Category: Nursing homework help

 The CEO of a 400-bed hospital has scheduled a board of directors meeting to discuss the current financial situation of the hospital and steps that need to be done to correct some current problems. The CFO needs to send each board member an explanation of the financial statements that they will be discussing. You are the Director of Finance and he has asked you to put together a memo, explaining each statement. Do the following:
Provide a copy of the most common four statements used within your hospital and what information is available in each.
Make sure you explain each main components/section of each statement.

 
It is budget time and the CEO has asked you to develop a presentation on cost concepts and how it is used in decision making. As the Director of Budgeting and Finance, you have been tasked to present the presentation to all directors, supervisors and physicians. The CFO has ask you to address the following:
How and why do we classify cost?
Discuss the four major categories of direct and indirect cost and explain each. Give examples of each.
What is the difference between controllable and uncontrollable cost, give an example of each.

 
The CEO of a 100-bed Nursing Home has noticed that the board of directors is having a hard time understanding his vision of where the hospital needs to go. The CFO has a lot of trouble getting the board of directors to understand the organization’s key performance indicators/metrics using balanced scorecard and dashboard reporting. He has selected you to develop a scorecard and dashboard illustrating the key indicators and send the sample and a memo to the board members explaining the following:
Your sample balanced scorecard and dashboard reporting
Discuss the four key success factors of dashboard reporting

NOTE: You may develop your own or research and find a healthcare balanced scorecard and dashboard online.

Create prescriptions using the patient information, medications, and indications listed below. Your goal is to demonstrate the accurate way to write a prescription that a patient would present to a pharmacy. The prescription should be written and signed. You will develop your mock prescriptions in a word document to include everything one might find on a printed prescription pad. You will write one prescription per page.
To write your prescriptions, please use the following patient information:
Patient Name: Jane Doe
DOB 1/1/2001
Duration: 3 months
Write a prescription for each of the following medications:
Sertraline, 100mg each day (depression)
Lorazepam, 1mg twice each day, if needed (panic attacks)
Aripiprazole, 2mg before bedtime (depression)
Methylphenidate ER, 54mg every morning before school (ADHD)
Be sure to include all of the relevant Rx info – quantity dispensed, refills, etc. etc.  The examples you submit should look like a real-life written Rx that a patient would hand to a retail pharmacy.

Present the Jewish teaching on the following  themes. How these themes are understood in Judaism.
1) Pain & Suffering – (Purposes, Causes, & Solutions)
2) Freedom & Free Will – Exodus 5:1, 8:1, 9:1 & Ezekiel 18
Each must be explained in at least one paragraph with at least 2 direct quotations, with accompanying in-text citations from a resource found on the “Judaism Resources” 
 
Incorporate 2 different sources.
Download Rubric – Judaism Discussion.pd

Information about Baker act.
What is the Baker Act?
What nursing implications should be implicated? 

Describe your clinical experience for this week.
Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Describe your clinical experience for this week in clinical as a student nurse practitioner. 
Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patient’s medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products. The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family. The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to “be sick” and says that he needs to take care of everything during this visit so he can return to work and care for his wife. Discuss the following: 
What additional information should you obtain about the pain the patient is experiencing?
What additional physical assessment needs to be performed with this patient?
What considerations are important to remember if the patient’s CRP level is elevated?
What differential diagnoses should be considered for the patient?
What patient teaching will be incorporated into the visit to modify the patient’s risk factors?
How will you respond to the patient’s statement that he does not have time to “be sick” and needs to take care of everything during this visit?
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
Discussion hints 
DISCUSSION 3 HINTS:
A 52-year-old Caucasian male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, chest pain is relieved after taking a break. (Stable vs. Unstable Angina).  He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patient’s medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products. (ASCVD estimator). The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family. The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to “be sick” and says that he needs to take care of everything during this visit so he can return to work and care for his wife.
Additional Information:
-Total Cholesterol is 220
-HDL is 45
-He currently does not take ANY medications

 
Laura 
Discussion
The work environment that nurses care in often involves stressful and emotionally charged settings which makes emotional intelligence (EI) a vital skill to have in nursing practice. A large amount of nurses’ interaction with patients and their family members who are experiencing fear, anxiety, or grief. Because of that, EI is crucial in the management of these interactions. EI helps nurses not just to perceive and process their own emotions, but to detect and react to the feelings of others, improving 0/29/2024patient care, as well as the working environment. For example, in clinical settings, studies find that nurses who have higher EI levels do a better job, are more empathetic, and less likely to be burned out (Faria et al., 2019).
Clinical judgment, critical thinking, and decision making are interrelated, but separate aspects of nursing practice. Clinical judgment is the nurse’s ability to evaluate such patient assessments and make decisions taking into consideration clinical evidence and observations. Critical thinking takes it a step further allowing nurses to objectively evaluate information, question assumptions and consider alternative points of view. These skills are used to practice decision making, that is in patient care, nurses choose what actions to take. Such processes are made more efficient by emotional intelligence, that is, through increased self-awareness and an ability to cope with emotional stress, which are essential for cognition in clinical settings (White & Grason, 2019).
Bedside nurses and advanced practice nurses (APNs) are different in their decision-making processes. Rapid decisions are often made by bedside nurses during acute care situations as they manage a post-surgery distressed patient. This is where emotional intelligence comes in — seeing the patient’s anxiety and giving both physical and emotional comfort. However, by contrast, APNs make more complex decisions, often in consideration for long term care planning of chronic conditions. For example, if an APN is managing a diabetic patient, they must account for the emotional aspects of a sustainable care plan in a way that promotes having the patient slowly make lifestyle changes (White & Grason, 2019).
For someone who is not familiar with emotional intelligence, it can be described as one’s ability to recognize, understand and regulate his own emotions and also recognize, understand and regulate other people’s emotions. It’s not just being empathetic — it’s about having skills like self-regulation, motivation, relationship management. For nursing, EI is critical as it improves patient care, promotes health team dynamics, and helps nurses deal with the emotional burdens of performing their profession (Belay & Kassie, 2021).
In conclusion, both bedside and advanced nursing practices emphasize the importance of emotional intelligence as it enhances patient care, strengthens clinical judgments and enhances good decision making. Nurses can develop emotional intelligence which helps to raise patient satisfaction, lower personal burnout and support a more caring and effective practice environment.