KAPLAN MN556 Full Course Latest 2017 June Question # 00599682 Subject: Education Due on: 03/20/2019 Posted On: 03/20/2019 05:28 AM Tutorials: 1 Rating: 4.7/5

MN556
Primary Care Across the Adult Age Continuum III

Unit 1
Discussion

DQ1 Diagnostic Exams

Who is ready to play detective? You are going to give clues
and be detectives with diagnostic laboratory values. For your initial post you
will post common assessment data that you may ascertain in the exam room and
the abnormal results of a diagnostic exam(s) that relate to a specific disease
but do not give away the specific disease. Your fellow students will then be
the detectives to determine the diagnosis. After the diagnosis is determined
(remember to go back and check if your classmates choose the correct diagnosis)
your fellow students will discuss if the diagnostic exams were cost effective
in diagnosing the disease and if any further exams need to be order.

DQ2 Introduction

Please take time to introduce yourself to your peers.
Provide some information on your background in nursing, in what education track
you are currently enrolled, and your future area of practice.

MN556
Primary Care Across the Adult Age Continuum III

Unit 2
Discussion

Obtaining Assessment Data from Adults with Developmental
Disabilities

There are health care disparities in individuals with
developmental disabilities (DD). This vulnerable population experiences many
issues when accessing health care. One of those issues are clinicians that are
knowledgeable and skilled in the treatment of adults with DD. Discuss some
strategies that you would implement when assessing subjective and objective
data from a patient with developmental disability.

MN556
Primary Care Across the Adult Age Continuum III

Unit 3
Discussion

DQ1 Symptom Management in Palliative and End of Life Care

At some point Advance Practice Nurses care for patients that
are dying. Holistic end of life care is an important goal for healthcare
providers. Please choose a common symptom in patients in end of life and
discuss a culturally sensitive management plan of care.

DQ2 The Role of the Advance Practice Nurse in Palliative and
Hospice Care

What is the difference be hospice and palliative care? What
is the role of the Advance Practice Nurse in both hospice and palliative care?
Are Advance Practice Nurses reimbursed for Hospice and Palliative care?

MN556
Primary Care Across the Adult Age Continuum III

Unit 4
Discussion

DQ1 Managing Chronic Diseases During Pregnancy

Please choose a chronic condition that pregnant women may
have prior to pregnancy and discuss how you would manage that chronic condition
using an evidence based plan of care during each stage of pregnancy.

DQ2 Caring for the Prenatal Client

As an Advanced Practice Nurse working in women’s health you
may be managing a woman during her pregnancy. Discuss the different aspect of
prenatal care. Develop a case study and detail what will be included in your
assessment of this patient, which screenings would be completed, which health
promotion strategies you would discuss, and pertinent diagnostic exams.

Anticipatory guidance is also important. Discuss which
information is important during each trimester.

MN556
Primary Care Across the Adult Age Continuum III

Unit 5
Discussion

Management of Medical Emergencies in the Office Setting

Discuss specific management strategies that you might use to
stabilize a patient with a medical emergency in the office setting. Consider
any diagnostic exams you would order and discuss your rationale.

MN556
Primary Care Across the Adult Age Continuum III

Unit 6
Discussion

Managing Head Trauma in Primary Care

A 45 year old client comes into your office and states that
he slipped on ice in his driveway earlier that morning. He is complaining of
bilateral wrist pain and a headache. He does not remember if he hit his head
when he fell. Determine what diagnostic exams you would order with rationales
and discuss what your plan of care will be during that office visit and based
on the results of the diagnostic exams.

MN556
Primary Care Across the Adult Age Continuum III

Unit 7
Discussion

Caring for Clients Presenting with Non-Specific Symptoms

Clients that present to the primary care office with vague
symptoms can often be difficult for the Advanced Practice Nurse to diagnose. It
requires great assessment, diagnostic, and evaluation skills. Discuss what your
plan of care would be, including differential diagnoses and diagnostic exams for
patients that present with the following conditions:

Chest pain

Syncope/dizziness

In responding to your peers think about the cost
effectiveness of the plan of care.

