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Tag: Model Answer

  • [Solved] Describe a current safety concern in advanced practice nurse

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    In-depth study guidance and analytical solution covering Describe a current safety concern in advanced practice nurse.

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  • [Solved] Describe one clinical client-focused quality measure currently analyzed in advanced practice nurse

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    In-depth study guidance and analytical solution covering Describe one clinical client-focused quality measure currently analyzed in advanced practice nurse.

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  • [Solved] Describe practical implications for clinical nurse practitioner practice.

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  • [Solved] Virtual Private Networks

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    Virtual private networks (VPNs) are used to establish a secure remote connection, and most encrypt their traffic to make it secure. Imagine that you are working for a company that has asked you to examine the various types of encryption and to choose the one you would recommend. – Discuss whether VP…

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    Virtual private networks (VPNs) are used to establish a secure remote connection, and most encrypt their traffic to make it secure. Imagine that you are working for a company that has asked you to examine the various types of encryption and to choose the one you would recommend.
    – Discuss whether VPNs are totally secure. If they are not secure, what additional features would make them so?
    – Explain why you would use a VPN to establish a remote connection with the hypothetical company you are working for.
    – What type of encryption (encryption method, number of bits) would you recommend, and why?
    – Which standard for encryption would you rely on, and why?
    – In addition to a VPN, describe how you can make the connection more secure and ensure that it is the employee who is logging in to your network.

  • [Solved] week 8

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    discussion/ paper – ## week8.docx – ## Assignment8-MSCJ535ADE-BUDGETINGANDPLANNINGFORCRIMINAL.pdf **## week8.docx** 1 5 Week 8 510 discussion 1 (250 words) In Chapter 13, the authors make the case for and against community-based corrections. Discuss the benefits and challenges of this approach while…

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    discussion/ paper

    – ## week8.docx

    – ## Assignment8-MSCJ535ADE-BUDGETINGANDPLANNINGFORCRIMINAL.pdf

    **## week8.docx**

    1

    5

    Week 8 510 discussion 1 (250 words)

    In Chapter 13, the authors make the case for and against community-based corrections. Discuss the benefits and challenges of this approach while considering the justifications made by the authors. Ultimately, what is your view and why?

    Souryal, S. S., & Whitehead, J. T. (2019). Ethics in Criminal Justice (7th ed.). Taylor & Francis. https://ccis.vitalsource.com/books/9780429682162

    Week 8 535 discussion 2 (250 words)

    If you have a performance budget prepared to show the allocations accomplishing each objective, why would you need a line item budget?

    Chen, G. G., Weikart, L. A., & Williams, D. W. (2014). Budget Tools: Financial Methods in the Public Sector (2nd ed.). SAGE Publications, Inc. (US). https://ccis.vitalsource.com/books/9781483324050

    **Week 8 535 paper**

    Create a budget assessment checklist with at least six criteria based on the budgeting principles you have studied over the past seven weeks. Your checklist should reflect insights from your previous readings and reviews of public agency budgets, with criteria such as whether a statement of need is included or if performance objectives are measurable. Identify the type of budget you are measuring, then apply your checklist to an actual government agency’s budget. For each criterion, explain the results, for example, “a performance objective is not measurable because…”. Present the checklist in a spreadsheet or chart format, including space for your assessment comments.

    Chen, G. G., Weikart, L. A., & Williams, D. W. (2014). Budget Tools: Financial Methods in the Public Sector (2nd ed.). SAGE Publications, Inc. (US). https://ccis.vitalsource.com/books/9781483324050

    **## Assignment8-MSCJ535ADE-BUDGETINGANDPLANNINGFORCRIMINAL.pdf**

    11/23/25, 9:44 PMAssignment 8 – MSCJ 535 ADE – BUDGETING AND PLANNING FOR CRIMINAL – Columbia College of Missouri

    Page 1 of 2https://ccis.ucourses.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=2096475&grpid=0&isprv=0&bp=0&ou=1044161

    Assignment 8 Rubric
    Course: MSCJ 535 ADE – BUDGETING AND PLANNING FOR CRIMINAL

    Total

    Overall Score

    Criteria Exemplary Intermediate Emerging Criterion Score

    Budget Assessment

    Checklist

    / 15

    Budget Identification,

    Application of Criteria, and

    Explanation of Results

    / 60

    Mechanics and APA

    Compliance

    / 20

    15 points

    A budget assessment checklist is

    created using at least six criteria

    from the course materials.

    10 points

    A budget assessment checklist is

    created using five criteria from

    the course materials.

    0 points

    A budget assessment checklist is

    created using fewer than five

    criteria from the course materials.

    60 points

    The type of budget being

    assessed is identified. All six

    criteria are effectively applied to

    the budget, and the results are

    reported in a spreadsheet or

    chart format.

