week_8_assignment_.docx (70.1 KB)

Week 8 assignment Assignment: Creating a Flowchart
Workflow analysis aims to determine workflow patterns that
maximize the effective use of resources and minimize activities that do not add
value. There are a variety of tools that can be used to analyze the workflow of
processes and clarify potential avenues for eliminating waste. Flowcharts are a
basic and commonly used workflow analysis method that can help highlight areas
in need of streamlining.
In this Assignment, you select a common event that occurs
regularly in your organization and create a flowchart representing the
workflow. You analyze the process you have diagrammed and propose changes for
improvement.
To prepare:
Identify a common, simple event that frequently occurs in
your organization that you would like to evaluate.
Consider how you would design a flowchart to represent the
current workflow.
Consider what metrics you would use to determine the
effectiveness of the current workflow and identify areas of waste.
To complete:
Write a 3- to 5-page paper which includes the following:
Create a simple flowchart of the activity you selected.
(Review the Sample Workflow of Answering a Telephone in an Office document
found in this week’s Learning Resources for an example.)
Next, in your paper:
Explain the process you have diagrammed.
For each step or decision point in the process, identify the
following:
Who does this step? (It can be several people.)
What technology is used?
What policies and rules are involved in determining how,
when, why, or where the step is executed?
What information is needed for the execution of this step?
Describe the metric that is currently used to measure the
soundness of the workflow. Is it effective?
Describe any areas where improvements could occur and
propose changes that could bring about these improvements in the workflow.
Summarize why it is important to be aware of the flow of an
activity.
Remember to include a cover page, introduction, and summary
for your paper

Quiz 1
Question 1
A 20-year-old pregnant female gives birth to a stillborn
child. Autopsy reveals that the fetus has 92 chromosomes. What term may be on
the autopsy report to describe this condition?
Question 2
A group of prison inmates developed tuberculosis following
exposure to an infected inmate. On examination, tissues were soft and granular
(like clumped cheese). Which of the following is the most likely cause?
Question 3
A runner has depleted all the oxygen available for muscle
energy. Which of the following will facilitate his continued muscle
performance?
Question 4
The student is reviewing functions of the cell. The student
would be correct in identifying the primary function of the nerve cell as:
Question 5
Sodium and water accumulation in an injured cell are a
direct result of:
Question 6
A nurse is teaching a patient with diabetes how glucose is
transported from the blood to the cell. What type of transport system should
the nurse discuss with the patient?
Question 7
Why is potassium able to diffuse easily in and out of cells?
Question 8
A patient who has diarrhea receives a hypertonic saline
solution intravenously to replace the sodium and chloride lost in the stool.
What effect will this fluid replacement have on cells?
Question 9
The nurse would be correct in identifying the predominant
extracellular cation as:
Question 10
A newborn male is diagnosed with albinism based on skin,
eye, and hair appearance. Which finding will support this diagnosis?
Question 11
A nurse is reading a chart and sees the term oncotic
pressure. The nurse recalls that oncotic pressure (colloid osmotic pressure) is
determined by:
Question 12
A patient wants to know the risk factors for Down syndrome.
What is the nurse’s best response?
Question 13
Which of the following mutations have the most significant
effect on protein synthesis?
Question 14
What is the diagnosis of a 13-year-old female who has a
karyotype that reveals an absent homologous X chromosome with only a single X
chromosome present? Her features include a short stature, widely spaced
nipples, reduced carrying angle at the elbow, and sparse body hair.
Question 15
A 55-year-old male with a 30-year history of smoking is
examined for respiratory disturbance. Examination of his airway (bronchial)
reveals that stratified squamous epithelial cells have replaced the normal
columnar ciliated cells. This type of cellular adaptation is called:

