Excessive terminal hair loss in women

B.

Excessive nail growth in women

C.

Brittle nail growth in women

D.

Excessive terminal hair growth in women

 

EBP stands for:

A.

Experimental based practice

B.

Evidence based practice

C.

Excellent bedside practice

D.

None of the above

 

The _______________ are easily sensitized and become engorged with blood during sexual arousal.

A.

Labia Minora

B.

Labia Majora

C.

Bartholin’s glands

D.

Mons pubis

 

Menopause is defined as:

A.

Cessation of periods for six months

B.

Cessation of periods for one year

C.

Cessation of periods for two years

D.

None of the above

 

Josefina is a 47-year-old patient with family history of diabetes. Her BMI is 30. She has been healthy except for medication-controlled hypertension. She has been very compliant with her appointments. Today, you tell her you need to check her blood sugar. She says “I just read an article that said I only need to have that checked every three years. You just checked it last year.” You tell her:

A.

You are correct that in many people, testing should only be every year. However, due to your family history of diabetes and your current weight and BMI, this places you in the high-risk category and you should have this done yearly.

B.

You are absolutely correct. I did not see in the chart that we had done that last year. I apologize. You are not due for that for two more years.

C.

I’m not sure the article that you read but the recommendation is that every patient have this test done on a yearly basis.

D.

Actually, we are supposed to be checking it every three months in high risk individuals, so we are behind on our testing!

 

All organizations recommend beginning screening mammograms in average-risk women at age____

A.

<40 years B. 40 to 44 years C. 45 to 49 years D. 55 years and older   The _________ is a sensitive organ that is typically described as the female homologue of the penis. A. Vulva B. Clitoris C. Skene’s gland D. Bartholin’s gland   A person whose gender identity is the same as their sex when he or she was born is: A. Bisexual B. Pansexual C. Intersexual D. Cisgender NRNP – 6552 Advanced Nurse Practice in Reproductive Health Care Midterm Exam.   When females go through puberty, the changes that occur are initiated by the production of: A. Low amounts of estrogen B. High amounts of estrogen C. High amounts of progesterone D. Low amounts of testosterone   Gale is 36 weeks pregnant. She calls the office to report that she has noticed a sticky fluid coming from her breasts. You let her know that this is most likely: A. A serious concern and she needs to be evaluated immediately. B. Colostrum, but she should be evaluated as it should not be noted during pregnancy. C. Colostrum, which is commonly noted toward the end of the pregnancy. D. A hormonal response that is indicative that she will most likely go into labor int the next 48 hours.   Endometrial polyps are most commonly identified by: A. A speculum exam B. A bimanual exam C. A pap smear D. A transvaginal ultrasound   When using the FIGO staging classification for cancer of the ovary, fallopian tube, and peritoneum, Stage I means: A. The tumor is confined to the ovaries or fallopian tube(s) B. The tumor involves one or both ovaries or fallopian tubes with pelvic extension or primary peritoneal cancer C. The tumor involves one or both ovaries or fallopian tubes, or primary periotenal cancer, with cytologically and histologically confirmed spread to the peritoneum outside the pelvis D. There is distant metastasis excluding peritoneal metastasis   First line pharmacologic treatment for women with PCOS is/are: A. Progestin-only birth control pills B. Combined oral contraceptives C. Lasix D. Multivitamins with folic acid   Metabolic syndrome typically includes the following except: A. Sudden weight loss B. Obesity C. Insulin resistance D. Dyslipidemia E. All of the above NRNP – 6552 Advanced Nurse Practice in Reproductive Health Care Midterm Exam. ORDER A CUSTOM-WRITTEN PAPER OR EXAM HERE On vaginal exam you find that Polly’s cervix is in the most common position, which is: A. Antiflexion B. Midline C. Posterior D. Backward   Clinicians can participate in primary sexual violence prevention by applying individual prevention skills, such as: A. Challenging behaviors in others that promote violence B. Engaging in healthy professional and personal relationships C. Learning to identify risk factors for sexually abusive behaviors D. B and C E. A, B, and C   The following is/are types of sexual violence. A. Intentional touching of the breast B. Pornography C. Threats of sexual violence D. All of the above   The only antimicrobial medications that are effective against Trichomoniasis vaginalis are: A. tinidazole or metronidazole B. Amoxicillin or Augmentin C. doxycycline or minocycline D. cephalexin or ceftriaxone   The use of a pain rating scale may assist the clinician to comprehend the intensity of a woman’s pain. Example(s) of pain rating scale(s) include: A. Numeric ranking scale B. Visual analog scale C. Verbal descriptive scale D. All of the above The use of a pain rating scale may assist the clinician to comprehend the intensity of a woman’s pain. Example(s) of pain rating scale(s) include: A. Numeric ranking scale B. Visual analog scale C. Verbal descriptive scale D. All of the above   A cluster of mild to moderate physical and psychological symptoms that occur during the late luteal phase of menses and resolve with menstruation is the definition of A. Premenstrual dysphoric disorder B. Premenstrual syndrome C. Menstrual mood swings D. Psychosocial syndrome   The timing of an adolescent growth spurt typically occurs ____________ in puberty than it does for boys. A. One year later B. Two years earlier C. At a similar time D. None of the above   The following symptoms are consistent with PMS except: A. Depression B. Confusion C. Breast tenderness D. Uncontrollable fits of laughter NRNP – 6552 Advanced Nurse Practice in Reproductive Health Care Midterm Exam.   Reproductive coercion includes behaviors: A. Related to pressuring or coercing a person to have sex without using physical force B. Related to pressuring or coercing a person to have sex using physical force C. That interfere with contraception use and/or pregnancy D. Any of the above   Women in the following profession have a higher rate of UTI A. Nursing B. Housecleaning C. Secretarial D. Those who do not work outside the home   Women in the following profession have a higher rate of UTI A. Nursing B. Housecleaning C. Secretarial D. Those who do not work outside the home   Clinicians are required to report certain STIs to their state public health officials. These include: A. Chlamydia B. Gonorrhea C. Syphilis D. A and B E. A, B, and C   Bone density testing for osteoporosis should start at age _______ for women and age _______ for men. A. 60; 60 B. 65; 70 C. 50; 60 D. 65; men do not need this test   A pharmacologic treatment for patients with Hydradenitis Suppurativa (HI) may include A. Clindamycin B. Minocycline C. Metformin D. All of the above   The following is/are risk factor(s) for bacterial vaginosis. A. Menstrual bleeding B. Douching C. Lack of condom use D. B and C E. A, B, and C   All of the following are risk factors for UTI, except: A. Previous UTI B. Infrequent sexual activity C. Incomplete bladder emptying D. Obesity   n women with PCOS, polycystic ovaries are due to: A. Excessive ovulation B. Chronic anovulation C. Using birth control for an extended period of time D. None of the above   The following symptoms are associated with peri-menopause and menopause. A. Excessive eye tearing B. Headache C. Fatigue D. B and C E. All of the above   Just prior to ovulation, rising levels of estradiol increases the amount of cervical mucus, making it: A. Thick and sticky B. Absent C. Thin and watery D. Yellowish and thicker   The most common type of UTI affecting women is: A. Pyelonephritis B. Asymptomatic bacteriuria C. Acute bacterial cystitis D. None of the above   Criteria for clinical diagnosis of bacterial vaginosis include the presence of three out of four of the following Amsel criteria: A. Yellowish thick vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of WBCs on microscopic examination B. Yellowish thick vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of clue cells on microscopic examination C. White, thin adherent vaginal discharge, pH equal or greater than 4.5; positive whiff/KOH test; presence of WBCs on microscopic examination D. Yellowish thick vaginal discharge, pH equal or less than 4.5; positive whiff/KOH test; presence of WBCs on microscopic examination   The contraceptive implant that is currently available in the U.S. is: A. Norplant B. Implanon C. Nexplant D. Nexplanon   Approximately 50% to 70% of women with PCOS are insulin resistant. Insulin resistance often results in: A. Compensatory hyperinsulinemia B. Compensatory hypoinsulinemia C. Excessively low blood sugars D. Weight loss   evidence from randomized trials on intimate partner violence screening support the following intervention(s) for women of childbearing age: A. Counseling B. Home visits C. Mentoring support D. A and C E. A, B, and C NRNP – 6552 Advanced Nurse Practice in Reproductive Health Care Midterm Exam   Nearly _________ pregnant women have been abused by the partner. A. 1 in 20 B. 1 in 15 C. 1 in 6 D. 1 in 2   When looking from a feminist perspective at research studies, one of the great concerns is that: A. There are too many studies involving women B. Most of the research is qualitative, which limits the applicability C. For many years, studies were done primarily on men with the findings being generalized to women D. None of the above   Marianne presents for a well woman exam. In gathering her history, she tells you she has been pregnant 3 times. She has two children, both born at 39 weeks, and had one miscarriage. Using the GTPAL system, you note that in her chart as the followingA A. G3 T2 P0 A1 L2 B. G3 T0 P2 A1 L2 C. G2 T2 P0 A1 L2 D. G2 T2 P2 A1 L3   The frontline analgesics for painful menstrual cramps are: A. Opioids B. Corticosteroids C. NSAIDs D. Hormone therapy   The endometrial cycle has three phases, which are: A. Proliferative, luteal, menstrual B. Luteal, menstrual, post-menstrual C. Proliferative, secretory, menstrual * (pg. 91) D. Secretory, luteal, menstrual   A progesterone challenge test that produces withdrawal bleeding is indicative of: A. No ovarian function B. Infertility C. Functioning ovaries D. Uterine cancer     Neisseria gonorrhea is a ___________ bacteria A. Gram positive B. Gram neutral C. Gram negative D. None of the above   Ovarian failure is diagnosed when _______ estrogen production is identified while the serum FSH is __________. A. Low; Low B. Low; High C. High; Low D. High; High   A waiting period of ____________ between bariatric surgery and pregnancy is recommended. A. 6-12 months B. 6-18 months C. 12-24 months D. 3-5 years   Trichomonas vaginalis can be asymptomatic, but when symptomatic, the vaginal discharge tends to be: A. Thick and green non odorous B. Yellow to green  frothy C. Bloody D. Thin and watery NRNP – 6552 Advanced Nurse Practice in Reproductive Health Care Midterm Exam.

NURS 6003/NURS 6003A/NURS 6003F/NRSE 6003C/NURS 6003N/NURS 6003C: Transition to Graduate Study for Nursing

Module 1 (Week 1): Networking for Academic and Professional Success

Laureate Education (Producer). (2018). 
The Foundation of Success
[Video file]. Baltimore, MD: Author.

ureate Education (Producer). (2018).
The Walden Journey to a Masters in Nursing: The Journey Begins
[Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2018). 
The Walden Journey to a Masters in Nursing: Networking and Collaboration
[Video file]. Baltimore, MD: Author.

Learning Objectives

Students will:

Analyze relationships among Walden’s vision, mission, goals, and social change initiatives to professional and academic goals

Analyze the relationship between MSN program outcomes and perspectives to professional and academic goals

Identify academic and professional collaborators for academic and professional success

Identify concepts for Walden student readiness

Identify individuals or teams to collaborate with for success in the MSN program and as a practicing nurse NURS 6003/NURS 6003A/NURS 6003F/NRSE 6003C/NURS 6003N/NURS 6003C: Transition to Graduate Study for Nursing

 

Due By

Assignment

Week 1, Days 1–2

 

Read the Learning Resources.