    50 points

    The type of budget being

    assessed is identified. Five

    criteria are effectively applied to

    the budget, and the results are

    reported in a spreadsheet or

    chart format.

    0 points

    The type of budget being

    assessed is identified. The

    checklist criteria are applied to

    the budget, and the results are

    reported in a spreadsheet or

    chart format.

    20 points

    The text is essentially error-free

    and adheres to basic APA

    formatting standards.

    10 points

    The text contains a few minor

    grammatical and/or APA

    formatting errors.

    0 points

    Readability is affected due to

    multiple grammatical and APA

    formatting errors.

    Exemplary
    90 points minimum

    Intermediate
    70 points minimum

    Emerging
    0 points minimum

    11/23/25, 9:44 PMAssignment 8 – MSCJ 535 ADE – BUDGETING AND PLANNING FOR CRIMINAL – Columbia College of Missouri

    Page 2 of 2https://ccis.ucourses.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=2096475&grpid=0&isprv=0&bp=0&ou=1044161

    **## Assignment8-MSCJ535ADE-BUDGETINGANDPLANNINGFORCRIMINAL.pdf**

    11/23/25, 9:44 PMAssignment 8 – MSCJ 535 ADE – BUDGETING AND PLANNING FOR CRIMINAL – Columbia College of Missouri

    Page 1 of 2https://ccis.ucourses.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=2096475&grpid=0&isprv=0&bp=0&ou=1044161

    Assignment 8 Rubric
    Course: MSCJ 535 ADE – BUDGETING AND PLANNING FOR CRIMINAL

    Total

    Overall Score

    Criteria Exemplary Intermediate Emerging Criterion Score

    Budget Assessment

    Checklist

    / 15

    Budget Identification,

    Application of Criteria, and

    Explanation of Results

    / 60

    Mechanics and APA

    Compliance

    / 20

    15 points

    A budget assessment checklist is

    created using at least six criteria

    from the course materials.

    10 points

    A budget assessment checklist is

    created using five criteria from

    the course materials.

    0 points

    A budget assessment checklist is

    created using fewer than five

    criteria from the course materials.

    60 points

    The type of budget being

    assessed is identified. All six

    criteria are effectively applied to

    the budget, and the results are

    reported in a spreadsheet or

    chart format.

    50 points

    The type of budget being

    assessed is identified. Five

    criteria are effectively applied to

    the budget, and the results are

    reported in a spreadsheet or

    chart format.

    0 points

    The type of budget being

    assessed is identified. The

    checklist criteria are applied to

    the budget, and the results are

    reported in a spreadsheet or

    chart format.

    20 points

    The text is essentially error-free

    and adheres to basic APA

    formatting standards.

    10 points

    The text contains a few minor

    grammatical and/or APA

    formatting errors.

    0 points

    Readability is affected due to

    multiple grammatical and APA

    formatting errors.

    Exemplary
    90 points minimum

    Intermediate
    70 points minimum

    Emerging
    0 points minimum

    11/23/25, 9:44 PMAssignment 8 – MSCJ 535 ADE – BUDGETING AND PLANNING FOR CRIMINAL – Columbia College of Missouri

    Page 2 of 2https://ccis.ucourses.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=2096475&grpid=0&isprv=0&bp=0&ou=1044161

    **## week8.docx**

    1

    5

    Week 8 510 discussion 1 (250 words)

    In Chapter 13, the authors make the case for and against community-based corrections. Discuss the benefits and challenges of this approach while considering the justifications made by the authors. Ultimately, what is your view and why?

    Souryal, S. S., & Whitehead, J. T. (2019). Ethics in Criminal Justice (7th ed.). Taylor & Francis. https://ccis.vitalsource.com/books/9780429682162

    Week 8 535 discussion 2 (250 words)

    If you have a performance budget prepared to show the allocations accomplishing each objective, why would you need a line item budget?

    Chen, G. G., Weikart, L. A., & Williams, D. W. (2014). Budget Tools: Financial Methods in the Public Sector (2nd ed.). SAGE Publications, Inc. (US). https://ccis.vitalsource.com/books/9781483324050

    **Week 8 535 paper**

    Create a budget assessment checklist with at least six criteria based on the budgeting principles you have studied over the past seven weeks. Your checklist should reflect insights from your previous readings and reviews of public agency budgets, with criteria such as whether a statement of need is included or if performance objectives are measurable. Identify the type of budget you are measuring, then apply your checklist to an actual government agency’s budget. For each criterion, explain the results, for example, “a performance objective is not measurable because…”. Present the checklist in a spreadsheet or chart format, including space for your assessment comments.