Week 2 quiz
Question 1
The incidence of fractures of the pelvis is highest in:
Question 2
The nurse would expect the occurrence of scabies to occur
more commonly among children who:
Question 3
A 51-year-old male experienced severe acute gouty arthritis.
Which of the following is the most common trigger for the symptoms?
Question 4
A patient has chicken pox. How does the varicella replicate?
Question 5
A 70-year-old female presents with a hip fracture secondary
to osteoporosis. This condition is caused by an increase in bone:
Question 6
Researchers now believe that RA is:
Question 7
A 40-year-old female is diagnosed with SLE. Which of the
following findings would be considered a symptom of this disease?
Question 8
After studying about fungi, which information indicates a
correct understanding of fungi? Fungi causing deep or systemic infections:
Question 9
A 5-year-old female takes a hike through the woods during a
school field trip. Upon returning home, she hugs her father, and he later
develops poison ivy. Which of the following immune reactions is he
experiencing?
Question 10
A 76-year-old female was diagnosed with osteoporosis by
radiologic exam. She is at high risk for:
Question 11
A 4-month-old female develops white spots and shallow ulcers
in her mouth. Her pediatrician diagnoses her with thrush. This condition is
caused by:
Question 12
A 50-year-old male recently underwent a liver transplant and
is taking immunosuppressive drugs. He now has painful vesicular eruptions on
the face and trunk. He reports that he had chickenpox as a child. Which of the
following is the most likely diagnosis based on his chicken pox history?
Question 13
A 4-month-old female is diagnosed with atopic dermatitis
(AD). Which of the following assessment findings by the nurse will most likely
support this diagnosis?
Question 14
In discoid lupus erythematosus, skin lesions may be
accompanied by Raynaud phenomenon, which is manifested by:
Question 15
The nurse would be correct in identifying the duration of
rubella as:

Week 3 quiz
Question 1
A 69-year-old male with a history of alcohol abuse presents
to the emergency room (ER) after a month-long episode of headaches and
confusion. Based on his alcoholism, a likely cause of his neurologic symptoms
is:
Question 2
A 40-year-old male complains of uncontrolled excessive
movement and progressive dysfunction of intellectual and thought processes. He
is experiencing movement problems that begin in the face and arms that
eventually affect the entire body. The most likely diagnosis is:
Question 3
A 60-year-old female with a recent history of head trauma
and a long-term history of hypertension presents to the ER for changes in
mental status. MRI reveals that she had a hemorrhagic stroke. What does the
nurse suspect caused this type of stroke?
Question 4
A patient with an addiction to alcohol checked into a
rehabilitation center. He experiences delirium, inability to concentrate, and
is easily distracted. From which of the following is he most likely suffering?
Question 5
When planning care for a child in pain, which principle
should the nurse remember? The pain threshold in children is _____ that of
adults.
Question 6
The nursing student would correctly identify the most common
symptom of brain abscess as:
Question 7
A nurse should document on the chart that chronic pain is
occurring when the patient reports the pain has lasted longer than:
Question 8
A nurse thinks a patient may be experiencing dementia. Which
assessment finding will most help support this diagnosis?
Question 9
A 20-year-old male was brought to the emergency room (ER)
for severe burns. He requested something for the excruciating pain he was
experiencing. Blocking which of the following neurotransmitters would reduce
his pain?
Question 10
An older adult is admitted to the ER following a fall. The
patient complains of pain in the back. The patient has a history of
osteoporosis. The nurse would expect the patient’s injury and subsequent pain
is most likely due to:
Question 11
A child presents to his primary care provider with
disorientation, delirium, aggressiveness, and stupor. His parents report that he
was recently ill with an upper respiratory infection, which they treated with
aspirin. Which of the following is the most likely diagnosis?
Question 12
A 15-month-old child from Pennsylvania was brought to the ER
for fever, seizure activity, cranial palsies, and paralysis. Which of the
following diagnosis will be documented in the chart?
Question 13
A 20-year-old male suffers a severe closed head injury in a
motor vehicle accident. He remains in a vegetative state (VS) 1 month after the
accident. Which of the following structures is most likely keeping the patient
alive?
Question 14
A 15-year-old male was struck by a motor vehicle and
suffered a traumatic brain injury. Paramedics found him unconscious at the
scene of the accident. During the ambulance ride, he regained consciousness and
was able to maintain a conversation with the medical staff. Upon arrival to
hospital, he was alert and oriented. Physical exam reveals confusion and
impaired responsiveness. What is the probable nature of his brain injury based
on this history?
Question 15
Parents of a 3-month-old infant bring him to the emergency
room (ER) after he has had a seizure. He has muscle rigidity, and the parents
report they are of Jewish ancestry. For what genetic disease should this infant
be screened?