DQ2 Practical Tools in Primary Care

Knowing where to find the information that you need is a
very important tool to use when in the primary care setting. Different
resources can help you effectively care for the client that presents with
non-specific situations. These tools can help you determine additional
assessment data that may be needed, develop a list of differential diagnoses,
list of diagnostic exams that may be needed and also help with your plan of
care. Perform an internet search on the different resources that are available
to use when you are working if your practice area. Manage a plan of care for
two of the possible differential diagnoses including determining what the
results of the diagnostic exams would be.

MN556
Primary Care Across the Adult Age Continuum III

Unit 8
Discussion

Caring for Clients Presenting with Non-Specific Symptoms

Clients that present the primary care office with vague
symptoms can often be difficult for the Advanced Practice Nurse to diagnose. It
requires great assessment, diagnostic, and evaluations skills. Discuss what
your plan of care would be, including differential diagnoses and diagnostic
exams for patients that present with the following conditions:

Nausea/Vomiting/Fever

Abdominal Pain

Headache

MN556
Primary Care Across the Adult Age Continuum III

Unit 9
Discussion

Caring for Patients with Chronic Illness

In this discussion you will create an age appropriate,
evidence based plan of care for a client that might present to a primary care
setting with a chronic disease or diseases. Make sure to include in the case
study subjective, objective, and assessment data. You will post this
information to the Discussion Board. Please provide a list of differential
diagnoses, diagnostic exams and create an evidenced based management plan for
the client. Be sure to provide a medication list and appropriate dosages.
Remember when creating a plan that this patient will have more than one chronic
disease and you should create a plan to involve all aspects of care. Comment on
peers plan of care in terms of cost effectiveness and evidenced based.

Groups are as follows according to your last name:

A-H: African American female with Congestive Heart Failure,
who has had a 20 pound weight gain in the past month. She also has Peripheral
Vascular Disease with Venous Insufficiency. This patient has a Grade III murmur
and takes anticoagulants.

I-P: Hispanic male who presents with Diabetes Type I and a
HGB A1C of 9. This patient also has Chronic pain related to Peripheral
Neuropathy and Unstable angina related to coronary Artery Disease.

Q-Z: African American male with a 10-year history of Chronic
Kidney disease, Diabetes Type II, and uncontrolled Hypertension with BP’s
ranging from 170/90–200/110.

MN556
Primary Care Across the Adult Age Continuum III

Unit 10
Discussion

DQ1 Medical Lawsuits

Find a lawsuit involving an Advance Practice Nurse and post
the case on the Discussion Board. Discuss what the Advance Practice Nurse could
have done differently in the case to avoid the lawsuit, e.g., further
assessments and diagnostic testing. Discuss the need for medical liability insurance
as an Advanced Practice Nurse.

DQ2 Best Practice

Discuss best practice guidelines to avoid medical lawsuits
in your future practice area. Also should Advance Practice Nurse purchase
liability insurance, why or why not?

MN556
Primary Care Across the Adult Age Continuum III

Unit 1 Assignment

Providing cost effective care without limiting access

Providing cost effective care is a professional aspect of
the Advance Nurse Practitioner’s role when caring for clients. Diagnostic
testing can aid in therapeutic decision making, but contributes substantially
to the cost of medical care. Testing is necessary in most cases, and if used
improperly can cause significant cost and not lend much to diagnostic accuracy.

Write a 3–5 page APA formatted paper on the need to provide
cost effective care without limiting access to care.

Discuss:

Why this is an important aspect of providing care to
patients

How care can be made more affordable without limiting access
to necessary care

How to maintain cost effectiveness and still get the needed
information for a diagnosis without ordering unnecessary diagnostic exams

Assignment Requirements

The finished Assignment should be a 3-5-page descriptive and
critical/evaluative essay, excluding the title page and references. The viewpoint
and purpose of this Assignment should be clearly established and sustained.

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as
displayed above)

consult the Grading Rubric (under the Course Resources) to
make sure you have included everything necessary;

utilize spelling and grammar check to minimize errors; and

review APA formatting and citation information found in the
KU Writing Center, online, or elsewhere in the course.

Your Assignment should:

follow the conventions of Standard American English (correct
grammar, punctuation, etc.);

be well ordered, logical, and unified, as well as original
and insightful;

display superior content, organization, style, and
mechanics; and

use APA 6th edition format for organization, style, and
crediting sources including:

properly formatted header

12-point, double-spaced, Times New Roman font

use of in-text citations

title page and reference page

use of headings (if applicable)

Submit the Assignment to the unit Dropbox before midnight on
the last day of the unit.