    Chen, G. G., Weikart, L. A., & Williams, D. W. (2014). Budget Tools: Financial Methods in the Public Sector (2nd ed.). SAGE Publications, Inc. (US). https://ccis.vitalsource.com/books/9781483324050

    **## Assignment8-MSCJ535ADE-BUDGETINGANDPLANNINGFORCRIMINAL.pdf**

    11/23/25, 9:44 PMAssignment 8 – MSCJ 535 ADE – BUDGETING AND PLANNING FOR CRIMINAL – Columbia College of Missouri

    Page 1 of 2https://ccis.ucourses.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=2096475&grpid=0&isprv=0&bp=0&ou=1044161

    Assignment 8 Rubric
    Course: MSCJ 535 ADE – BUDGETING AND PLANNING FOR CRIMINAL

    Total

    Overall Score

    Criteria Exemplary Intermediate Emerging Criterion Score

    Budget Assessment

    Checklist

    / 15

    Budget Identification,

    Application of Criteria, and

    Explanation of Results

    / 60

    Mechanics and APA

    Compliance

    / 20

    15 points

    A budget assessment checklist is

    created using at least six criteria

    from the course materials.

    10 points

    A budget assessment checklist is

    created using five criteria from

    the course materials.

    0 points

    A budget assessment checklist is

    created using fewer than five

    criteria from the course materials.

    60 points

    The type of budget being

    assessed is identified. All six

    criteria are effectively applied to

    the budget, and the results are

    reported in a spreadsheet or

    chart format.

    50 points

    The type of budget being

    assessed is identified. Five

    criteria are effectively applied to

    the budget, and the results are

    reported in a spreadsheet or

    chart format.

    0 points

    The type of budget being

    assessed is identified. The

    checklist criteria are applied to

    the budget, and the results are

    reported in a spreadsheet or

    chart format.

    20 points

    The text is essentially error-free

    and adheres to basic APA

    formatting standards.

    10 points

    The text contains a few minor

    grammatical and/or APA

    formatting errors.

    0 points

    Readability is affected due to

    multiple grammatical and APA

    formatting errors.

    Exemplary
    90 points minimum

    Intermediate
    70 points minimum

    Emerging
    0 points minimum

    11/23/25, 9:44 PMAssignment 8 – MSCJ 535 ADE – BUDGETING AND PLANNING FOR CRIMINAL – Columbia College of Missouri

    Page 2 of 2https://ccis.ucourses.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=2096475&grpid=0&isprv=0&bp=0&ou=1044161

    **## week8.docx**

    1

    5

    Week 8 510 discussion 1 (250 words)

    In Chapter 13, the authors make the case for and against community-based corrections. Discuss the benefits and challenges of this approach while considering the justifications made by the authors. Ultimately, what is your view and why?

    Souryal, S. S., & Whitehead, J. T. (2019). Ethics in Criminal Justice (7th ed.). Taylor & Francis. https://ccis.vitalsource.com/books/9780429682162

    Week 8 535 discussion 2 (250 words)

    If you have a performance budget prepared to show the allocations accomplishing each objective, why would you need a line item budget?

    Chen, G. G., Weikart, L. A., & Williams, D. W. (2014). Budget Tools: Financial Methods in the Public Sector (2nd ed.). SAGE Publications, Inc. (US). https://ccis.vitalsource.com/books/9781483324050

    **Week 8 535 paper**

    Create a budget assessment checklist with at least six criteria based on the budgeting principles you have studied over the past seven weeks. Your checklist should reflect insights from your previous readings and reviews of public agency budgets, with criteria such as whether a statement of need is included or if performance objectives are measurable. Identify the type of budget you are measuring, then apply your checklist to an actual government agency’s budget. For each criterion, explain the results, for example, “a performance objective is not measurable because…”. Present the checklist in a spreadsheet or chart format, including space for your assessment comments.

    Chen, G. G., Weikart, L. A., & Williams, D. W. (2014). Budget Tools: Financial Methods in the Public Sector (2nd ed.). SAGE Publications, Inc. (US). https://ccis.vitalsource.com/books/9781483324050

    **## Assignment8-MSCJ535ADE-BUDGETINGANDPLANNINGFORCRIMINAL.pdf**

    11/23/25, 9:44 PMAssignment 8 – MSCJ 535 ADE – BUDGETING AND PLANNING FOR CRIMINAL – Columbia College of Missouri

    Page 1 of 2https://ccis.ucourses.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=2096475&grpid=0&isprv=0&bp=0&ou=1044161

    Assignment 8 Rubric
    Course: MSCJ 535 ADE – BUDGETING AND PLANNING FOR CRIMINAL

    Total

    Overall Score

    Criteria Exemplary Intermediate Emerging Criterion Score

    Budget Assessment

    Checklist

    / 15

    Budget Identification,

    Application of Criteria, and

    Explanation of Results

    / 60

    Mechanics and APA

    Compliance

    / 20

    15 points

    A budget assessment checklist is

    created using at least six criteria

    from the course materials.