Compose your initial Discussion post.

Begin to compose Part 1 of your Assignment.

Week 1, Day 3

 

Post your initial Discussion post.

Begin to check your knowledge with the Quiz.

Continue to work on of Part 1 of your Assignment.

Week 1, Day 4

 

Continue to check your knowledge with the Quiz.

Continue to work on Part 1 of your Assignment

Week 1, Day 5

 

Review peer Discussion posts.

Compose your peer Discussion responses.

Continue to check your knowledge with the Quiz.

Continue to compose your final draft of Part 1 of your Assignment.

Week 1, Day 6

 

Post two peer Discussion responses.

Continue to check your knowledge with the Quiz.

Continue to compose your final draft of Part 1 of your Assignment.

Week 1, Day 7

 

Wrap up Discussion.

Final day to complete Quiz.

Deadline to submit your final draft of Part 1 of your Assignment.

 

Photo Credit: David Baumber/Vetta/Getty Images NURS 6003/NURS 6003A/NURS 6003F/NRSE 6003C/NURS 6003N/NURS 6003C: Transition to Graduate Study for Nursing

Learning Resources

Required Readings

Nurse.org. (n.d.). List of nursing organizations. Retrieved November 14, 2018, from https://nurse.org/orgs.shtml

Schmidt, K. (n.d.). 5 reasons nurses should engage in professional networking [Blog post]. Retrieved November 14, 2018, from https://blog.bluepipes.com/5-reasons-nurses-should-take-professional-networking-seriously/

Walden University. (n.d.). Connect to Walden. Retrieved November 14, 2018, from https://www.waldenu.edu/connect

Walden University. (n.d.). College of Nursing. Retrieved October 5, 2020, from https://academicguides.waldenu.edu/fieldexperience/son#s-lg-box-3837398

Review the College of Nursing’s vision and mission.

Walden University. (n.d.). Walden University catalog. Retrieved October 4, 2019, from https://catalog.waldenu.edu

Select College of Nursing, then Master of Science in Nursing (MSN). Review the MSN Learning Outcomes on this page.

Walden University. (n.d.). Walden University catalog. Retrieved October 4, 2019, from https://catalog.waldenu.edu

Select Introduction, then the link “Vision, Mission, and Goals” under the Introduction header. Review Walden’s vision, mission, and goals.

Walden University. (n.d.). Writing center. Retrieved November 14, 2018, from https://academicguides.waldenu.edu/writingcenter

Wofford, P. (2018). 10 networking tips for nurses who hate networking. Retrieved from https://nurse.org/articles/tips-for-nurse-networking/

Document: 
Academic Success and Professional Development Plan Template (Word document)

Document: 
Discussion Posting Exemplars (PDF) NURS 6003/NURS 6003A/NURS 6003F/NRSE 6003C/NURS 6003N/NURS 6003C: Transition to Graduate Study for Nursing

Discussion: Networking Opportunities

In this module, you begin laying the foundation for your academic and professional success. Your efforts begin with a vision that includes your own definition of success. Your vision may vary from those of your colleagues, but this does not mean you have to take these first steps alone.

Walden University and the College of Nursing also have a vision and mission, which include helping you to make your own vision a reality. Members of your new academic community, such as faculty, support teams, and fellow students, can also be helpful. Current practitioners and other member of the professional community can also help you to clarify your vision.

This Module’s Discussion asks you to consider how the Walden mission and vision as well as the College of Nursing’s mission and vision apply to your professional and academic goals. You will also begin to identify individuals and teams who can help you along the way as you begin designing the “blueprint”—your Academic Success and Professional Development Plan—that will guide you toward your own vision for academic and professional success.

To Prepare:

Review the Walden and College of Nursing mission and vision statements, Walden’s goals and University Outcomes, and the MSN Program Learning Outcomes presented in this Module’s Learning Resources.

Reflect on your professional and academic goals as they relate to your program/specialization.

Consider how the information in these resources fit with your own goals and to your becoming a scholar-practitioner.

Also consider academic and professional individuals and teams with whom you may collaborate in support of your efforts as a student at the university and as a professional within your organization and career NURS 6003/NURS 6003A/NURS 6003F/NRSE 6003C/NURS 6003N/NURS 6003C: Transition to Graduate Study for Nursing.

By Day 3 of Week 1

Post
 a brief introduction of yourself to your colleagues. Include an explanation as to how Walden’s vision, mission, goals, and social change initiatives relate to your professional and academic goals and to your becoming a scholar-practitioner. Also include an explanation for how the Walden MSN Program Outcomes and perspectives relate to your professional and academic goals and to your becoming a scholar-practitioner.

By Day 6 of Week 1

Respond
 to at least 
two
 of your colleagues’ posts by suggesting additional individuals and/or teams with whom you wish to collaborate or by offering additional networking strategies.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

  ORDER A PLAGIARISM FREE PAPER NOW

Post by Day 3 and Respond by Day 6 of Week 1

To participate in this Discussion:

Week 1 Discussion

Quiz: Walden’s Student Readiness Orientation

You probably have a lot of questions (and perhaps some hesitation) about the journey you are undertaking. How do I navigate the online classroom? How can I have access to a library in this environment? The Student Readiness Orientation (SRO) minicourse available on your MyWalden page provides answers to such questions and helps ensure you understand how to navigate the online classroom and utilize the many resources available to you as a student at Walden NURS 6003/NURS 6003A/NURS 6003F/NRSE 6003C/NURS 6003N/NURS 6003C: Transition to Graduate Study for Nursing.

The Readiness Check will help you determine your prepardness for navigating the online classroom.

The questions presented on the Quiz are derived from the readiness check presented in the SRO.

Click on the Week 1 Quiz link after you have read the directions carefully.

The readiness check includes 15 questions in various formats including true/false and multiple choice. If you score 12 or below, please retake the exam. You may retake the exam as many times as you would like in order to achieve your desired score. Your highest score will be recorded. To retake the Quiz, click on “Take Test Again” (this does not appear as a hyperlink but works as a hyperlink when you click on the area).

To view the questions you answered correctly and incorrectly, click on your score in the “My Grades” area.

To Prepare:

Review the Walden’s SRO found on your MyWalden page.

By Day 7

Complete the quiz.

Submission and Grading Information

Submit Your Quiz by Day 7 of Week 1

To submit your Quiz:

Week 1 Quiz

Assignment: Academic Success and Professional Development Plan Part 1: Developing an Academic and Professional Network

When was the last time you read Meditation XVII of John Donne’s 
Devotions Upon Emergent Occasions
?

Unless you are a student of seventeeth-century poetry, you may not be all that familiar with this piece. However, you may be much more familiar with one of its well-known phrases: “No man is an island…”NURS 6003/NURS 6003A/NURS 6003F/NRSE 6003C/NURS 6003N/NURS 6003C: Transition to Graduate Study for Nursing.

As you begin your journey toward achieving your academic and professional goals, you have a great opportunity to network with academics and professionals who can help ensure you do not travel alone. This network can help to clarify your own vision for success and can help guide you now and in the future. To paraphrase Donne, no one is an island.

Begin creating an academic and professional network by identifying which academic and professional connections and resources with which you need to collaborate to succeed in your MSN program and as a practicing nurse.

To Prepare:

Consider individuals, departments, teams, and/or resources within Walden University and within your profession that you believe can support your academic and professional success.

Identify at least two academic and at least two professional individuals, colleagues, or teams that might help you succeed in your MSN program and as a practicing nurse.

Download the 
Academic Success and Professional Development Plan Template
.

The Assignment:

Academic and Professional Network

Complete Part 1 of your 
Academic Success and Professional Development Plan Template
. Be sure to address the following:

Identify 
at least two
 academic and 
at least two
 professional individuals or teams to collaborate with to be successful in your MSN program and as a practicing nurse.

Explain why you selected these individuals and/or teams and how they will support your success in the MSN program and as a practicing nurse.

By Day 7 of Week 1

Submit
 Part 1 of your 
Academic Success and Professional Development Plan Template NURS 6003/NURS 6003A/NURS 6003F/NRSE 6003C/NURS 6003N/NURS 6003C: Transition to Graduate Study for Nursing
.

Submission and Grading Information

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

Please save your Assignment using the naming convention “WK1Assgn+last name+first initial.(extension)” as the name.

Click the 
Week 1 Assignment Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 1 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 “WK1Assgn+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.

Grading Criteria

To access your rubric:

Week 1 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 1 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 1

To submit your Assignment:

Week 1 Assignment NURS 6003/NURS 6003A/NURS 6003F/NRSE 6003C/NURS 6003N/NURS 6003C: Transition to Graduate Study for Nursing

NRNP – 6552 Final Exam

This test has a time limit of 2 hours and 30 minutes.

This test will save and submit automatically when the time expires.

This test can be saved and resumed at any point until time has expired. The timer will continue to run if you leave the test.

The HPV vaccine is contraindicated in:

A.

Pregnancy

B.

Breastfeeding

C.

Males

D.

A and B

E.

A, B, and C NRNP – 6552 Final Exam

 

When a woman is pregnant and calculating the last menstrual period (LMP), it should be counted from:

A.

The first day of the last period

B.

The last day of the last period

C.

The middle of the last period

D.

None of the above

 

The greatest risk factor for ovarian cancer is:

A.

Smoking

B.

Family history of ovarian cancer in a first-degree relative

C.

Taking birth control

D.

None of the above

 

HPV can be spread through:

A.

Skin-to-skin genital contact

B.

Only through actual intercourse

C.

The air as it is an airborne virus

D.

Dirty needles NRNP – 6552 Final Exam

 

ORDER A CUSTOM-WRITTEN PAPER OR EXAM HERE

All women should be offered testing for cystic fibrosis carrier status during pregnancy. This test should be done:

A.

Only once in a lifetime, as the status will not change

B.

With every pregnancy that results in a live birth

C.

With every pregnancy, including those that do not result in a live birth

D.

Every five years

 

The current FDA approval limit for the copper IUD is:

A.

3 years

B.

5 years

C.

7 years

D.

10 years

 

 

Prior to giving semen for an analysis, a male should be abstinent for:

A.

24 hours prior to the test

B.

2-5 days prior to the test

C.

2 weeks prior to the test

D.

None of the above

 

During the second trimester, a test that is offered is the alpha-fetoprotein test. This test indicates:

A.

If the woman will go to full term

B.

If the heart has any defects

C.

Whether the fetal neural tube has properly fused

D.

If the fetus is living

 

When performing a semen analysis, the following is/are measured:

A.

Semen volume

B.

Total motility

C.

pH

D.

A and B

E.

A, B, and C

 

Emergency contraception

A.

Can be used as an ongoing method of contraception

B.

Provides STI protection

C.

Is the only method that can be used after intercourse

D.

Is available by prescription only

 

 

A blood test can help confirm if a woman is beginning menopause. The test measures the level of which of these?

A.

Follicle-stimulating hormone

B.

Estrogen

C.

Progesterone

D.