To view the Grading Rubric for this Assignment, please visit
the Course Resources.

MN556
Primary Care Across the Adult Age Continuum III

Unit 2 Assignment

Obtaining Services Within Your Community

The purpose of the Developmental Disabilities Assistance and
Bill of Rights Act of 2000 (DD Act) as described in the current law, is to
“assure that individuals with developmental disabilities and their families
participate in the design of and have access to needed community services,
individualized supports, and other forms of assistance that promote
self-determination, independence, productivity, and integration and inclusion
in all facets of community life…”

Investigate resources within your community that assist individuals
with developmental disabilities and their families with assuming
self-management and support for daily living.

Discuss:

What is the availability and eligibility of these resources
and services?

How do these services assist with developing their competencies
and talents and help them gain control over life circumstances?

Choose a disability and discuss services offered in your
area that helps to improve the life circumstances of these individuals

Explain the importance of these services to the family as a
whole and how these services aid with care for these individuals

The Developmental Disabilities Assistance and Bill of Rights
Act of 2000. (2000). United States Government, Public Law 106–402106th Congress

Assignment Requirements

The finished Assignment should be a 5-page exploratory
essay, excluding the title page and references. The viewpoint and purpose of
this Assignment should be clearly established and sustained.

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as
displayed above)

consult the Grading Rubric (under the Course Resources) to
make sure you have included everything necessary;

utilize spelling and grammar check to minimize errors; and

review APA formatting and citation information found in the
KU Writing Center, online, or elsewhere in the course.

Your Assignment should:

follow the conventions of Standard American English (correct
grammar, punctuation, etc.);

be well ordered, logical, and unified, as well as original
and insightful;

display superior content, organization, style, and
mechanics; and

use APA 6th edition format for organization, style, and
crediting sources including:

properly formatted header

12-point, double-spaced, Times New Roman font

use of in-text citations

title page and reference page

use of headings (if applicable)

Submit the Assignment to the unit Dropbox before midnight on
the last day of the unit.

MN556
Primary Care Across the Adult Age Continuum III

Unit 6 Assignment

Assignment: Managing Specific Medical Emergencies in Primary
Care

Using the groups below and according to your last name, you
will create an age appropriate, evidence based plan of care for a client that
might present to a primary care setting with one of the specific emergencies
listed below. Be sure that you:

Discuss the importance of being proficient in managing
medical emergencies in a primary care setting

Discuss how an evidence based plan of care is beneficial in
an emergency situation

Discuss appropriate subjective and objective information that
you may find in this emergency

Develop appropriate differential diagnoses, choose correct
diagnostic exams, and develop an evidence based management plan for this
patient.

Remember when creating a plan that this is an emergency
situation so base your plan accordingly.

Groups are as follows according to your last name:

A-H: Group A

I-P: Group B

Q-Z: Group C

Group A: Address Burns/Chemical Exposure for an infant less
than 1 year of age

Group B: Sexual Assault of an older adult of Hispanic
descent

Group C: Cardiac arrest in a pregnant female

Assignment Requirements

The finished Assignment should be a critical evaluation. The
viewpoint and purpose of this Assignment should be clearly established and
sustained.

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as
displayed above)

consult the Grading Rubric (under the Course Resources) to
make sure you have included everything necessary;

utilize spelling and grammar check to minimize errors; and

Your Assignment should:

be well ordered, logical, and unified, as well as original
and insightful;

display superior content, organization, style, and
mechanics; and

Submit the Assignment to the unit Dropbox before midnight on
the last day of the unit.

MN556
Primary Care Across the Adult Age Continuum III

Unit 9 Assignment

Managing Chronic Disease in the Primary Care Setting

Caring for clients with a chronic illness will mean multiple
visits and careful managing of their plan of care to include medications,
screening exams, and referral. More than 75% of all health care costs in the
United States due to chronic illness. The impact that this has on the
healthcare system is staggering. With the population aging and more chronic
illness occurring, it has never been more important to properly manage this
epidemic through the use of cost-effective, evidence based care where it
begins: In the primary care setting.