    10 points

    A budget assessment checklist is

    created using five criteria from

    the course materials.

    0 points

    A budget assessment checklist is

    created using fewer than five

    criteria from the course materials.

    60 points

    The type of budget being

    assessed is identified. All six

    criteria are effectively applied to

    the budget, and the results are

    reported in a spreadsheet or

    chart format.

    50 points

    The type of budget being

    assessed is identified. Five

    criteria are effectively applied to

    the budget, and the results are

    reported in a spreadsheet or

    chart format.

    0 points

    The type of budget being

    assessed is identified. The

    checklist criteria are applied to

    the budget, and the results are

    reported in a spreadsheet or

    chart format.

    20 points

    The text is essentially error-free

    and adheres to basic APA

    formatting standards.

    10 points

    The text contains a few minor

    grammatical and/or APA

    formatting errors.

    0 points

    Readability is affected due to

    multiple grammatical and APA

    formatting errors.

    Exemplary
    90 points minimum

    Intermediate
    70 points minimum

    Emerging
    0 points minimum

    11/23/25, 9:44 PMAssignment 8 – MSCJ 535 ADE – BUDGETING AND PLANNING FOR CRIMINAL – Columbia College of Missouri

    Page 2 of 2https://ccis.ucourses.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=2096475&grpid=0&isprv=0&bp=0&ou=1044161

    – 1
    – 2

  • [Solved] 555-2

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    Answer each question with at least 5 sentences each with at least 1 reference. No AI Please this needs to should real 1. Imagine you are interviewing for your first teaching position and are asked the following question: What instructional strategies have you found to be most effective in improving…

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    Assignment Prompt & Instructions

    Answer each question with at least 5 sentences each with at least 1 reference. No AI Please this needs to should real
    1. Imagine you are interviewing for your first teaching position and are asked the following question: What instructional strategies have you found to be most effective in improving student learning and what research-based learning theory or theories support these strategies?
    How would you respond?
    2. What are factors to consider when selecting which instructional strategies to use in planning a lesson? What role does the content area have in determining strategy selection? How does age or grade level affect which strategies to choose?

  • [Solved] 555-types and purposes

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    Various forms of instructional strategies can be implemented in the classroom to inform instruction and create student engagement, while also meeting the diverse needs of students. Instructional strategies come in varying forms, ranging from direct instruction provided by the teacher to student-cent…

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    Assignment Prompt & Instructions

    Various forms of instructional strategies can be implemented in the classroom to inform instruction and create student engagement, while also meeting the diverse needs of students. Instructional strategies come in varying forms, ranging from direct instruction provided by the teacher to student-centered approaches like collaborative work groups amongst students. While many instructional strategies can be utilized across content areas, some instructional strategies may be more appropriate than others based on the standard and learning objective of a lesson.
    Complete the “Instructional Strategies Chart” to describe teacher-centered and student-centered instructional strategies, align instructional practices, and reflect.
    **Part 1: Examining Instructional Strategies**
    Describe the defining characteristics and examples of each instructional strategy (50 words per strategy) related to direct instruction, concept attainment, inquiry, and cooperative learning. Research two additional instructional strategies of your choice.
    **Part 2: Aligning Instructional Strategies**
    Copy and paste your grade level, state standard, and learning objective from Part 2 of the Topic 1 Learning Objectives and Standard Alignment assignment into the chart.
    Tennessee Standard is 2.AO.A.1 2nd grade
    Provide three examples of instructional strategies that effectively support students in achieving the established learning objective and a brief justification of the alignment (75 words per example).
    **Part 3: Video Reflection**
    Using the topic Resources and your own research, 200 word reflecting on the following:
    – Summary of your findings in your examination of instructional strategies, including which approaches and strategies most resonate with you.
    – Explanation of how instructional strategies relate to learning theories (e.g., behaviorism, cognitivism) and include at least two specific examples. Include a discussion on why pedagogical knowledge of theories and research on effective teaching are beneficial, regardless of the content area you plan to teach.
    – Description of instructional strategies that you can incorporate into your future professional practice to enhance student achievement, improve critical/higher-order thinking, and promote student engagement and motivation.
    Support your chart and reflection with a minimum of three scholarly resources.
    \
    ELM-555-RS-T2-InstructionalStrategiesChart.docx](https://www.sweetstudy.com/files/elm-555-rs-t2-instructionalstrategieschart-docx-10458375 "ELM-555-RS-T2-InstructionalStrategiesChart.docx")

  • [Solved] Week 3 Project plan

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    Executive Solution Overview

    As the project manager for ILS’s new logistics services in your selected country, you previously completed a project charter and elements of a project management plan (PMP). In this final assignment for the project management portion of this course, you will develop a complete PMP using your work fr…

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    Assignment Prompt & Instructions