Week 4 quiz
Question 1
Which of the following findings in the patient with Raynaud
disease would indicate a need for further teaching?
Question 2
A patient wants to know what causes atherosclerosis. How
should the nurse respond? In general, atherosclerosis is caused by:
Question 3
A 28-year-old female presents with severe chest pain and
shortness of breath. She is diagnosed with pulmonary embolism, which most
likely originated from the:
Question 4
Which characteristic changes should the nurse keep in mind
while caring for a patient with left heart failure? As left heart failure
progresses:
Question 5
A 50-year-old male visits the cardiologist for an EKG.
Results indicate that he has no PR interval and a variable QRS rate with rhythm
irregularity. Which of the following is the most likely diagnosis to be
recorded on the chart?
Question 6
A 60-year-old male is diagnosed with cerebral aneurysm.
Where does the nurse suspect the cerebral aneurysm is located?
Question 7
A 50-year-old female received trauma to the chest that
caused severe impairment of the primary pacemaker cells of the heart. Which of
the following areas received the greatest damage?
Question 8
When a patient has a massive pulmonary embolism (PE), what
complications will the nurse monitor for?
Question 9
While planning care for a patient with superior vena cava
syndrome (SVCS), which principle should the nurse remember? SVCS is a
progressive _____ of the superior vena cava (SVC) that leads to venous
distention of the upper extremities and head.
Question 10
Which condition should cause the nurse to assess for
high-output failure in a patient?
Question 11
A 75-year-old female has been critically ill with multiple
organ dysfunction syndrome (MODS) for longer than a week and has developed a
severe oxygen supply and demand imbalance. The statement that best describes
this imbalance is which of the following?
.
Question 12
A 50-year-old female presents with a low heart rate and low
blood pressure. She is given an intravenous (IV) infusion of fluids. The
increase in atrial distension results in:
Question 13
A 32-year-old female presents with lower leg pain, with
swelling and redness. While obtaining the patient’s history, which finding
could have caused her condition?
Question 14
A 50-year-old male with a 30-year history of smoking was
diagnosed with bronchogenic cancer. He developed edema and venous distention in
the upper extremities and face. Which of the following diagnosis will the nurse
observe on the chart?
Question 15
A 51-year-old male is at the health clinic for an annual
physical exam. After walking from the car to the clinic, he developed
substernal pain. He also reported discomfort in his left shoulder and his jaw,
lasting 2 to 3 minutes and then subsiding with rest. He indicates that this has
occurred frequently over the past few months with similar exertion. The nurse
suspects he is most likely experiencing:

Week 5 quiz
Question 1
A nurse is planning care for a patient in shock. Which
principle should the nurse remember? During shock states, glucose uptake is
usually:
Question 2
A 20-year-old male underwent an echocardiogram to assess
chest pain. Results revealed a congenital defect in papillary muscles. Which of
the following would the nurse expect to occur?
Question 3
A 75-year-old male has severe chest pain and dials 911. Lab
tests at the hospital reveal elevated levels of cardiac troponins I and T.
Based upon the lab findings, the nurse suspects which of the following has
occurred?
Question 4
A 67-year-old female was previously diagnosed with rheumatic
heart disease. Tests reveal lipoprotein deposition with chronic inflammation
that impairs blood flow from the left ventricle into the aorta. Which of the
following is the most likely diagnosis recorded on the chart?
Question 5
A 20-year-old female is being admitted to the hospital with
fever and septic shock. Which set of assessment findings would the nurse expect
the patient to exhibit?
Question 6
A newborn is diagnosed with congenital heart disease. Which
of the following intrauterine factors should the nurse focus on during the
history that could have caused this disorder?
Question 7
A 50-year-old male was admitted to the intensive care unit
with a diagnosis of acute myocardial infarction (MI). He is being treated for
shock. His cardiopulmonary symptoms include low blood pressure, tachycardia,
and tachypnea. His skin is pale and cool. The primary cause of his shock is
most likely:
Question 8
A newborn is suspected of having coarctation of the aorta.
Which of the following assessments would aid in diagnosis?
Question 9
A 56-year-old male presents to his primary care provider for
a checkup. Physical exam reveals edema, hepatomegaly, and muffled heart sounds.
Which of the following is of greatest concern to the nurse?
Question 10
A 2-week-old infant presents with poor feeding, fatigue,
dyspnea, and a murmur. She is diagnosed with a patent ductus arteriosus (PDA).
A nurse recalls this condition results in a(n):
Question 11
When a person is in shock, a nurse remembers impairment in
cellular metabolism is cause by:
Question 12
When a patient asks the nurse what is the most common cause
of myocardial ischemia, which statement is the correct response? The most
common cause of myocardial ischemia is:
Question 13
While planning care, the nurse remembers which principle? In
valvular _____, the valve opening is constricted and narrowed because the valve
leaflets, or cusps, fail to open completely.
Question 14
What factors make a patient prone to neurogenic shock?
Neurogenic shock can be caused by any factor that inhibits the:
Question 15
A nurse is teaching a patient about anaphylactic shock.
Which information should the nurse include? The onset of anaphylactic shock is
usually:

Week 6 quiz
Question 1
While planning care for a child with asthma, which of the
following is characteristic of asthma?
Question 2
Which patient would the nurse assess for paroxysmal
nocturnal dyspnea (PND)? A patient with:
Question 3
A 42-year-old female presents with dyspnea; rapid, shallow
breathing; inspiratory crackles; decreased lung compliance; and hypoxemia.
Tests reveal a fulminant form of respiratory failure characterized by acute
lung inflammation and diffuse alveolocapillary injury. Which of the following
is the most likely diagnosis the nurse will observe on the chart?
Question 4
A 65-year-old male recently had a cerebrovascular accident
that resulted in dysphagia. He now has aspiration of gastric contents. The
nurse assesses the patient for which complication?
Question 5
A nurse recalls asthma is classified by:
Question 6
While reviewing lab results, to help confirm a diagnosis of
cystic fibrosis in a 1-year-old child which substance will be present in the
child’s sweat?
Question 7
A geneticist is discussing cystic fibrosis (CF). Which
information should be included? CF is an _____ disease.
Question 8
When the nurse observes a diagnosis of nosocomial pneumonia,
the patient generally acquires this pneumonia:
Question 9
A 14-year-old male is experiencing an asthma exacerbation.
When reviewing the lab results, which of the following cells in the submucosa
promote this inflammatory response and will be elevated?
Question 10
A 50-year-old male with a 30-year history of smoking was diagnosed
with lung cancer. He was previously exposed to air pollution, asbestos, and
radiation at his job. Which of the following should the nurse realize had the
greatest impact on the development of his cancer?
Question 11
A 13-year-old female is diagnosed with asthma. Which of the
following should the nurse teach the patient to recognize as part of an
asthmatic attack?
Question 12
A 50-year-old diabetic male did not take his medication and
is now in metabolic acidosis. He is experiencing Kussmaul respirations. What
type of breathing will the nurse observe upon assessment?
Question 13
An 11-year-old female presents with a low-grade fever and
cough. She is diagnosed with atypical pneumonia. What type of pneumonia does
the nurse suspect the patient is experiencing?
Question 14
A 6-month-old female presents with rhinorrhea, cough, poor
feeding, lethargy, and fever. She is diagnosed with bronchiolitis. Which of the
following will the nurse most likely observe on the culture report?
Question 15
A 60-year-old female with emphysema is having difficulty
expiring a given volume of air. When giving report, the nurse will relay that
the patient is most likely experiencing _____ pulmonary disease.

Week 7 quiz
Question 1
A nurse is caring for a patient who cannot clot. Which end
product of the clotting cascade is this patient unable to make?
Question 2
A 25-year-old female has a heavy menses during which she
loses a profuse amount of blood. Which of the following adaptations should the
nurse expect?
Question 3
A staff member wants to know where the greatest proportion
of iron is located. How should the nurse respond? The greatest proportion of
total body iron is located in the:
Question 4
A 65-year-old male experienced loss of appetite, weight
loss, lemon-yellow skin, liver enlargement, and a beefy red tongue shortly
before his death. Autopsy suggested pernicious anemia, and the cause of death
would most likely reveal:
Question 5
While reviewing lab results, the nurse recalls the most
abundant cells in the blood are:
Question 6
A nurse is teaching the staff about platelets. Which
information should the nurse include? In addition to playing a role in
hemostasis, platelets have the ability to:
Question 7
A 45-year-old male is diagnosed with macrocytic,
normochromic anemia. The nurse suspects the most likely cause of this condition
is:
Question 8
A 34-year-old male presents in the emergency room with
extreme fatigue and shortness of breath. His skin and sclera appear to have a
yellowish discoloration. These assessment findings are consistent with which
type of anemia?
Question 9
A group of cells isolated in the laboratory have
membrane-bound granules in their cytoplasm and they show phagocytic activity.
Which of the following cells is most similar?
Question 10
A 10-year-old male presents with abdominal swelling, night
sweats, fever, and weight loss. He is diagnosed with Burkitt lymphoma. Upon
obtaining the history, which of the following is the most likely cause?
Question 11
A 10-year-old male is diagnosed with sickle cell anemia.
When the parents ask who is responsible for this disease, what is the nurse’s
best response? He most likely inherited it from:
Question 12
For a patient experiencing hypersplenism, the nurse expects
the erythrocytes to be:
Question 13
Thrombocytopenia may be:
Question 14
In disseminated intravascular coagulation (DIC), the nurse
assesses for active bleeding after intravascular clotting because:
Question 15
A 10-year-old male is diagnosed with leukemia. The nurse
assesses for which other condition that could be associated with his disease?