In a 4–5 page APA paper with a minimum of three APA
references,

Discuss the impact of chronic disease on health care as a whole.

Examine how evidence based plans of care can reduce the
health care cost burden placed on Americans and discuss cost effectiveness
achieved by the use of evidence based plans of care.

Discuss the role that advanced practice nurses play in
caring for patients with chronic illness from the standpoint of health
promotion, medication management, and symptom management, and the importance of
this role.

Assignment Requirements

The finished Assignment should be a 4-5 page descriptive and
exploratory essay, excluding the title page and references. The viewpoint and
purpose of this Assignment should be clearly established and sustained.

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as
displayed above)

consult the Grading Rubric (under the Course Resources) to
make sure you have included everything necessary;

utilize spelling and grammar check to minimize errors; and

review APA formatting and citation information found in the
KU Writing Center, online, or elsewhere in the course.

Your Assignment should:

follow the conventions of Standard American English (correct
grammar, punctuation, etc.);

be well ordered, logical, and unified, as well as original
and insightful;

display superior content, organization, style, and
mechanics; and

use APA 6th edition format for organization, style, and
crediting sources including:

properly formatted header

12-point, double-spaced, Times New Roman font

use of in-text citations

title page and reference page

use of headings (if applicable)

Submit the Assignment to the unit Dropbox before midnight on
the last day of the unit.

MN556
Primary Care Across the Adult Age Continuum III

Unit 1 Journal

Thoughts on providing cost effective care

In this unit, you focused on cost effective care. Describe
strategies that you have used in the past or any that you could use to provide
cost effective care to your patient population.

MN556
Primary Care Across the Adult Age Continuum III

Unit 2 Journal

Experiences with Caring for Patients with Developmental
Disabilities

Have you ever had to care for a client with developmental
disabilities? If so, what was your experience like; how did it make you feel?
What strategies worked out well and what strategies did not work out well in
caring for this patient? What would you have done differently?

MN556
Primary Care Across the Adult Age Continuum III

Unit 3 Journal

Coping with Caring in Palliative and End of Life Care

End of life care can be very difficult for Advance Practice
Nurses. Think about how you might feel when caring for a client and their
family during this time. What are some coping strategies you could implement
for yourself if needed?

MN556
Primary Care Across the Adult Age Continuum III

Unit 4 Journal

Caring for Substance Abuse during Pregnancy

There are many different aspects of care when your patient
is pregnant. How will you care for a woman who is pregnant that might be
ingesting substances that are harmful to her and the baby?

MN556
Primary Care Across the Adult Age Continuum III

Unit 5 Journal

Thoughts on Managing Emergency Situations

Medical emergencies in the office setting can be hard to
manage. Think about and discuss how you would handle an emergent situation in a
setting with limited resources.

MN556
Primary Care Across the Adult Age Continuum III

Unit 6 Journal

Preparing for Emergency Situations

Reflect on your readings over the past two units about
medical emergencies. What emergencies do you think are the hardest to manage
and how can you prepare for those situations?

MN556
Primary Care Across the Adult Age Continuum III

Unit 7 Journal

Providing Cost Effective Care

In managing care for a client who is complaining about
generalized symptoms, reflect on the concepts of cost effective care, and
providing the best practice.

MN556
Primary Care Across the Adult Age Continuum III

Unit 8 Journal

Reflection on the Unit Outcomes

Looking at the unit outcomes reflect on how you have met
them through the activities of this unit.

MN556
Primary Care Across the Adult Age Continuum III

Unit 9 Journal

Chronic Illness

Chronic illness is rampant in the United States. Patients
with diabetes, hypertension, and hyperlipidemia frequently present to primary
care health providers. Select one of these chronic medical conditions and
discuss why you think your choice is the most detrimental chronic medical
condition and support your rationale for choosing that condition.

MN556
Primary Care Across the Adult Age Continuum III

Unit 10 Journal

Ethical Care

In Readings for this unit, cite an ethical dilemma that you
have encountered in primary care. How did you approach this dilemma? What were
the outcomes?