    As the project manager for ILS’s new logistics services in your selected country, you previously completed a project charter and elements of a project management plan (PMP). In this final assignment for the project management portion of this course, you will develop a complete PMP using your work from the prior two weeks and new work from Week 3.
    To complete the Final Project Management Plan, you may modify the previously submitted scope and schedule baselines and the project budget. Then, develop a final plan for submission to the DLS and the country's business development manager, human resources manager, and project team.
    In your Final Project Management Plan,
    – Revise your Week 2 project scope. (Include the final scope in this PMP.)
    – Adjust your Week 2 project schedule. (Include the final schedule in this PMP and include an appendix showing the detailed schedule in ProjectLibre and copied to a PDF file).
    – Update your Week 2 project budget. (Include the final project budget in this PMP and include an appendix showing the detailed budget in an appendix, whether in ProjectLibre (copy to a PDF file) or MS Excel.
    – Discuss your leadership approach for this project, bearing in mind the culture of the country the newly acquired logistics service is in.
    – Recommend an approach to allocate human resources to the project and any trade-offs with day-to-day operations.
    – Describe the solutions to improve operations, reduce waste and costs, ensure a safe work environment, and contribute to protecting the planet.
    – Create a risk management plan.
    – Describe your approach to ensure delivery of high-quality results.
    – Describe how you will manage change control going forward.
    – Summarize the PMP for senior leadership.
    – Include solutions that may appeal to Walmart.
    Again, use the discussion forums and assignments in Weeks 1 and 2 to complete the Final Project Management Plan. Take the opportunity to improve prior work based on feedback from the instructor and your own appraisal.
    The Final Project Management Plan paper
    – must be five to six double-spaced pages in length (not including appendices, title, and references pages) and formatted according to APA
    –  must utilize academic voice.
    must include an introduction and conclusion paragraph.
    – Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper.
    –  must use at least three scholarly, peer-reviewed, or credible sources in addition to the course text

  • [Solved] case study

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    **Module 4: Case Study** Please, analyze the following case study to identify strategic and cultural mistakes, evaluate expert recommendations, and propose a viable recovery plan for the company. **Instructions:** **Case Review:** Read the case study [**PeopleExpress: Can Don Burr Go Back to the Fut…

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    Assignment Prompt & Instructions

    **Module 4: Case Study**
    Please, analyze the following case study to identify strategic and cultural mistakes, evaluate expert recommendations, and propose a viable recovery plan for the company.
    **Instructions:**
    **Case Review:**
    Read the case study [**PeopleExpress: Can Don Burr Go Back to the Future?**](https://onlinecampus.atlantisuniversity.edu/mod/resource/view.php?id=244064)
    **Analysis Tasks:**
    1. Identify and describe the main strategic mistakes and cultural misalignments that contributed to the company’s challenges.
    2. Evaluate the recommendations provided by experts within or outside the case context.
    3. Develop a recovery plan that addresses both the strategic and cultural aspects, ensuring sustainability.
    **Deliverables:**
    – **Written Report**: 4–5 pages, APA format, including citations and references.
    \
    CASE-PEOPLEEXPRESS.pdf](https://www.sweetstudy.com/files/case-peopleexpress-pdf "CASE-PEOPLEEXPRESS.pdf")

  • [Solved] Nursing Assignment

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    – ## ClinicalIISIM4CaseStudies.docx **## ClinicalIISIM4CaseStudies.docx** **_Nursing Program_** ![A blue and yellow logo Description automatically generated](https://www.sweetstudy.com/questions/nursing-assignment-20951367) **Clinical II – SIM 4 – Case Studies** *to be done early in the semester **…

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    Assignment Prompt & Instructions

    – ## ClinicalIISIM4CaseStudies.docx

    **## ClinicalIISIM4CaseStudies.docx**

    **_Nursing Program_**

    ![A blue and yellow logo Description automatically generated](https://www.sweetstudy.com/questions/nursing-assignment-20951367)

    **Clinical II – SIM 4 – Case Studies**

    *to be done early in the semester

    **Case Study 1**

    **Scenario**

    P.M., 24-year-old house painter, too ill to work the past 3 days. Arrived at your outpatient clinic with his girlfriend, he seems alert but acutely ill, with an average build & a deep tan over the exposed areas of skin. He reports headaches, joint pain, a low-grade fever, cough, anorexia, & nausea and vomiting (N/V), especially after eating any fatty food.

    P.M. describes vague abdominal pain that started about the same time as the other problems. He states that he has been using “a lot of Tylenol” for his pain. His past medical history reveals he has no health problems, is a nonsmoker, & drinks “a few” beers each evening to relax.