Cholesterol

 

Depot medroxyprogesterone acetate (DMPA) is widely known as:

A.

Mirena

B.

Depo-Provera

C.

Mini-pill

D.

Nexplanon

 

 

Laboratory testing that might be indicated to rule out vaginal discharge include:

A.

STI testing

B.

Wet Mount

C.

Endocervical curettage

D.

A and B

E.

A, B, and C

 

 

The following vaccine(s) is/are contraindicated in pregnancy:

A.

MMR

B.

Varicella

C.

Tdap

D.

A and B

E.

A, B, and C

 

It is believed that women acquire most of their bone mass

A.

As infants

B.

In early adolescence

C.

In their 20’s

D.

In their 50’s

 

 

Carcinoma of the vulva is most often seen in women who are:

A.

Under the age of 30

B.

Pre-menopausal

C.

Post-menopausal

D.

Actively going through menopause

 

When the cervix softens in pregnancy, this is called:

A.

Goodell’s sign

B.

Cervical lip sign

C.

Mucus plug sign

D.

Vulvar sign

 

 

Pelvic adhesions can be caused by:

A.

Previous surgeries

B.

Infection

C.

Endometriosis

D.

All of the above

 

Which type of intrauterine device (IUD) is available?

A.

Copper

B.

Titanium

C.

Hormonal

D.

A and C

 

 

All of the following are barrier methods of contraception except

A.

Male condom

B.

Female condom

C.

Diaphragm NRNP – 6552 Final Exam

D.

Coitus interruptus

 

The following routines can help with sleep patterns:

A.

Taking a warm bath

B.

Exercising

C.

Changing into sleepwear

D.

A and C only

E.

All of the above

 

 

The following are preventive factors for the development of ovarian cancer:

A.

Pregnancy resulting in at least one full-term birth

B.

Factors that inhibit ovulation

C.

Breastfeeding

D.

A and C

E.

A, B, and C

 

Your patient is pregnant and has three cats. You educate her that she should have someone else clean the litter box as there is an infection that can spread through cat feces that can be harmful to the unborn baby. The infection is called:

A.

E. Coli

B.

Toxoplasmosis

C.

Cat-scratch fever

D.

Tetanus

 

Progestin-only methods are:

A.

Likely to improve menstrual symptoms

B.

Unlikely to ever cause breakthrough bleeding

C.

A and B

D.

None of the above

 

The standard treatment for patients with vulvar cancer regardless of the stage of the disease is:

A.

Laser treatment

B.

Cryosurgery

C.

Surgical resection

D.

Topical medication

 

 

The most frequent causal finding(s) on laparoscopy for chronic pelvic pain is/are:

A.

Endometriosis

B.

Adhesions

C.

Absence of pathologic condition

D.

A and B

E.

A, B, and C

 

The Tanner scale divides sexual physical maturity into ________ stages

A.

Three

B.

Five

C.

Seven

D.

Nine

 

Ectopic pregnancy involves a pregnancy that implants:

A.

Outside of the uterus

B.

In the uterus

C.

Through in vitro fertilization

D.

None of the above

 

ORDER A CUSTOM-WRITTEN PAPER OR EXAM HERE

When presenting the laboratory tests that should be performed during the pregnancy it is important to let the woman know:

A.

She must have all the recommended tests done or it can be considered child abuse

B.

She is required to have all tests done, except for the HIV test

C.

She can “opt out” of any test

D.

She should make sure that her partner signs the consent for all the tests done NRNP – 6552 Final Exam.

 

A woman who is pregnant should never lift more than ___________ during pregnancy.

A.

10 pounds

B.

22 pounds

C.

28 pounds

D.

36 pounds

 

The following is/are types of assisted reproductive technology:

A.

IVF

B.

GIFT

C.

ZIFT

D.

A and B

E.

A, B, and C

 

Contractions that may occur in early pregnancy are called:

A.

Souffle contractions

B.

Chadwick contractions

C.

Uteroplacental contractions

D.

Braxton-Hicks contraction

 

Physiologic methods of contraception include:

A.

Abstinence

B.

Coitus interruptus

C.

Lactational amenorrhea method

D.

B and C

E.

A, B, and C

 

The number one cause of mortality for both women and men in the United States is:

A.

Diabetes Mellitus

B.

Cardiovascular disease

C.

Bone cancer

D.

Dementia

 

 

Women who have a history of immediate hypersensitivity to __________ should not receive the 4-valent or 9-valent HPV series NRNP – 6552 Final Exam.

A.

Milk products

B.

Eggs

C.

Cats

D.

Yeast

 

 

Taylor just found out she is pregnant. She has irregular periods so she is not exactly sure how far along she is, but she thinks it is pretty early. She asks you about an ultrasound to find out how many weeks she is. You tell her that:

A.

Early in the pregnancy is ideal because the ultrasound dating is more accurate than later in the pregnancy

B.

She should wait a couple of months as ultrasound dating is most accurate in the second trimester of pregnancy

C.

An ultrasound really won’t be able to tell her that information

D.

An ultrasound is contraindicated this early in the pregnancy

 

Blood serum pregnancy tests can detect the presence of HCG ________ days after fertilization.

A.

24 hours

B.

1-3 days

C.

3-5 days

D.

8-10 days

 

All of the following are disadvantages of Combined Oral Contraceptives except:

A.

The need for daily pill taking

B.

The ongoing cost of the method for some individuals

C.

Side effects for some women

D.

Reduction in the risk of some types of cancer

 

When assessing fetal heart tones with the doppler, the normal range is:

A.

60-80 BPM

B.

100-120 BPM

C.

120-160 BPM

D.

160-200 BPM

 

Nonlatex condoms:

A.

Fit tighter on the penis than latex condoms

B.

Come in a variety of colors

C.

Have an increased risk of breakage or slippage during intercourse than latex condom

D.

Lead to a greater incidence of allergies than latex condoms

 

A generic prenatal vitamin supplement should be prescribed and should include:

A.

Iron, folic acid, and vitamins

B.

Mercury, folic acid, and vitamins

C.

Vitamins only with no other supplements

D.

Iron and Vitamins with no other supplements NRNP – 6552 Final Exam

 

he bluish hue that the cervix takes on during pregnancy is called:

A.

Goodell’s sign

B.

Baby Blues sign

C.

Cervical ripening sign

D.

Chadwick’s sign

 

WIC is a federally operated assistance program that also offers dietary counseling and provides vouchers for healthy foods for women living at or below 185% of the poverty level. WIC stands for:

A.

Women in Care

B.

Why I Care

C.

Women, Infants, and Children

D.

Wonderful Infants and Children

 

To reduce risk of illness during pregnancy, fish and shellfish should be:

A.

Served raw

B.

Cooked thoroughly

C.

Served at every meal

D.

Encouraged as often as possible

 

As women age, adipose tissue is redistributed and begins to accumulate in the:

A.

Hips and thighs

B.

Breasts

C.

Waist

D.

Triceps area

 

When taking alendronate (Fosamax) for postmenopausal osteoporosis,

A.

It should always be taken with food

B.

It should be taken first think in the morning on an empty stomach

C.

It should be taken with an 8 oz glass of water

D.

B and C

 

The following gonadotropins are responsible for regulating gynecologic organ activities.

A.

Testosterone and androgen

B.

FSH and progesterone

C.

FSH and LH

D.

LH and prolactin

 

In a male, the urethra carries ___________through the penis.

A.

Urine

B.

Semen

C.

Testosterone

D.

A and B

E.

A, B, and C

 

Urogenital changes that can occur with menopause include:

A.

Vaginal dryness

B.

Dyspareunia

C.

Urinary incontinence

D.

A and C

E.

A, B, and C

 

A complete male evaluation usually includes:

A.

Two semen analyses, approximately one hour apart

B.

Two semen analyses, approximately one month apart

C.

One complete semen analysis

D.

A fractionated semen analysis

 

Urine pregnancy tests are considered to be:

A.

Reliable

B.

Unreliable

C.

Expensive

D.

Invasive

 

 

Ibandronate (Boniva, a medication for osteoporosis, can be administered:

A.

Orally

B.

Through an IM injection

C.

Intravenously

D.

A and C

E.

A, B, and C

 

The gold standard for assessing uterine bleeding and diagnosing endometrial cancer is:

A.

Endometrial biopsy

B.

Transvaginal ultrasound

C.

Dilation and curettage

D.

CA-125 levels NRNP – 6552 Final Exam

 

Ovarian reserve testing assesses a woman’s reproductive potential by:

A.

Measuring the quality of her remaining oocytes

B.

Measuring the quantity of her remaining oocytes

C.

Assessing the color and motility of her remaining oocytes

D.

A and B

E.

A, B, and C

 

The vaginal ring (Nuva ring) is:

A.

Replaced on a weekly basis

B.

Left in place for 21 days and then removed for a week

C.

Replaced on a monthly basis

D.

Placed in the vagina at least 2 hours prior to intercourse and removed at least 6 hours after intercourse

 

To reduce the discomfort of hot flashes with menopause, recommendation include:

A.

Wearing breathable fabrics

B.

Wearing silk and polyester

C.

Avoiding a fan as it makes the hot flashes worse

D.

None of the above

 

 

Progestin-only contraceptives are generally considered safer for women who:

A.

Have a diagnosis of Diabetes

B.

Experience Migraines with aura

C.

Are 15 or younger

D.

Overweight

 

The first-line medication for ovulation induction in women who do not have PCOS is:

A.

Clomiphene citrate

B.

Letrozole

C.

Pergonal

D.

Follistim

 

The three trisomies for which testing is offered during the second trimester are:

A.

13. 18, 21

B.

16, 19, 21

C.

3, 9, 19

D.

16, 21, 22

 

The following are risk factors for breast cancer except:

A.

Menarche after the age of 12

B.

Nulliparity

C.

Menopause at age 55 years or older

D.

First full-term pregnancy after age 30

 

Men have little or no measurable decline in fertility before age:

A.

35 to 40

B.

45 to 50

C.

55 to 60

D.

65 to 70

 

In a woman who is 20 weeks pregnant, the fundus is typically the same height as:

A.

The symphysis pubis

B.

The umbilicus

C.

The xiphoid process

D.

None of the above

 

The majority of vulvar malignancies are:

A.

Squamous cell carcinomas

B.

Basal cell carcinomas

C.

Adenocarcinomas

D.

Malignant melanomas

 

During pregnancy, blood volume:

A.

Remains the same as pre-pregnant amounts

B.

Increases by 10%

C.

Increases by 30-50%

D.

Decreases by 20%

 

The following are risk factors associated with acquiring HPV except:

A.

Nulliparity

B.

Early age at first intercourse

C.

Having multiple sexual partners

D.

Smoking NRNP – 6552 Final Exam

NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

NRNP-6565-4-Syntesis Advanced Nursing Practice Care-2021-Fall-QTR-Term-wks-1-thru-11-(08/30/2021-11/14/2021)-PT27
 

Take Test: Exam – Week 10

Question 1

Osteoporosis is defined as having a T-score of _____ or less than the standard deviation of a healthy individual.