Week 8 quiz
Question 1
For the patient experiencing esophageal reflux, the nurse
would expect which sphincter to be malfunctioning?
Question 2
The most common disorder associated with upper GI bleeding
is:
Question 3
A 27-year-old male presents with fever, GI bleeding,
hepatomegaly, and transient joint pain. He reports that as a child he received
blood transfusions following a motor vehicle accident. He also indicates he was
vaccinated against hepatitis B. Which of the following types of hepatitis does
the clinician think he most likely has?
Question 4
A 55-year-old male died in a motor vehicle accident. Autopsy
revealed an enlarged liver caused by fatty infiltration, testicular atrophy,
and mild jaundice secondary to cirrhosis. The most likely cause of his
condition is:
Question 5
Acute pancreatitis often manifests with pain to which of the
following regions?
Question 6
The primary complication of enterocolitis associated with
Hirschsprung disease is related to which finding?
Question 7
The most common clinical manifestation of portal
hypertension is _____ bleeding.
Question 8
The exocrine portion of the pancreas contains:
Question 9
The cardinal signs of small bowel obstruction are:
Question 10
Reflux esophagitis is defined as a(n):
Question 11
Marasmus is most common in children of which age group?
Question 12
Manifestations associated with hepatic encephalopathy from
chronic liver disease are the result of:
Question 13
A 50-year-old male is experiencing reflux of chyme from the
stomach. He is diagnosed with gastroesophageal reflux. This condition is caused
by:
Question 14
Kwashiorkor is a severe dietary deficiency of:
Question 15
A 40-year-old male develops an intestinal obstruction
related to protrusion of the intestine through the inguinal ring. This
condition is referred to as:
 
Week 9 quiz
Question 1
A patient has high levels of hormones. To adapt to the high
hormone concentrations, the patient’s target cells have the capacity for:
Question 2
A patient has researched lipid-soluble hormones on the
Internet. Which information indicates the patient has a good understanding?
Lipid-soluble hormone receptors cross the plasma membrane by:
Question 3
A 50-year-old female presents with lightheadedness and
overall abnormal feelings. Hyperaldosteronism is diagnosed. Which of the
following symptoms would the nurse expect?
Question 4
A 12-year-old female is newly diagnosed with type 1 DM. When
the parents ask what causes this, what is the nurse’s best response?
Question 5
0 out of 1 points
A 30-year-old male was diagnosed with hypothyroidism. Synthesis
of which of the following would decrease in this patient?
Question 6
A 22-year-old male is admitted to the intensive care unit
with a closed head injury sustained in a motorcycle accident. The injury has
caused severe damage to the posterior pituitary. Which of the following
complications should the nurse anticipate?
Question 7
If the patient has a problem with the pineal gland, which
substance would the nurse monitor?
Question 8
0 out of 1 points
A 50-year-old male patient is deficient in ADH production.
Which of the following assessment findings would the nurse expect to find?
Question 9
A 54-year-old patient with pulmonary tuberculosis (lung
infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH).
Which of the following electrolyte imbalances would be expected in this
patient?
Question 10
When catecholamines are released in a patient, what should
the nurse assess for?
Question 11
An endocrinologist isolated a new hormone and found it to be
a water-soluble amine. Which of the following is most like this new hormone?
Question 12
A 30-year-old male is diagnosed with a hormone-secreting
tumor of the pancreas alpha cells. Which of the following would the nurse
expect to be most likely increased in this patient?
Question 13
A 25-year-old male presents with fatigue, constipation, and
sexual dysfunction. Tests reveal all pituitary hormones are normal and no
masses are present. The nurse suspects the most likely cause of his symptoms is
a dysfunction in the:
Question 14
A 25-year-old female with Graves disease is admitted to a
medical-surgical unit. Palpation of her neck would most likely reveal:
Question 15
A 12-year-old male is newly diagnosed with type 1 DM. Which
of the following tests should the nurse prepare the patient to best confirm the
diagnosis?