    Vital signs are 128/84, 88, 26, 100.6 ° F (38.1 ° C); awake, alert, & oriented × 3; moves all extremities well with complaints of aching pain in his muscles; very slight scleral jaundice present; heart & lung sound clear & without adventitious sounds; bowel sounds clear throughout abdomen & pelvis; & abdomen soft & palpable without distinct masses. You note moderate hepatomegaly measured at the midclavicular line; liver edge is easily palpated & tender to palpation. P.M. mentions that his urine has been getting darker over the past 2 days.

    **1.** **Your institution uses electronic charting. Based on the health history and assessment described in the scenario, which of the following systems would you mark as “abnormal” as you document your findings? Mark abnormal findings with an X and provide a brief narrative.**

    X Abnormal

    ☐ Neurologic:

    ☐ Respiratory:

    ☐ Cardiovascular:

    ☐ Gastrointestinal:

    ☐ Genitourinary:

    ☐ Musculoskeletal:

    ☐ Skin:

    ☐ Pain:

    **Case Study Progress**

    P.M. is manifesting key signs of hepatitis. Laboratory work is requested for identification of his precise problem.

    **2. Which key diagnostic tests will determine exactly what type of hepatitis is present?**

    **Laboratory Test Results**

    | | |
    | — | — |
    | Sodium  <br>Potassium  <br>Chloride  <br>CO2  <br>BUN  <br>Creatinine  <br>Platelets  <br>Indirect bilirubin  <br>Total bilirubin  <br>Albumin  <br>Total protein  <br>ALT  <br>AST <br>LDH  <br>ALP  <br>PT/INR  <br>aPTT  <br>Urine urobilinogen  <br>Anti-HAV  <br>IgM  <br>HBsAg | 140 mEq/L  <br>3.9 mEq/L  <br>102 mEq/L  <br>26 mEq/L  <br>10 mg/dL  <br>1.3mg/dL  <br>210,000/mm3  <br>1.6 mg/dL  <br>2.3 mg/dL  <br>3.8 g/dL  <br>6.5 g/dL  <br>66 units/L  <br>52 units/L <br>245 units/L  <br>176 units/L  <br>12 sec/1.06  <br>32 sec  <br>1.6 IU/L  <br>Negative  <br>Negative <br>Positive |

    **3. Which of P.M.’s laboratory results specifically indicate liver disease?**

    **4. What is the difference between the hepatitis B surface antigen (HbsAg) and the hepatitis B surface antibody (HbsAb)?**

    **5. What factors in his history could have compounded the increased ALT levels?**

    **6. Considering the basic pathology of hepatitis, what type of diet will you strongly encourage P.M. to follow?**

    **7. For each characteristic below, identify whether it describes hepatitis A (A) or hepatitis B (B).**

    ______a. Fecal-oral transmission.

    ______ b. Transmitted by sharing needles.

    ______ c. Transmitted by blood transfusions.

    ______ d. Vaccination is a three-shot series.

    ______ e. Illness is usually mild, similar to a flulike infection.

    ______ f. Symptoms include anorexia, nausea, vomiting, fever, fatigue, and jaundice.

    **8. In P.M.’s case, the HbsAg is positive. This result indicates that P.M. is infected with hepatitis B and is in the acute period of the disease. Is this disease contagious? What precautions would you take while he is in the hospital?**

    **9. Pruritus is usually associated with jaundice. What will you do to ease this problem for P.M.? Name five interventions.**

    **10. How will you explain to P.M. the likely progression of his disease?**

    **11. P.M. is living at home with his parents and four younger siblings. The youngest is 4 years old. His parents ask how to prevent the rest of the family from getting hepatitis. What specific instructions will you give?**

    **12. How will you know that these instructions are understood?**

    **13. Given P.M.’s lifestyle, what specific patient teaching points must you emphasize?**

    **Case Study Progress**

    P.M. is ready for discharge in a few days, & he confides to you that he feels so “guilty” about having hepatitis and endangering his girlfriend and family. He tells you he was at a party and did not think the one-time needle use could hurt him. He has lost his job because he is not able to go back to work & he hopes his family is not too afraid to have him return home.

    **14. What action will you take?**

    **Case Study 2**

    As a senior student you are assigned to work with a preceptor in the emergency department. It is a remarkably busy day, & it seems as if every patient, regardless of chief complaint, has an issue with fluid, electrolyte, and or acid-base balance.

    The first patient you see is a thirty-seven-year-old landscaper who is brought to the ED after collapsing on a job at the local country club. He is slightly confused but can tell you he feels dizzy & weak. His skin is flushed, dry, and with poor turgor. He has dry, sticky mucous membranes. The nurse identifies a nursing diagnosis of deficient fluid volume.