1

-1.5

-2.5

-3.5

 

Question 2

A smooth round nodule with a pearly gray border and central induration best describes which type of skin lesion? NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

Seborrheic keratosis

Basal cell carcinoma

Malignant melanoma

Herpes zoster

Question 3

A 59 year old man with chronic prostatitis should be treated with trimethoprim 80mg-sulfamethoxazole 400mg (TMP-SMX,Bactrim) for how long?

3 to 7 days

14-21 days

 3 to 6 weeks

6 to 12 weeks

 

Question 4

Treatment for H. pylori-negative ulcers includes all the following except: NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

Stop NSAIDS

Stop smoking

Prilosec for 4–8 weeks

Triple therapy including Biaxin, Flagyl, and amoxicillin

ORDER A CUSTOM-WRITTEN PAPER OR EXAM HERE

Question 5

Carlos is a 64 y/o male who has previously been diagnosed as a Category A COPD patient based on Gold guidelines (2017). The Category A patient group includes which of the following?

Minimally symptomatic (low risk of exacerbation)

More symptomatic (low risk of exacerbation)

Minimally symptomatic (high risk of exacerbation)

High risk

 

Question 6

Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers.  What teaching should the nurse practitioner plan for a patient who has a positive Helicobacter pylori test?

 It is highly contagious and a mask should be worn

 Treatment regimen is multiple lifetime medications

Treatment regimen is multiple medications taken daily for a few weeks

Treatment regimen is complicated and is not indicated unless the patient is symptomatic NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

 

 

Question 7

Metabolic syndrome is characterized by all the following traits 
except

Obesity

Hypertension

Dyslipidemia

Hypoglycemia

 

Question 8

What is the first line of treatment for eczema? Select all that apply.

a.

Hydrocortisone 2.5%

b.

Triamcinolone acetonide

c.

Oral steroids

d.

None of the above

 

 

Question 9

Acanthosis nigricans is associated with all the following except:

Diabetes

Metabolic syndrome

Obesity

Cancer of bladder

 

 

Question 10

The NP recognizes that potentially inappropriate medications for older adults (Beers List Criteria) may include:

a.

NSAIDs

b.

Alpha-blockers

c.

Zolpidem

d.

Cardiac drugs

e.

All of the above

 

Question 11

A 19-year-old bisexual female wants to get tested for HIV. Based on CDC guidelines, what is the appropriate order of testing for HIV?

a.

HIV-1/HIV-2 antibodies and P24 antigen

b.

HIV RNA PCR

c.

HIV-1 RNA

d.

HIV antibody differentiation immunoassay

 

 

Question 20

________________vaccine is given in two separate doses to prevent Shingles.

A.

Shingrix

B.

Pneumococcal

C.

Influenza

D.

TDAP

 

Question 21

Mr. Richards is a 65 year old caucasian male who presents to your office with complaints of decreased arm swing and cogwheel rigidity.  What conditions are these symptoms a manifestation of?

 

 

Multiple Sclerosis

Parkinson’s Disease

Vascular Dementia

Rheumatoid Arthritis

 

Question 22

Which of the following glands is responsible for calcium balance in the body?

Posterior pituitary

Parathyroid glands

Thyroid gland

Pineal gland NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

 

Question 23

The NP recognizes that the main focus of treatment for Anemia is:

replenishing iron stores

 management of the underlying disorder

 providing for adequate nutrition high in iron

administration of monthly vitamin B12 injections

 

Question 24

The use of steroids in the treatment of fungal infections will worsen the infection.

True

False

 

Question 25

State laws about NP practice take two forms:

a.

Regulations and prescriptive authority

b.

Statutes and Regulations

c.

Regulations and prescriptive authority

d.

Regulations and Licensure

 

Question 26

Jason is 72 y/o COPD patient who has a 50-year history of smoking. He now has pneumonia. The most likely causative organism for his pneumonia is: NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

Mycoplasma pneumoniae

Chlamydia pneumoniae

H. influenzae bacteria

None of the above

 

Question 27

One of the most common side effects of SSRIs is:

 Nausea

 Ataxia

 Erectile dysfunction

 Seizures

 

Question 28

Which of the following are non-antibiotic strategies to prevent UTIs?

Estrogen therapy

Cranberry juice/extract

Methenamine salts

Lactobacillus

All of the above

 

Question 29

A nurse practitioner (NP) is applying for an NPI number. The NP recognizes that the purpose of NPI is to

a.

A number for ICD-10 code

b.

A number for Medicare/Medicaid billing

c.

To reimburse patients for receiving patient care

d.

To bill to Tricare insurance

 

Question 30

You would recommend the pneumococcal vaccine (Pneumovax) to patients with all of the following conditions except:

a.

HIV infection

b.

Asthma

c.

Sickle Cell anemia

d.

G6PD-deficiency anemia

 

Question 31

All of the following are pharmacological treatments for osteoporosis 
except
:

Biphosphates

Thyroid stimulating hormone

Tamoxifen

Parathyroid hormone analog

ORDER A CUSTOM-WRITTEN PAPER OR EXAM HERE

Question 32

An older woman with osteoporosis wants to be treated with Fosamax. The nurse practitioner (NP) recognizes that the patient is not a good candidate for this drug because of

a.

Stomach/intestinal problems

b.

Jaw pain

c.

A and B

d.

A only

 

Question 33

A nurse practitioner (NP) portfolio should include some but not all of the following:

a.

Statement of career goals, special interests, transcripts, diploma, letters of recommendation

b.

Statement of career goals, preferred salary, special interests, diploma, letters of recommendation from professors

c.

Statement of career goals, special abilities, preferred salary, special interests, diploma

d.

All of the above NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

 

 

Question 42

Statues describing NP scope of practice fall into 
all but one
 of the categories:

a.

Defined by statute.

b.

Defined by regulation.

c.

Scope of practice is defined.

d.

Scope of practice is not defined.

 

Question 43

Since UTIs are never “normal” in a male, what should the NP rule out as the cause of the infection?

Ureteral stricture

Acute prostatitis

STDs

All of the above

A & C only

 

Question 44

An NP recognizes that the five major categories of third-party payers are:

a.

Medicare, Medicaid, self-pay, Indemnity insurance companies, HMOs

b.

Medicare, Medicaid, self-pay, PPOs, HMOs

c.

Medicare, Medicaid, Indemnity insurance companies, Managed-care organizations (MCOs)

d.

Indemnity insurance companies, managed-care organizations, PPOs, HMOs, Self-Pay

 

Question 45

Mr. Trellis is a 65 year-old man who presents with complaints of nocturia. Which of the following should be included in the differential diagnosis?

 

Urethral polyp

Constipation

Benign Prostatic Hypertrophy

Posterial Urethral lesion

 

Question 46

Cellulitis is usually caused by a gram-negative bacterium.

True

False

 

Question 47

Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness, positive Rovsing’s sign, and rigid abdomen. The NP in Juan’s case should: NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

Refer to ER

Try an antiemetic

Draw labs

Send for a CAT scan

 

Question 48

Mr. Knight, an obese middle-aged client presents with a month of nonproductive irritating cough without fever.  He also reports occasional morning hoarseness.  What should the differential include?

 

 

Atypical pneumonia

Peptic ulcer disease

Gastroesophageal reflux

Mononucleosis (Epstein-Barr)

 

 

Question 49

Pneumonia vaccine should be given annually. True or False?

True

False

 

 

Question 50

Ms. Stevens, a 70 year old patient with community acquired pneumonia presents with chills, productive cough, temperature of 102.1, pulse 100, respiration 18, BP 94/52, WBC 12,000, and blood urea nitrogen (BUN) 24mg/dl.  She has a history of mild dementia and his mental status is unchanged from her last visit.  These findings indicate that this patient:

Can be treated as an outpatient

Can be treated with oral antibiotics

Requires a high dose of parenteral antibiotics

requires hospitalization for treatment

 

Question 51

Ms. Roberts is being seen today at your office.  She reports symptoms of Allergic Rhinitis.  The NP recognizes that Second-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they:

Are prescription products and are therefore covered by insurance

Are more effective than first-generation antihistamines

are less sedating than first-generation antihistamines

can be taken with CNS sedatives, such as alcohol

Question 52

Folliculitis is most commonly due to:

Staphylococcal infection

Dermatophytes

Varicella zoster

E coli

Question 53

In pulsus paradoxus, even if the pulse cannot be palpated, it can still be heard by using a BP cuff and stethoscope.

True

False

 

Question 54

You are seeing Ms. Ellie,  a 60 year old female with COPD.  She tells you that she has been using albuterol with good relief for shortness of breath. She is using it 3-4 times daily over the past 4 weeks.  How should the NP manage this?

Add a long-acting beta agonist

 Encourage its use at the same time every day xTell him to use it only once a day . Add a long-acting beta agonist

 Add an oral steroid

Add an ace inhibitor

 

Question 55

Bacterial vaginosis has all the following signs/symptoms 
except
:

Fish-like odor

Milk-like discharge

Non-itchy vulva

Red vulvovaginal

 

Question 56

The NP recognizes that the increased presence of which of the following ina  urinalysis indicates the presence of bacteria or protein, which is seen in severe renal disease and could also indicate urinary calculi? NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

Crystals

Nitrates

Casts

Ketones

 

Question 57

A 25-year-old patient states that he is on an HMO plan. The nurse practitioner (NP) stands for

a.

Home Management Organizations

b.

Health Management Organizations

c.

Health Movement Organizations

d.

Health Maintenance Organizations

 

Question 58

Mr. Reynolds is a 66 year old male who is a Pastor of a church.  He informs you that he has just returned from a 6 month missionary trip to South Africa.  He reports unremitting cough, hemoptysis, and an unintentional weight loss of 10 pounds over the last month.  These symptoms should prompt the clinician to suspect:

Malaria

Tuberculosis

Legionnaires’ Disease

Pneumonia

 

Question 59

Hillary is an 18 y/o Caucasian who comes to the clinic with a chief complaint of hirsutism, acne, and amenorrhea. Her most likely diagnosis is:

Polycystic ovary syndrome (PCOS)

Ovarian cancer

Hyperprolactinemia

Pregnancy

 

Question 60

Abby is a 63 y/o patient who is known to have atrial fibrillation and has been on Coumadin for 2 years. Her INR is 2.4. This ratio is considered:

Normal

High

Low

 

Question 61

As the NP prepares to manage a patient with Anemia, the NP knows that The pathophysiological hallmark of Anemia of Chronic Disease is: NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

Depleted iron stores

Chronic uncorrectable bleeding

Impaired ability to use iron stores

Reduced intestinal absorption of iron

 

Question 64

Medicare Part A covers all the following except:

a.

Custodial care

b.

Inpatient psychiatric hospital care

c.

Skilled nursing facility care

d.

Inpatient hospital care

 

 

Question 68

Ms. Lashley, a 70  year old obese female presents complaining of persistent right upper quadrant pain.  She reports that she has not had any prior abdominal surgeries.  Which of the following laboratory studies would be most indicative of acute cholecystitis?

 

 

C-reactive protein level of 3 mg

White blood cell count of 11,000

Direct serum bilirubin level of 0.3 mg/dl

Serum amylase level of 145 U/L

 

Question 69

The screening for melanoma includes: (Select all that apply.)

a.

Asymmetry

b.

Black texture

c.

Border irregular

d.