Week 10 quiz
Question 1
A 15-year-old female presents with flank pain, irritability,
malaise, and fever. Tests reveal glomerulonephritis. When the parents ask what
could have caused this, how should the nurse respond?
Question 2
A 60-year-old male is diagnosed with renal failure. While
the nurse is reviewing lab results, which of the following lab values would be
most consistent with this diagnosis?
Question 3
A 7-year-old male presents to his primary care provider for
incontinence. His mother indicates that he has never been continent. Which of
the following is the most likely diagnosis the nurse will observe on the chart?
Question 4
If a nurse wants to obtain the best estimate of renal
function, which test should the nurse monitor?
Question 5
When a patient’s renal system secretes rennin, what effect
will that cause in the body? It causes the direct activation of:
Question 6
A 29-year-old female presents with cloudy urine, flank pain,
hematuria, and fever. Which of the following does the nurse suspect the patient
is most likely experiencing?
Question 7
A urologist is discussing the phagocytic cells that lie
between the layers of the renal corpuscle. What is the urologist describing?
Question 8
While turning a patient with chronic renal failure, which
principle should the nurse recall? Bone fractures are a risk factor in chronic
renal failure because:
Question 9
A 42-year-old male is involved in a motor vehicle accident
during which he loses a lot of blood. The nurse realizes he is in acute renal
failure caused by:
Question 10
A nurse is describing the trigone. Which information should
be included? The trigone is defined as:
Question 11
A 6-year-old male is experiencing urine reflux from the
urinary bladder into a grossly dilated ureter and calyces. He was diagnosed
with vesicoureteral reflux. This condition would be graded:
Question 12
When the nurse discusses the glomerulus and Bowman capsule
together, it is referred to as the renal:
Question 13
On average the kidneys receive approximately _____ of the
cardiac output.
Question 14
A 55-year-old male presents reporting urinary retention.
Tests reveal that he has a lower urinary tract obstruction. Which of the
following is of most concern to the nurse?
Question 15
A urologist is discussing a structure that supplies blood to
the medulla. What is the urologist describing?

Week 11 quiz
Question 1
A 68-year-old male presents complaining of difficulty having
sexual intercourse. He reports that his penis curves during erection. This
condition is referred to as:
Question 2
A 25-year-old sexually active female presents with
urethritis, dysuria, and cervical discharge. She is diagnosed with the most
common bacteria STI in the United States. The student would identify this
infection is due to:
Question 3
A middle-aged male speaks to his physician about benign BPH.
He reveals that his father was recently diagnosed with this condition, and he
wants to know if he could have it. The physician tells him that a common
complaint from men with mild to moderate BPH is:
Question 4
When a patient who is trying to get pregnant asks where the
usual site of fertilization is, how should the nurse respond? The:
Question 5
An example of a parasitic STI that is transmitted through
close skin-to-skin contact is:
Question 6
The nurse would anticipate the treatment for pelvic organ
prolapse to be:
Question 7
When a staff member asks the nurse what the thick middle
layer of the uterine wall is called, what is the nurse’s best response? The:
Question 8
Copy of The nurse would anticipate the treatment for pelvic
organ prolapse to be:
Question 9
When discussing the difference between male and female sex
hormones, which information should the nurse include? The major difference
between male and female sex hormone production is that:
Question 10
During a routine pelvic exam, a 34-year-old female is found
to have an ovarian cyst containing skin, hair, cartilage, and bone. This cyst
is classified as a _____ cyst.
Question 11
A 30-year-old male presents with penile tenderness and
discharge. Physical examination reveals that his foreskin cannot be retracted
back over the glans penis. He is suffering from:
Question 12
Which information indicates the nurse has a good
understanding of the menstrual cycle? When estrogen and progesterone levels
drop, the endometrium enters the _____ phase.
Question 13
Which of the following signs is usually the first clinical
manifestation of breast cancer?
Question 14
A nurse is discussing female anatomy. Which body structure
contains the openings to the vagina and urinary meatus?
Question 15
The patient’s medication has a side effect of gynecomastia.
The patient asks the nurse to define this term. The nurse would respond that
gynecomastia is:

week_3_discussion.docx (114.33 KB)