    **1. Describe how each of the following would change and the rationale for the change in the presence of deficient fluid volume**

    | | | |
    | — | — | — |
    | **Parameter** | **Expected Change** | **Rationale** |
    | Heart rate | | |
    | Blood pressure | | |
    | Serum hematocrit | | |
    | Urinary output | | |
    | Urine specific gravity | | |
    | Weight | | |

    2.
    **What is usually the first indicator that an individual needs more fluids?**

    3.
    **The ED physician orders IV fluids for this patient. What types of fluids are indicated for a fluid volume deficit due to dehydration?**

    The preceptor tells you to go ahead & initiate an IV site and start the fluids. The fluid order is to start 1000 mL of fluid as ordered at 150 mL/hr. The infusion tubing has a drop factor of 15 gtt/mL.

    4.
    **This infusion will run by gravity rather than an infusion pump. How many drops per minute should you time the infusion at to ensure the correct hourly rate? (See Chapter 22 in “Calculate with Confidence)**

    5.
    **The patient has a “full sleeve” tattoo on both arms. Discuss the implications of this finding and how you will initiate the intravenous site.**

    6.
    **You have difficulty finding a vein in the presence of the deficient fluid volume. What strategies can you employ to help make a vein more visible/palpable?**

    7.
    **After 30 minutes of the infusion, the patient states, “My arm where the needle is feels funny.” What should you do first? What further data do you need from the patient?**

    Several hours later the patient is feeling better & is now oriented x 3. The ED physician wants the patient to be drinking oral fluids without difficulty prior to being discharged from the ED.

    8.
    **Discuss the strategies to increase fluid intake that are most appropriate to this setting.**

    9
    **The patient is discharged after adequate hydration. Discharge teaching includes ways to prevent this from happening again on the job. What key points should the nurse include in the teaching applicable to the job site?**

    **_*Turn in to SIM4 Case Study Folder in D2L Dropbox_**

    LAST UPDATED 12/22/23
    ![A blue and yellow logo Description automatically generated](https://www.sweetstudy.com/questions/nursing-assignment-20951367) Page 1 | 1

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    **## ClinicalIISIM4CaseStudies.docx**

    **_Nursing Program_**

    ![A blue and yellow logo Description automatically generated](https://www.sweetstudy.com/questions/nursing-assignment-20951367)

    **Clinical II – SIM 4 – Case Studies**

    *to be done early in the semester

    **Case Study 1**

    **Scenario**

    P.M., 24-year-old house painter, too ill to work the past 3 days. Arrived at your outpatient clinic with his girlfriend, he seems alert but acutely ill, with an average build & a deep tan over the exposed areas of skin. He reports headaches, joint pain, a low-grade fever, cough, anorexia, & nausea and vomiting (N/V), especially after eating any fatty food.

    P.M. describes vague abdominal pain that started about the same time as the other problems. He states that he has been using “a lot of Tylenol” for his pain. His past medical history reveals he has no health problems, is a nonsmoker, & drinks “a few” beers each evening to relax.

    Vital signs are 128/84, 88, 26, 100.6 ° F (38.1 ° C); awake, alert, & oriented × 3; moves all extremities well with complaints of aching pain in his muscles; very slight scleral jaundice present; heart & lung sound clear & without adventitious sounds; bowel sounds clear throughout abdomen & pelvis; & abdomen soft & palpable without distinct masses. You note moderate hepatomegaly measured at the midclavicular line; liver edge is easily palpated & tender to palpation. P.M. mentions that his urine has been getting darker over the past 2 days.

    **1.** **Your institution uses electronic charting. Based on the health history and assessment described in the scenario, which of the following systems would you mark as “abnormal” as you document your findings? Mark abnormal findings with an X and provide a brief narrative.**

    X Abnormal

    ☐ Neurologic:

    ☐ Respiratory:

    ☐ Cardiovascular:

    ☐ Gastrointestinal:

    ☐ Genitourinary:

    ☐ Musculoskeletal:

    ☐ Skin:

    ☐ Pain:

    **Case Study Progress**

    P.M. is manifesting key signs of hepatitis. Laboratory work is requested for identification of his precise problem.

    **2. Which key diagnostic tests will determine exactly what type of hepatitis is present?**

    **Laboratory Test Results**

    | | |
    | — | — |
    | Sodium  <br>Potassium  <br>Chloride  <br>CO2  <br>BUN  <br>Creatinine  <br>Platelets  <br>Indirect bilirubin  <br>Total bilirubin  <br>Albumin  <br>Total protein  <br>ALT  <br>AST <br>LDH  <br>ALP  <br>PT/INR  <br>aPTT  <br>Urine urobilinogen  <br>Anti-HAV  <br>IgM  <br>HBsAg | 140 mEq/L  <br>3.9 mEq/L  <br>102 mEq/L  <br>26 mEq/L  <br>10 mg/dL  <br>1.3mg/dL  <br>210,000/mm3  <br>1.6 mg/dL  <br>2.3 mg/dL  <br>3.8 g/dL  <br>6.5 g/dL  <br>66 units/L  <br>52 units/L <br>245 units/L  <br>176 units/L  <br>12 sec/1.06  <br>32 sec  <br>1.6 IU/L  <br>Negative  <br>Negative <br>Positive |