Color varies in the same region

e.

Diameter greater than 6 mm

f.

Change in size

 

uestion 70

If the TSH is decreased then the patient needs to be worked up for hypothyroidism.

True

False

 

Question 71

The diagnosis of a subclinical hypothyroidism would be identified by which lab test results?

Increased TSH and normal free T4

Decreased TSH and normal free T4

Increased TSH and increased free T4

Decreased TSH and decreased free T4

 

S1 points   

Question 72

The most common way for testing COVID-19 is performed by what route? NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

a.

Oral

b.

Nasopharyngeal

c.

Blood test

d.

None of the above

NUR 514 Comprehensive Womens Health history Soap note

Comprehensive Women’s Health History and Physical Template

Encounter date:
01/11/2021

Patient Initials:
O.R.
Gender:
    Female  
Age:  
39 years           
Race/Ethnicity:
Haitian American

Reason for Seeking Health Care
: The chief complaint is stated by the patient as “I have noted some discharge on my underwear.”

History of Present Illness (HPI)
: The patient is a 39 year-old Haitian American female who presents with vaginal discharge to the clinic. She accepts a previous history of vaginal discharge on a number of occasions. The current discharge was noted by the patient three days before the visit NUR 514 Comprehensive Womens Health history Soap note . The location is the genitalia and specifically the vulva which remains wet with the discharge and stains the underwear. The discharge is constantly there since it was noted and is therefore not intermittent. It is characteristically fowl-smelling and yellowish-brown in color. The discharge is increased or aggravated by activity done while standing, but reduced or relieved by lying supine. The timing of the discharge is all day. The patient rates the severity of the symptoms at 6/10 NUR 514 Comprehensive Womens Health history Soap note .

PLACE YOUR ORDER NOW

Allergies
(Drug/Food/Latex/Environmental/Herbal): The patient denies any allergies.

Current Perception of Health
: Her current perception of health is absence of disease and so she currently feels unhealthy and sick.

Current Medications (including over the counter)
: She is currently not taking any medications, including OTC drugs.

Menstrual History

Age at Menarche: 12 years old.

Last menstrual period: 27/10/2021

Menstrual Pattern: Regular

Cycle Length: 28 days.

Duration of Flow: Four (4) days.

Amount of Flow: Heavy.

Bleeding Pattern: Continuous.

Break through Bleeding: Occasional but not regularly.

Gynecologic History

History of breast disease, breast feeding, use of self-breast exam, last mammogram (if applicable): The patient denies any history of breast disease in her or even her family NUR 514 Comprehensive Womens Health history Soap note . She is a mother of two and breastfed both of her children up to the age of two years. The first six months were for exclusive breastfeeding. She regularly does to herself breast self examination as she was taught years ago. Her last mammogram was done five years ago in 2016 and no masses were detected.

Previous GYN surgery (may include that in surgical history): She has no history of gynecological surgery.

History of infertility: She denies any history of infertility.

History of diethylstilbestrol (DES) use by patient’s mother: Negative for use of DES by the patient’s mother.

Last Pap smear, history of abnormal pap: The last Pap smear was three years ago in 2018, done together with the human papillomavirus or HPV test. She has had no history of abnormal Pap smear results.

Pre-menopause/menopause

Vasomotor symptoms: She denies any pre-menopause vasomotor symptoms such as hot flushes.

Hormone Replacement Therapy: She denies any history of hormonal replacement therapy.

Sexual and Contraceptive History

Current method of contraception: Intrauterine contraceptive device (IUCD).

Sexually active: She is positive about sexual activity.

Number of sexual partners: Three (3).

New partners in the 3-6 months: Yes, two.

Condom use: Sometimes, not consistently.

History of sexual abuse: She admits to having been sexually abused as a minor aged just ten years by a person known to her.

History of sexually transmitted infections (STIs): She has been treated before for chlamydia and lymphogranuloma venereum.

Obstetric History (
including complications): She is a para 2 gravida 2 with two surviving children. Throughout her obstetric history she has never had a miscarriage. Both children were born at term with good Apgar scores and none was underweight or overweight.

Past Medical History (PMH):
The patient has a history of gestational diabetes mellitus that was treated and resolved. She is currently in impaired glucose tolerance or prediabetic phase with a random blood sugar range of 150 mg/dL to 188 mg/dL. She suffers no other chronic conditions. She has never been admitted to the hospital as an inpatient. NUR 514 Comprehensive Womens Health history Soap note .

Major/Chronic Illnesses: None.

Trauma/Injury: None.

Hospitalizations: None.

Past Surgical History:
The patient presents no notable surgical history.

Family Medical History:
She reports that the mother is diabetic (type II) and the father has hypertension. There is also a history of overweight and obesity on the paternal side.

Social History

Living condition: She lives in a suburban community that is poor and lacks the basic commodities of everyday life. She however works as a housekeeper in a hotel and earns enough to guarantee her upkeep. Both her children are grown and no longer depend on her. Her children live within the same locality and regularly visit her.

Marital status: She has never been married but got her two children from two different fathers from her past relationships.

Education: She dropped out in high school when she got pregnant with her first child.

Employment: She currently works as a housekeeper in a local hotel. NUR 514 Comprehensive Womens Health history Soap note

Occupation: Housekeeper.

Social supports: She has a strong social support system in the form of her children and parents who also live within the same state.

Habits (smoking, alcohol use and illicit drugs use): She was a smoker of a pack a day up to two years ago when she stopped on the advice of a physician. She still drinks alcohol socially over the weekends when with friends.

Health Maintenance

Age-appropriate health promotion/maintenance and screening history: She has received health promotion and education as an antenatal mother. She has also received breast self examination education in the well woman clinic. After every three years, she goes for cervical cancer screening by way of a Pap smear and HPV test.

Immunization history: She received all the childhood immunizations as a child under five years. She has also received a booster Tdp, Pneumovax, and recently two doses of Pfizer BioNTech Covid-19 vaccine.

Review of Systems (ROS)

General: Denies fatigue, malaise, weight loss, fever, or chills.

Dermatology: Denies rashes, eczema, or itching.

HEENT: Negative for headaches, diplopia, photophobia, otorrhea, tinnitus, sneezing, rhinorrhea, or sore throat.

Neck: Negative for cervical lymphadenopathy r jugular distension.

Pulmonary System: Denies dyspnea, coughing, or chest indrawing.

Cardiovascular System (CVS): Denies palpitations, chest tightness, or pain in the chest.

Breast: Denies any lumps or masses on breast self examination. NUR 514 Comprehensive Womens Health history Soap note

Gastrointestinal (GI) System: Negative for abnormal bowel movements. She also denies diarrhea, vomiting, or nausea.

Genitourinary (GU) System: Denies painful micturition but reports vaginal discharge.

Female Genitalia: Denies visible lesions on the vulva, but reports fowl-smelling vaginal discharge.

Musculoskeletal System: Denies myalgia or arthralgia/ joint pains.

Neurological System: She is negative for syncope, paraesthesia, paresis, or paralysis.

Endocrine: Denies polydipsia, polyphagia, or heat/ cold intolerance. Also denies hormonal therapy.

Psychologic: Negative for hallucinations, delusions, or suicidality.

Hematologic/Lymphatic: Denies lymphadenopathy or a history of splenectomy (Bickley, 2017).

Physical Examination

Vital Signs

Blood Pressure (BP): 120/85 mmHg;   Temperature: 98.8°F;        Heart Rate (HR): 78 b/m   Respiratory Rate (RR): 17 breaths/ minute.

Height: 167.6 cm   Weight : 100 kg   Body Mass Index (BMI): 35.6 kg/m
2
    Pain: 0

General Appearance: The patient is well-groomed with clothes that are appropriate for the time of the day and the weather.

Dermatology: No rashes detected or any lesions suggestive of skin cancer (basal cell carcinoma).

HEENT: Normocephalic. PERRLA, EOMI. Throat not erythematous.

Neck: No lymph nodes enlarged.

Pulmonary System: Scattered crackles in otherwise clear lung fields. No chest indrawing.

Cardiovascular System (CVS): S1 and S2 audible with rate and rhythm regular (RRR).

Breast: No lumps detected on breast examination. NUR 514 Comprehensive Womens Health history Soap note

Gastrointestinal (GI) System: Bowel sounds present. No guarding.

Genitourinary (GU) System: No lesions found on the vulva. Presence of a yellowish-brown discharge.

Female Genitalia: No external lesions. Positive for a yellowish-brown fowl-smelling discharge.

Musculoskeletal System: Full range of movements with no joint stiffness. Patellar reflex intact.

Neurological System: She is alert and oriented in space, time, person, and event.

Endocrine: No signs of hypothyroidism found.

Psychologic: A normal mental status examination (MSE).

Hematologic/Lymphatic: Spleen is present and palpable.

Significant Data/Contributing Dx/Labs/Misc

·       Fowl-smelling discharge

·       CRP 3 mg/dL

·       ESR 30 mm/hr

·       WBC 12.5 x 10
9
/L

Assessment

Differential Diagnoses (3 minimum):

Trichomoniasis
: A protozoan causes trichomoniasis. The condition is typically transferred through sexual intercourse, but it can also be obtained through the sharing of towels or swimwear. It produces a foul-smelling green or yellow discharge. Inflammation and itching are also frequent complaints, while some patients may not have any (Hammer & McPhee, 2018; Jameson et al., 2018; Huether & McCance, 2017).

Bacterial vaginosis
: Bacterial vaginosis is a bacterial infection of the cervix. It is the most frequent cause of abnormal vaginal discharge in reproductive-age females. In some ladies, the illness generates a “fishy” smell and vaginal discomfort. Others may have no complaints at all (Hammer & McPhee, 2018; Jameson et al., 2018; Huether & McCance, 2017).

Chlamydia/ Gonorrhea
: Sexually transmitted diseases (STIs) such as gonorrhea and chlamydia can cause abnormal vaginal discharge. It is frequently yellow, greenish, or hazy in appearance (Hammer & McPhee, 2018; Jameson et al., 2018; Huether & McCance, 2017) NUR 514 Comprehensive Womens Health history Soap note .

Primary Diagnoses: Trichomoniasis or bacterial vaginosis.

Plan
(For each primary diagnosis, include laboratory/diagnostic tests, therapeutic/pharmacological therapy, referrals, and follow-up ordered and patient education done for this visit):

Diagnoses: Trichomoniasis.

Laboratory/Diagnostic Studies: CRP (3 mg/dL), ESR (30 mm/hr), WBC (12.5 x 10
9
/L), microscopy (positive for
Trichomonas vaginalis
).

Therapeutic (Non-pharmacological interventions): Use of pomegranate extract or apple cider vinegar to kill off the parasite (Nall, 2019).

Pharmacological Therapy: Metronidazole (Flagyl) 400 mg b.d. x 7 days. NUR 514 Comprehensive Womens Health history Soap note

Patient Education/Anticipatory Guidance: Consistent use of condoms during intercourse if cannot be faithful to one sexual partner and counseling for HIV testing.

Referrals: To counselor for HIV testing.

Follow up: After one week to review effectiveness of the treatment.