Week 3 discussion
Discussion: Assessment Tools and Diagnostic Tests in Adults
and Children
When seeking to identify a patient’s health condition,
advanced practice nurses can use a diverse selection of diagnostic tests and
assessment tools; however, different factors affect the validity and
reliability of the results produced by these tests or tools. Nurses must be
aware of these factors in order to select the most appropriate test or tool and
to accurately interpret the results.
Not only do these diagnostic tests affect adults, body
measurements can provide a general picture of whether a child is receiving
adequate nutrition or is at risk for health issues. These data, however, are
just one aspect to be considered. Lifestyle, family history, and culture-among
other factors-are also relevant. That said, gathering and communicating this
information can be a delicate process.
In this Discussion, you will consider the validity and
reliability of different assessment tools and diagnostic tests. You will
explore issues such as sensitivity, specificity, and positive and negative
predictive values. You will also consider examples of children with various
weight issues. You will explore how you could effectively gather information
and encourage parents and caregivers to be proactive about their children’s
health and weight.
To prepare:
Review this week’s learning resources and consider factors
that impact the validity and reliability of various assessment tools and
diagnostic tests. We will also review examples of pediatric patients and their
families as it relates to BMI.
This week you will be assigned one of the following DB by
your instructor.
Select one of the following assessment tools or diagnostic
tests to explore for the purposes of this Discussion:
Mammogram
Prostate-specific antigen (PSA) test
Body-mass index (BMI) using waist circumference for adults
Select one of the examples on which to focus for this
Discussion. What health issues and risks may be relevant to the child you
selected?
Overweight 5-year-old boy with overweight parents
5-year-old girl of normal weight with obese parents
Severely underweight 12-year-old girl with underweight
parents
Search the Walden Library and credible sources for resources
explaining the tool or test you selected. What is its purpose, how is it
conducted, and what information does it gather?
What does the literature discuss regarding the validity,
reliability, and are there any issues with sensitivity, specificity, predictive
values, ethical dilemmas, and controversies related to the test or tool?
Based on the risks you identified, consider what further
information you would need to gain a full understanding of the child’s health.
Think about how you could gather this information in a sensitive fashion.
Consider how you could encourage parents or caregivers to be
proactive toward the child’s health.
By Day 3
Post a description of how the assessment tool or diagnostic
test you selected is used in health care. Based on your research, evaluate the
test or the tool’s validity and reliability, and explain any issues with
sensitivity, reliability, and predictive values. Include references in
appropriate APA formatting.
OR
Post an explanation of the health issues and risks that are
relevant to the child you selected. Describe additional information you would
need in order to further assess his or her weight-related health. Taking into
account the parents’ and caregivers’ potential sensitivities, list at least
three specific questions you would ask about the child to gather more
information. Provide at least two strategies you could employ to encourage the
parents or caregivers to be proactive about their child’s health and weight.
Note: For this Discussion, you are required to complete your
initial post before you will be able to view and respond to your colleagues’
postings. Begin by clicking on the “Post to Discussion Question” link
and then select “Create Thread” to complete your initial post.
Remember, once you click on Submit, you cannot delete or edit your own posts,
and you cannot post anonymously. Please check your post carefully before
clicking on Submit!
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues who selected a
different tool test, or child health example than you, using one or more of the
following approaches:
Critique your colleague’s evaluation of the validity and
reliability of the tool or test selected.
Suggest alternative or additional tools or tests that should
be considered when gathering information about specific conditions or symptoms.
Based on the risks you identified, consider what further
information you would need to gain a full understanding of the child’s health.
Think about how you could gather this information in a sensitive fashion.
Consider how you could encourage parents or caregivers to be
proactive toward the child’s health.
Suggest additional health risks or issues that could be
relevant to the child.
Critique your colleagues’ questions, and suggest how the parents
or caregivers might interpret these questions. Provide alternate or additional
questions.
Suggest an additional strategy for gathering patient
information or promoting proactivity