    **3. Which of P.M.’s laboratory results specifically indicate liver disease?**

    **4. What is the difference between the hepatitis B surface antigen (HbsAg) and the hepatitis B surface antibody (HbsAb)?**

    **5. What factors in his history could have compounded the increased ALT levels?**

    **6. Considering the basic pathology of hepatitis, what type of diet will you strongly encourage P.M. to follow?**

    **7. For each characteristic below, identify whether it describes hepatitis A (A) or hepatitis B (B).**

    ______a. Fecal-oral transmission.

    ______ b. Transmitted by sharing needles.

    ______ c. Transmitted by blood transfusions.

    ______ d. Vaccination is a three-shot series.

    ______ e. Illness is usually mild, similar to a flulike infection.

    ______ f. Symptoms include anorexia, nausea, vomiting, fever, fatigue, and jaundice.

    **8. In P.M.’s case, the HbsAg is positive. This result indicates that P.M. is infected with hepatitis B and is in the acute period of the disease. Is this disease contagious? What precautions would you take while he is in the hospital?**

    **9. Pruritus is usually associated with jaundice. What will you do to ease this problem for P.M.? Name five interventions.**

    **10. How will you explain to P.M. the likely progression of his disease?**

    **11. P.M. is living at home with his parents and four younger siblings. The youngest is 4 years old. His parents ask how to prevent the rest of the family from getting hepatitis. What specific instructions will you give?**

    **12. How will you know that these instructions are understood?**

    **13. Given P.M.’s lifestyle, what specific patient teaching points must you emphasize?**

    **Case Study Progress**

    P.M. is ready for discharge in a few days, & he confides to you that he feels so “guilty” about having hepatitis and endangering his girlfriend and family. He tells you he was at a party and did not think the one-time needle use could hurt him. He has lost his job because he is not able to go back to work & he hopes his family is not too afraid to have him return home.

    **14. What action will you take?**

    **Case Study 2**

    As a senior student you are assigned to work with a preceptor in the emergency department. It is a remarkably busy day, & it seems as if every patient, regardless of chief complaint, has an issue with fluid, electrolyte, and or acid-base balance.

    The first patient you see is a thirty-seven-year-old landscaper who is brought to the ED after collapsing on a job at the local country club. He is slightly confused but can tell you he feels dizzy & weak. His skin is flushed, dry, and with poor turgor. He has dry, sticky mucous membranes. The nurse identifies a nursing diagnosis of deficient fluid volume.

    **1. Describe how each of the following would change and the rationale for the change in the presence of deficient fluid volume**

    | | | |
    | — | — | — |
    | **Parameter** | **Expected Change** | **Rationale** |
    | Heart rate | | |
    | Blood pressure | | |
    | Serum hematocrit | | |
    | Urinary output | | |
    | Urine specific gravity | | |
    | Weight | | |

    2.
    **What is usually the first indicator that an individual needs more fluids?**

    3.
    **The ED physician orders IV fluids for this patient. What types of fluids are indicated for a fluid volume deficit due to dehydration?**

    The preceptor tells you to go ahead & initiate an IV site and start the fluids. The fluid order is to start 1000 mL of fluid as ordered at 150 mL/hr. The infusion tubing has a drop factor of 15 gtt/mL.

    4.
    **This infusion will run by gravity rather than an infusion pump. How many drops per minute should you time the infusion at to ensure the correct hourly rate? (See Chapter 22 in “Calculate with Confidence)**

    5.
    **The patient has a “full sleeve” tattoo on both arms. Discuss the implications of this finding and how you will initiate the intravenous site.**

    6.
    **You have difficulty finding a vein in the presence of the deficient fluid volume. What strategies can you employ to help make a vein more visible/palpable?**

    7.
    **After 30 minutes of the infusion, the patient states, “My arm where the needle is feels funny.” What should you do first? What further data do you need from the patient?**

    Several hours later the patient is feeling better & is now oriented x 3. The ED physician wants the patient to be drinking oral fluids without difficulty prior to being discharged from the ED.

    8.
    **Discuss the strategies to increase fluid intake that are most appropriate to this setting.**

    9
    **The patient is discharged after adequate hydration. Discharge teaching includes ways to prevent this from happening again on the job. What key points should the nurse include in the teaching applicable to the job site?**

    **_*Turn in to SIM4 Case Study Folder in D2L Dropbox_**

    LAST UPDATED 12/22/23
    ![A blue and yellow logo Description automatically generated](https://www.sweetstudy.com/questions/nursing-assignment-20951367) Page 1 | 1

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    ## image2.png

    ## image3.png

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