DEA#:  101xx010101                          STU Clinic                                   LIC# 100xx                                         

Tel: (000) xx4                                                                             FAX: (000) 5xxx2

Patient Name: (Initials) __Miss O.R. ___       Age ___39 Years Old__

Date: __10.11.2021__

RX _
Metronidazole (Flagyl) 400 mg twice daily x 7 days.
_

SIG:

Dispense
:  ___________                                                    
Refill:
_________________

       No Substitution

Signature:
____________________________________________________________

 

 

Signature (with appropriate credentials): __________________________________________

 

References

Bickley, L.S. (2017).
Bates’ guide to physical examination and history taking, 12
th
ed
. Wolters Kluwer.

Hammer, D.G., & McPhee, S.J. (Eds). (2018).
Pathophysiology of disease: An introduction to clinical medicine, 8
th
ed
. McGraw-Hill Education.

Huether, S.E. & McCance, K.L. (2017).
Understanding pathophysiology, 6
th
ed
. Elsevier, Inc.

Jameson, J.L., Fauci, A.S., Kasper, D.L., Hauser, S.L., Longo, D.L., & Loscalzo, J. (Eds) (2018).
Harrison’s principles of internal medicine, 20
th
ed
. McGraw-Hill Education. NUR 514 Comprehensive Womens Health history Soap note

Nall, R. (June 24, 2019).
Is it possible to treat trichomoniasis at home?

https://www.healthline.com/health/home-treatments-for-trichomoniasis#popular-treatments

 

 

Comprehensive Women’s Health History and Physical Template

 
 

Encounter date:

 

Patient Initials:
                    
Gender:
                     
Age:
               
Race/Ethnicity:

 

Reason for Seeking Health Care

 

History of Present Illness (HPI)

 

Allergies
(Drug/Food/Latex/Environmental/Herbal)

 

Current Perception of Health

 

Current Medications (including over the counter)

 

Menstrual History

Age at Menarche

Last menstrual period

Menstrual Pattern

Cycle Length

Duration of Flow

Amount of Flow

Bleeding Pattern

Break through Bleeding

 

Gynecologic History

History of breast disease, breast feeding, use of self-breast exam, last mammogram (if applicable)

Previous GYN surgery (may include that in surgical history)

History of infertility NUR 514 Comprehensive Womens Health history Soap note

History of diethylstilbestrol (DES) use by patient’s mother

Last pap smear, history of abnormal pap

 

Pre-menopause/menopause

Vasomotor symptoms

Hormone Replacement Therapy

 

Sexual and Contraceptive History

Current method of contraception

Sexually active

Number of sexual partners

New partners in the 3-6 months

Condom use

History of sexual abuse

History of sexually transmitted infections (STIs)

 

Obstetric History (
including complications)

 

Past Medical History (PMH)

Major/Chronic Illnesses

Trauma/Injury

Hospitalizations

 

Past Surgical History

 

Family Medical History

 

Social History

Living condition

Marital status

Education

Employment

Occupation

Social supports

Habits (smoking, alcohol use and illicit drugs use)

 

Health Maintenance

Age-appropriate health promotion/maintenance and screening history

Immunization history

 

Review of Systems (ROS)

General

Dermatology

HEENT

Neck

Pulmonary System

Cardiovascular System (CVS)

Breast

Gastrointestinal (GI) System

Genitourinary (GU) System

Female Genitalia

Musculoskeletal System

Neurological System.

Endocrine

Psychologic

Hematologic/Lymphatic

 

Physical Examination

 

Vital Signs

Blood Pressure (BP:           Temperature                Heart Rate (HR)        Respiratory Rate (RR)

Height                    Weight            Body Mass Index (BMI)                Pain

 

General Appearance

Dermatology

HEENT

Neck

Pulmonary System

Cardiovascular System (CVS)

Breast

Gastrointestinal (GI) System

Genitourinary (GU) System

Female Genitalia

Musculoskeletal System

Neurological System.

Endocrine

Psychologic

Hematologic/Lymphatic

 

Significant Data/Contributing Dx/Labs/Misc

 

 

 

 

 

Assessment

Differential Diagnoses (3 minimum)

Primary Diagnoses

 

Plan
(For each primary diagnosis, include laboratory/diagnostic tests, therapeutic/pharmacological therapy, referrals, and follow-up ordered and patient education done for this visit)

Diagnoses

Laboratory/Diagnostic Studies

Therapeutic (Non-pharmacological interventions)

Pharmacological Therapy

Patient Education/Anticipatory Guidance

Referrals

Follow up

 

DEA#:  101xxx                      STU Clinic                                   LIC# 100xx                                               

Tel: (000) 5xx-123xx                                                                            FAX: (000) x5-12xx

Patient Name: (Initials)______________________________        Age ___________

Date: _______________

RX ______________________________________

SIG:

Dispense
:  ___________                                                    
Refill:
_________________

       No Substitution

Signature:
____________________________________________________________

 

 

 

Signature (with appropriate credentials): __________________________________________

 

References
(must use current evidence-based guidelines used to guide the care [Mandatory]) NUR 514 Comprehensive Womens Health history Soap note

Nursing Competencies Essay

The National Organization of Nurse Practitioner Faculties (NONPF) has determined nine broad areas of core competence that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This course was designed to prepare you to synthesize knowledge gained throughout the program and to apply each of the nine core competencies within your selected areas of practice and your representative communities.

The nine areas of competency are:

Scientific Foundations
Leadership
Quality
Practice Inquiry
Technology and Information Literacy
Policy
Health Delivery System
Ethics
Independent Practice
To Prepare
Review this week’s Learning Resources, focusing on the NONPF Core Competencies Content.
The Assignment
For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet the competency (for a total of at least nine paragraphs). Then, propose how you plan to engage in social change in your community as a nurse practitioner. Finally, describe 1–2 legislative and/or advocacy activities in which your state nurse practitioner organization(s) are involved. Be specific and provide examples.

Nursing competencies

           
Nursing competencies refer to incorporating a combination of professional skills and knowledge, personal principles, beliefs, values, and work experience in nursing practice (Lavoie et al., 2018) Nursing Competencies Essay. Nursing competencies play a vital role in nurse performance evaluation. A competent nurse must address the nine competencies of nurse practitioners for quality health outcomes to be achieved. The competencies are similar in all specialties of nurse practitioners. Therefore, a nurse practitioner must understand and apply these competencies in practice for a valid nurse practitioner license to be guaranteed. Nurse competencies are applied at all community levels to improve the general health status of a community. This paper aims to look at looking the nine core competencies of nursing and their effectiveness in practice.

PLACE YOUR ORDER HERE

Scientific foundation

           
It is a competence that reflects on nursing education. The competence ensures that nurse practitioners acquire a comprehensive and robust foundation of medical sciences before graduating. All nurse practitioner students must gain an understanding of pharmacology and pathophysiology in their respective specialties. The scientific competence also requires a nurse practitioner student to understand clinical setting guidelines, evidence-based practices, treatment of vulnerable diseases, and various research translations (Park & Ji, 2018). Through scientific competence, I would engage in medical research through the guidelines of evidence-based practices to develop ethical health solutions at a community level Nursing Competencies Essay.

Leadership

It is a competence that prepares nurse practitioner students in professional scholarships and health advocacy roles. Leadership competence ensures that all practitioner students understand their roles as team leaders and their standards of practice while leading a team of healthcare providers (Park & Ji, 2018). Leadership competence also addresses the issue of quality communication skills and the diverse cultures that surround nurses in their daily routine. Through this competence, I would be able to gain quality communication skills, excellent decision-making skills, and the ability to solve problems. I would therefore be able to conduct programs concerning community health effectively.

Quality

           
It refers to the measure of success of any health service towards the increase of the target outcome. For quality health outcomes to be achieved, nurses must apply their knowledge and skills effectively. They must also be willing to deliver health services with reduced harm and errors. The main focus of quality competence is accessing and using information databases and evaluating and interpreting research findings (Hökkä et al., 2020) Nursing Competencies Essay. I would apply my clinical and medical skills and knowledge at the community level for health status and outcome improvement through this competence.

Practice inquiry

           
It is a competence that encompasses research translation. Nurse practitioners are expected to engage in academic research and understand applying the research into the clinical setting (Park & Ji, 2018). Through research application into the clinical setting, nurses understand how to apply research to their patients’ thus improving patient outcomes Nursing Competencies Essay. I would apply this competence at the community level as research-based to identify the existing health problems and the necessary solutions to these health problems. I would therefore be able to improve health status at the communal level through this competence.

Technology and information Literacy

           
It is a competence that focuses on the incorporation of technology in nursing practice. A nurse practitioner should use digital communication tools, have network access, manage and create effective communication during service delivery to their patients. Nurse practitioners should know about utilizing the available technology to facilitate patients’ health information privacy. Technology should also be utilized to improve patient outcomes. Utilizing information technology helps the caregivers understand the patients’ health conditions, thus motivating them to offer the necessary treatment (Lavoie et al., 2018). The use of information technology also motivates the patients as there is guaranteed safety in their critical health information. I would apply this competence at the community level by educating the community members on disease prevention measures. For this to be achieved, I would use various social platforms and media houses, thus facilitating quality health outcomes Nursing Competencies Essay.

Policy

Policy refers to all local, state, national and global level programs implemented to facilitate the allocation of health resources. Nurses play a vital role in the legislation and advocacy of these programs since they better understand patients’ primary and complex needs. Nurses, therefore, engage in policy legislation to help address social concerns such as literacy, poverty, and violence at the community level (Hökkä et al., 2020). Nurse students may opt to support any existing healthcare policy to help them understand policy development and implementation in a clinical setting. Through these existing healthcare policies, nurse students can also be able to develop other ethical healthcare policies. Nurses can use these policies to create awareness among community members of their health rights as citizens. As a nurse practitioner, I would use this skill to educate the community members on their rights, such as health insurance as US citizens.

Health delivery systems

Health delivery systems encompass the process of planning, developing, and implementing any public and community health program. Nurse practitioners engage in health delivery systems through developing major organizational reforms, enhancing decision making, and creating culturally competent care (Lavoie et al., 2018). The skill also helps the nurses to critically think on organizational resource allocation as well as organizational structures. Nurses can apply this skill at the community level in policy implementation after identifying an existing health problem.

Ethics

It involves gaining a proper understanding of ethical issues that should be observed between nurse-patient interactions. It plays a vital role in helping nurse practitioners make proper decisions on a patient’s health status. It also helps nurse practitioners understand all the consequences of the decisions made towards patient treatment procedures (Hökkä et al., 2020). Through the skills of ethics, community health dilemmas are handled by nurses in time. Quality care delivery by nurses is also maintained under the available guidelines that govern nursing practice. Ethics also helps nurses to maintain the privacy of the communal health information Nursing Competencies Essay.

Independent practice

           
It is a competence that embraces a nurse practitioner as a licensed healthcare provider who can independently work without any supervision. The skill, therefore, facilitates nurse practitioners to conduct health assessment, diagnosis, and treatment prescription to patients (Lavoie et al., 2018). Therefore, nurse practitioners are recognized by law as professionals who have the skills and knowledge to manage both diagnosed and undiagnosed patients independently Nursing Competencies Essay. Therefore, nurses are expected to offer quality healthcare services at the community level through critical thinking since not all decisions require clinical interventions. Nurses should ensure quality healthcare service delivery through offering culturally accepted health services.

There are various advocacy activities that my home State of Illinois nurse practitioner associations are involved in. One of the most popular is the Illinois action coalition. It is a program that was implemented to provide solutions to health-threatening factors (de Cordova et al., 2019). It was also formed to implement solutions to the problems that nurses face in their daily routine.

In conclusion, nurse competencies have been widely used to transform health community changes. Nurses utilize a combination of all these nine competencies, which have facilitated the improvement of health community status. These skills have also facilitated quality health service delivery by nurses. Nursing Competencies Essay Through these competencies, nurses have also been able to gain quality skills, knowledge, and experience that motivate them towards providing healthcare to their patients.

 

References

de Cordova, P. B., Steck, M. B. W., Vermeesch, A., Pierre, N., Rankin, A., Ohlendorf, J. M., …

& Derouin, A. (2019, January). Health policy engagement among graduate nursing

students in the United States. In Nursing forum (Vol. 54, No. 1, pp. 38-

44).  
https://doi.org/10.1111/nuf.12295

Hökkä, M., Martins Pereira, S., Pölkki, T., Kyngäs, H., & Hernández-Marrero, P. (2020).

Nursing competencies across different levels of palliative care provision: A systematic

integrative review with thematic synthesis. 
Palliative Medicine
, 
34
(7), 851-870.

https://doi.org/10.1177/0269216320918798

Lavoie, P., Michaud, C., Belisle, M., Boyer, L., Gosselin, E., Grondin, M., … & Pepin, J. (2018).

Learning theories and tools for the assessment of core nursing competencies in

simulation: A theoretical review. 
Journal of Advanced Nursing
, 
74
(2), 239-250.

https://doi.org/10.1111/jan.13416

Park, S. J., & Ji, E. S. (2018). A structural model on the nursing competencies of nursing

simulation learners. 
Journal of Korean Academy of Nursing
, 
48
(5), 588-600.

https://doi.org/10.4040/jkan.2018.48.5.588
  Nursing Competencies Essay

STDs Essay

An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient. 
Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact..




An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.
In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. 
To prepare:
By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
Assignment (1- to 2-page case study analysis)
In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided (not all may apply to each scenario):
* The factors that affect fertility (STDs). STDs Essay.
* Why inflammatory markers rise in STD/PID.
* Why prostatitis and infection happens. Also explain the causes of systemic reaction.
* Why a patient would need a splenectomy after a diagnosis of ITP.
* Anemia and the different kinds of anemia (i.e., micro and macrocytic).
Day 7 of Week 10
Submit your Case Study Analysis Assignment by Day 7 of Week 10
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.

Discussion – Advanced Pathophysiology

 
Student’s Name

Institution of Affiliation

COURSE CODE Course Name

Instructor’s Name

Date

 

The factors that affect fertility (STDs)

Factors affecting fertility include age, the timing of sexual intercourse, type of lifestyle (use of alcohol, cigarette smoking, weight, exercises), and prescription or over-the-counter drugs. For this case scenario, STDs are the most integral factor affecting fertility. Studies show that STDs such as gonorrhea and Trichomoniasis are associated with the development of fallopian tube damage (Smolarczyk et al., 2021) STDs Essay. Cases of STDs may present like pelvic inflammatory disease, which can involve the female reproductive organs. Studies associate pelvic inflammatory disease (PID) with tubal factor infertility, proving STDs are significant factors that face infertility.

PLACE YOUR ORDER HERE

Why inflammatory markers rise in STD/PID.

Bacteria and other microorganisms are responsible for pelvic inflammatory disease and STDs. The presence of the pathogens in the body induces the secretion of cytokines and interleukins 1, 6 and 8 (Paulis, 2018). Interleukin 1 works in synergy with the Tumor Necrosis Factor to propagate the inflammatory process. The infiltration of substantial quantities of Tumor Necrosis Factor into organs (including organs in the pelvic) activates neutrophil-activating peptides. These inflammatory markers may be tested in the laboratory as C-reactive protein and procalcitonin. STDs Essay.

Why prostatitis and infection happens. Also explain the causes of systemic reaction.

Prostatitis occurs from the inflammatory process at the stroma lying close to prostate acini. Infections may take the form of acute bacterial, chronic or PID. Systemic spread of bacterial infection from the urinary tract into the prostate or from the lymph through the rectum may induce a systemic reaction. Acute prostatic bacterial infection may cause a systemic reaction. STIs including gonorrhea, chlamydia and human immunodeficiency virus are common causes of systemic infection.

Need for splenectomy after a diagnosis of ITP

Following the development of idiopathic thrombocytopenic purpura, the spleen may destroy and remove platelets from the circulation after wrongly considering them as foreign. According to Cooper and Ghanima (2019), a person diagnosed with ITP would require splenectomy to prevent unnecessary damage to platelets.

Anemia and the different kinds of anemia

Anemia is the condition of having a hemoglobin level that is lower than expected level for the respective age or gender (Bengi et al., 2018). The different kinds of anemia include:

Hypo-proliferative anemias – include normocytic, microcytic, and macrocytic anemia based on the mean corpuscular volume

Hypo-proliferative microcytic anemia – include anemia caused by chronic diseases, thalassemia, and iron deficiency anemia

Hypo-proliferative macrocytic anemia – these anemias may drug-induced, or involve deficiencies in vitamin b12 and folate, alcohol, liver disease STDs Essay

Hypo-proliferative normocytic anemia – aplastic anemia

 

References

Bengi, G., Keyvan, H., Durmaz, S. B., & Akpınar, H. (2018). Frequency, types, and treatment of anemia in Turkish patients with inflammatory bowel disease. 
World journal of gastroenterology
, 
24
(36), 4186.

Cooper, N., & Ghanima, W. (2019). Immune thrombocytopenia. 
New England Journal of Medicine
, 
381
(10), 945-955.

Paulis, G. (2018). Inflammatory mechanisms and oxidative stress in prostatitis: the possible role of antioxidant therapy. 
Research and Reports in Urology
, 
10
, 75.

Smolarczyk, K., Mlynarczyk-Bonikowska, B., Rudnicka, E., Szukiewicz, D., Meczekalski, B., Smolarczyk, R., & Pieta, W. (2021). The Impact of Selected Bacterial Sexually Transmitted Diseases on Pregnancy and Female Fertility. 
International Journal of Molecular Sciences
, 
22
(4), 2170. STDs Essay

QSEN competencies course design essay example

Psychiatric Nursing in Underserved Populations Champion Course Outline

 
 

Student’s Name

Institution of Affiliation

COURSE CODE: Course Name

Instructor’s Name

Date

 

Psychiatric Nursing in Underserved Populations Champion Course

Psychiatric nurses practice in various care settings for individuals of different ages and with different conditions. QSEN competencies course design essay example There is an increasing body of knowledge about the significance of psychiatric nursing care for all populations. Studies show that mental health has a profound impact on the quality of life, family relationships, productivity and quality of life across individuals’ lifespan and worldwide (Shah et al., 2016). However, risk factors for mental illness, prevention practices, healthcare disparities, and mental health promotion continue to be ignored. Underserved populations are victims of the disproportions in access to psychiatric health services and require interventions to close the gaps. Risk factors for mental health conditions depend on the following contexts- demographic, environmental or geographical areas where one grows in and cultural context.

PLACE YOUR ORDER HERE

The social justice perspective espouses the need for primary, secondary and tertiary preventive measures as an inherent human right. With the longstanding commitment of nurses to cultural competence, it is significant for relevant authorities to support psychiatric nursing in addressing the prevention and treatment gaps for underserved populations. Nurse practitioners will effectively deliver psychiatric services to underserved populations if equipped with resources, knowledge, and skills to serve with additional barriers to access care QSEN competencies course design essay example.

Course Description

Becoming a champion in psychiatric nursing in underserved populations teaches nurse practitioners details about the empathetic advocacy for psychiatric nursing services, patient education, multidisciplinary team involvement and benefits of championing. The course will include the discussion of legal and ethical issues in psychiatric nurses, nurse leadership, policy focus, advocacy, interprofessional collaboration research, and intervention to promote mental health. Besides, the course will broaden nurses’ knowledge to enhance or expand their roles and fully practice their scope in underserved populations. Nurse practitioners will appreciate the effects of life events among underserved communities on their mental health. The course will offer an opportunity for nurses to learn from real-life examples and gain skills needed in providing the best intervention to the communities. Finally, the courses will help nurses appreciate the need for advocacy and policy-making regarding psychiatric nursing services to underserved populations. Nurses will champion quality psychiatric interventions within underserved populations through the course’s knowledge, skills, good attitude, and passion imparted to nurses.

Course Outcomes

           
Upon completing the psychiatric nursing in underserved populations champion course, nurse practitioners will teach patients, caregivers, and families and coach nursing staff about the significance of championing for services. Nurses will empathetically provide care to underserved communities with high dedication and passion for their roles QSEN competencies course design essay example. The more nurses will beware of the significance of empathetic and passionate care to underserved groups, the more they can promote people’s quality of life by providing a range of interventions (Graham et al., 2020). Nurses will use the new knowledge and skills to enhance research within psychiatric nursing in underserved communities.

Nurses will utilize knowledge gained to meet the mental health needs of the patient they serve and those of underserved groups. After completing the classwork, reals life examples, nurse leaders will return to work and lobby for healthcare policies, enhancing care to communities facing more inaccessibility to care. Nurses will appreciate the need for EBP interventions within communities. Some EBP interventions may include cognitive behavioral therapy for individuals with addiction and exposure therapy for people with anxiety disorders and post-traumatic stress disorder. QSEN competencies course design essay example Other EBP interventions, which nurses will learn in their course, are family or home health therapies for mending dysfunctional family lives and motivational sessions for those with chronic diseases. The EBP interventions aim at ensuring patient-centered care, best outcomes and safety.

Course Objectives Modules

The broad objective for this course is to improve outcomes and general wellbeing by imparting a sense of passion, empathy and commitment from nurses in providing the best psychiatric intervention to underserved groups. The specific course objectives by modules are:

Module 1: social determinants of health and health-related disparities in psychiatric nursing

The nurse practitioners will:

Discuss at least five social determinants of health – educational, economic, social contexts, race, cultural, age, gender, parenting, early childhood development, environment (rurality, urban)

Relate each determinant with psychiatric health

Evaluate effects of stigmatization, low educational level, working environment, discrimination, and disability among underserved groups

Module 2: Ethics, legal issues and nursing principles relevant in the service provision of underserved groups QSEN competencies course design essay example

 

The nurse practitioner will:

Describe the ethics of patient care

State the common legal issues in psychiatry

Discuss the ethical principles in nursing

State patient Rights and responsibilities

Module 3: mental health vulnerabilities across the lifespan

The nurse will:

Explore the effect of life circumstances on mental health

Describe the risk factors of mental health conditions in children

State the risk factors of mental health conditions in adolescents

Explore the effects of exposure to stressful life events in adulthood

Identify stressful vent encountered by older adults and third relation to mental health

Discuss preventive practices to curb the risk factors

Recommend practices to strengthen resilience to stressful events, facilitate access to supportive social networks, increase the availability of resources

Formulate key advocacy elements for enhancing mental health in underserved populations

QSEN competencies course design essay example

 

 

Module 4: Evidence-based practices in addressing the health-related disparities in underserved populations in relation to mental health

The learner will

Discuss the significance of home health nursing to assess for depression

Describe the use of the TRIAD program (technology-related assistance for individuals with disabilities) to lobby for and provide assistive technologies to people living with disabilities

Participate in guiding the implementation of the parent-child interaction model as a therapy to reduce conduct disorders in children

Demonstrate the provision of culturally congruent health promotion services to decrease risky sexual behaviors in adolescents and adults QSEN competencies course design essay example.

Participate in health promotion intervention to enhance social and emotional competence access all ages in the populations

Nurse practitioners will appreciate the significance of evidence-based practice in psychiatric interventions in underserved groups.

QSEN Competencies

The quality and safety education for nurses’ competencies assist them in advancing knowledge base, improving skills and promoting patient care and safety (Spenser 2021). The provision of psychiatric nursing services to underserved communities aims at attaining the following QSEN competencies for nurses: improvement of quality, patient-centered care, EBP, informatics and healthcare providers’ collaboration. Nurses will gain more proficiency in serving marginalized, ignored, and underserved communities to improve their quality of life. Besides, equipping nurses to ensure commitment and passion in offering care to such populations will improve psychiatric nursing services.

The course aims to apply evidence-based practice to ensure the utilization of best evidence from reliable studies to enhance the best outcomes of patient care. The course acknowledges the need for teamwork and collaboration among nurses and with other healthcare professionals. The course guides nurses into ensuring informed decisions by involving multidisciplinary teams for the patient’s benefit. Nurse practitioners will learn to prioritize clients’ values and preferences while demonstrating cultural competence.

Patient-centered care is a key competence, which nurses will learn from this course (Powers et al., 2019). The course will guide nurses in conducting EBP within the communities while considering people’s culture and socioeconomic status. Besides, nurses will be persuaded to be active advocates of better patent care regarding access to health converges such as Medicaid and Medicare and to mental health services. For the geographical areas with access to the internet that can support EHR, care providers will utilize the health information technologies to facilitate the easier evaluation of clients.

Assessments and Assigned Weight

Class discussions and participation – 20%

Team activity and projects – 20%

Individual assignments – 20%

Communication practice – 20%

Assessments – 20%

Participation Total: 100%

Learning Resources

The psychiatric nursing for underserved population course will involve interaction with content from books, peer-reviewed articles, pamphlets, evidence-based practices guidelines, and articles from expert committees. Other resources for this course will include real-life examples.

Conclusion

Psychiatric nursing in underserved populations is a course to champion improved access to quality care to individuals facing increased barriers in accessing mental health care. The course will guide nurse practitioners in reviewing their knowledge and broadening their psychiatric nursing knowledge to underserved populations. Through interception with knowledge about the life experiences and social determinants of mental health, nurses will be passionate about providing empathetic care to people in need of mental health services QSEN competencies course design essay example.

 

References

Graham, J. M., Waddell, C., Pachkowski, K., & Friesen, H. (2020). Educating the educators: Determining the uniqueness of psychiatric nursing practice to inform psychiatric nurse education. 
Issues in mental health nursing
, 
41
(5), 395-403.

Powers, S. C., Morris, M. H., Flynn, H., & Perry, J. (2019). Faculty-led role-play simulation: Going live to teach patient-centred care to nursing students. 
Journal of Nursing Education
, 
58
(11), 665-668. QSEN competencies course design essay example

Shah, G. H., Luo, H., Winterbauer, N., & Madamala, K. (2016). Addressing psychological, mental health and other behavioural healthcare needs of the underserved populations in the United States: the role of local health departments. 
Perspectives in public health
, 
136
(2), 86-92.

Spencer, J. A. (2021). Integrating Service Learning into the RN to BSN Curriculum with the Application of QSEN Competencies. 
Journal of Professional Nursing
, 
37
(6), 1044-1048.

 

QSEN competencies course design essay example

 
Course design is guided by curriculum outcomes, and course outlines must be developed to ensure that learners are meeting the intended outcomes. Curriculum development and course design are influenced by many factors, such as program level and setting. The course design process begins with broad program or organizational outcomes and narrows to specific objectives to guide instruction.

The purpose of this assignment is to develop a course outline for one topic related to nursing practice (e.g., leadership, pediatric nursing, community health, psychiatric nursing, theoretical nursing, etc.) that includes all key elements (name of the course, course outcomes, topical outlines/modules, and assessments including assigned weight).

Incorporate at least two of the QSEN competencies in your course and four course objectives. You will choose a health care practice for this assignment and build upon it throughout the course in order to achieve an understanding of the curriculum development process.

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. A link to the LopesWrite technical support articles is located in the Class Resources if you need assistance.

Course Outline Relation to Nursing Practice Topic QSEN competencies course design essay example

Course outline conclusively represents one specific nursing practice area (e.g., leadership, pediatric nursing, community health, psychiatric nursing, or theoretical nursing).

Course Outline Key Elements

Course outline includes all key elements and is thoroughly developed with supporting details.

Incorporation of QSEN Competencies

Course outline fully incorporates two of the QSEN competencies that are well developed with supporting details.

Incorporation of Four Course Objectives

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error QSEN competencies course design essay example.

National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay

 

NONPF Competencies

Student’s Name

Course Title

Institution

Instructor’s Name

Date

 

Introduction

The national organization of nurse practitioner faculty competencies creates, defines, and approves proficiencies in nursing practice. The organization dedicates exclusively to providing leadership and promoting quality education for the nurse practitioner at the national level. The source of these core competencies is expertise in clinical practice and education. There are nine competence are quality, health delivery systems, leadership, ethics, scientific foundation, practice inquiry, policy, and technology and information literacy, and independent practice (Schumacher & Risco, 2017). This article is a description of the nine programs and their contribution towards competence. It includes the description of a proposal on how to engage social change and the legislative activities that involve nurse practitioners in Texas. National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay.

Scientific Foundation Competencies

Scientific foundation competence is the comprehensive medical science knowledge that a nurse practitioner learns in school. It involves physiology, pathophysiology, and pharmacology among others (Schumacher & Risco, 2017). These scientific competencies enable the NP to think critically during skills application and management. This background enables the nurses to use the research findings in their practice to improve patient outcomes. It provides a good ground for creating evidence-based techniques through their core theory, practice experience, and research findings.

 

ORDER A CUSTOM WRITTEN PAPER HERE

 

Leadership Competencies

Leadership competence is a skill learned to ensure the nurses understand their standard of practice. It also prepares the nursing students for leadership in the healthcare teams. The focus of this competence is advocacy, professional accountability, and scholarship National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay. Leadership competencies are good communication skills, critical thinking abilities, incorporating innovations to improve practice, and advocating for efficient and affordable quality care.

Quality Competencies

Quality care improves the health situation of a patient and creates satisfaction. Provision of quality care corresponds with professional knowledge and standards. A nurse practitioner assesses the relevant information and evaluates the research finding to improve care. NP learns how to apply the best research findings in their practice. They understand how to give feedback to promote a culture of excellence. They understand relationship complexities in safety, healthcare access, and cost.

Practice Inquiry Competence

Practice inquiry is the art of learning or discovering new techniques during their practice. NPS uses its experience to improve patient outcomes. They use these abilities to transmit knowledge from their clinical outcome to others. They translate the new knowledge they acquired through their clinical experience into practice National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay.

Technology and Information Literacy Competencies

Information literacy is the ability to understand communication networks to access, manage, evaluate, and pass information (Abunadi, 2018). Communication is a critical aspect of nursing practice that improves the outcome of a patient. Competencies in this sector help the nurses use the necessary technology to manage information. It helps the caregivers understand the treatment, and motivate patients to make the appropriate changes.

Policy Competencies

Policy in health is the strategy in the health sector that influences resource allocation. Policies promote an ethical approach in the provision of quality care. They also enable the NP to understand the connection between clinical practice and policy (Woolhandler,
et al,
2021). National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay NP understands the legal and social context of policies.

Health Delivery System Competencies

Health delivery systems involve planning, developing, and implementation of healthcare programs. This competence enables nurses to minimize patient and provider risks, work with others to improve the continuum of care and develop culturally competent care.

Ethics Competencies

Ethics are the principles that provide the standards of nursing practice. Ethical competencies enable nurses to make decisions and analyze the impact of all decisions (Yıldız, 2019). They also understand the complexities of the healthcare system.

Independent Practice Competencies

Independent practice is the ability of a nurse to work as a licensed independent practitioner. It enables the NP to operate professionally under accountability and acquire knowledge of screening and diagnosis. National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay.

How to Plan and Engage in Social Change in the Community as a nurse practitioner

Nurses have the capabilities of making positive impact through their consistency in provision of quality healthcare services. Through their experience, I will address the community needs and common diseases affecting them and advocate for their solutions to improve the outcome. I will also engage in social change by advocating for quality cost effective healthcare services through advocacy and identifying the community resources that that can improve the community health outcomes.

Legislative or Advocacy Activity In Texas

Scheduled II prescriptive authority in Texas restricts nurse practitioners from treating patients with cancers, chronic diseases, and mental health issues (Tran, 2020). This promotes delays in care and increases the cost for hospitals.

 

References

Abunadi, I. (2018). A technology-dependent information literacy model within the confines of a limited resources environment. 
Information Technology and Libraries
, 
37
(4), 119-135. National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay

Schumacher, G., & Risco, K. (2017). Competency-based nurse practitioner education: An overview for the preceptor. 
The Journal for Nurse Practitioners
, 
13
(9), 596-602.

Tran, A. Q. (2020). 
Full practice authority for nurse practitioners: is it right for Texas?
 (Doctoral dissertation).

Woolhandler, S., Himmelstein, D. U., Ahmed, S., Bailey, Z., Bassett, M. T., Bird, M., … & Venkataramani, A. (2021). Public policy and health in the Trump era. 
The Lancet
, 
397
(10275), 705-753 National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay.

Yıldız, E. (2019). Ethics in nursing: A systematic review of the framework of evidence perspective. 
Nursing ethics
, 
26
(4), 1128-1148.

 

Assignment: National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay

The National Organization of Nurse Practitioner Faculties (NONPF) has determined core competencies that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF has represented them within nine broad areas of core competence. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This synthesis course has had the overarching objective of preparing you to be able to synthesize knowledge gained throughout the program and be prepared to apply each of the nine core competencies within your selected areas of practice and your representative communities. National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay

The nine broad areas of competency are:

Scientific Foundations

Leadership

Quality

Practice Inquiry

Technology and Information Literacy

Policy

Health Delivery System

Ethics

Independent Practice

To Prepare:

Review this week’s Learning Resources, focusing on the NONPF Core Competencies Content National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay.

The Assignment

For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet it (for a total of at least nine paragraphs). Then, propose and explain how you plan to engage in social change in your community as a nurse practitioner. Be specific and provide examples.

By Day 7

Submit your National Organization of Nurse Practitioner Faculties (NONPF) Competencies Essay Assignment.