MN556
Primary Care Across the Adult Age Continuum III

Unit 3 Quiz

Question 1

Palliative care is:

Question options:

providing a space to die

using a strong narcotic in patients who are at the end stage
of life

prevention and relief of suffering by means of early
identification, impeccable assessment, and treatment

communicating well and praying together with family

Question 2

Principles of palliative care are:

Question options:

providing adequate analgesic , disease management, and place
to die

psychosocial care, symptom control, and disease management

religious /spiritual support and psycho social care

disease management, intensive care, and symptom control

Question 3

The advanced practice nurse will best optimize patient
outcomes after an initial diagnosis of cancer by:

Question options:

initiating a timely referral for treatment

devising a plan for treatment that includes a hospice
referral

monitoring symptoms and treating accordingly

suggesting a psychological assessment

Question 4

Assessment of a palliative care patient’s spiritual or
religious beliefs by the nurse practitioner should encompass which of the
following?

Question options:

Screening for spiritual beliefs that may conflict with the
palliative care nurse practitioners religious practices

Encouraging the patient to join a religious community if
they do not already belong to one

Asking about spiritual customs or rituals around illness and
death that are meaningful to the patient

Assessing spiritual or religious beliefs only if the patient
volunteers information about religion and spirituality

Question 5

The key to effectively treating cancer pain is to:

Question options:

acknowledge its existence in a terminally ill patient

identify the underlying cause and treat accordingly

treat the pain aggressively from the beginning

educate the patient on non-pharmacologic means to keep the
pain at a minimum

MN556
Primary Care Across the Adult Age Continuum III

Unit 4 Quiz

Question 1

Carbohydrate intolerance and increased insulin resistance
first recognized in pregnancy is known as:

Question options:

overt diabetes

gestational diabetes

carbohydrate overload

iron-deficiency anemia

Question 2

Recommended weight gain during pregnancy for a woman with a
healthy body mass index (BMI) is:

Question options:

15–20 lb

20–30 lb

25–35 lb

35–45 lb

Question 3

A 25 year old woman presents in the 10th week of gestation
requesting antenatal screening for Down’s syndrome. What advice should the NP
give this patient?

Question options:

Because of her age, no specific testing is recommended

She should be referred for a second trimester ultrasound

Screening that combines nuchal translucency measurement and
biochemical testing is recommended

She should be referred to a genetic counselor

Question 4.The duration of antimicrobial therapy for
treatment of urinary tract infection in a pregnant woman is:

Question options:

3 days

5 days

7 days

10 days

Question 5

Regarding the risk for neonatal group B streptococcus (GBS)
disease, the NP considers that:

Question options:

about 50% to 70% of all pregnant women harbor this organism

these is no risk of the disease with a cesarean birth

the organism is most often acquired by vertical transmission
in the second trimester of pregnancy

intrapartum antimicrobials should be given to all women with
evidence of GBS colonization

MN556
Primary Care Across the Adult Age Continuum III

Unit 5 Quiz

Question 1

A 58 year old woman presents with a sudden left-sided
headache that is most painful in her left eye. Her vision is blurred, and the
left pupil is slightly dilated and poorly reactive. The left conjunctiva is
markedly injected, and the eyeball is firm. Vision screen with the Snellen
chart is 20/30 OD and 20/90 OS. The most likely diagnosis is:

Question options:

unilateral herpetic conjunctivitis

open-angle glaucoma

angle-closure glaucoma

anterior uveitis

Question 2

In caring for the patient in the first question, the most
appropriate next action is:

Question options:

prompt referral to an ophthalmologist

to provide analgesia and repeat the evaluation when the
patient is more comfortable

to instill a corticosteroid ophthalmic solution

to patch the eye and arrange for follow-up in 24 hours

Question 3

Which is most consistent with a patient presenting with
acute MI?

Question options:

A 5-minute episode of chest tightness brought on by stair
climbing

A severe, localized pain that penetrates the chest and lasts
about 3 hours

Chest pressure lasting 20 minutes that occurs at rest

Retrosternal diffuse pain for 30 minutes accompanied by
diaphoresis

Question 4

The psoas sign can be best described as abdominal pain
elicited by:

Question options:

deep palpation

passive extension of the hip

passive flexion and internal rotation of the hip

asking the patient to cough

Question 5

Which is least likely to be found in patients with pulmonary
embolus (PE)?

Question options:

Pleuritic chest pain

Tachypnea

DVT signs and symptoms

Hemoptysis

MN556
Primary Care Across the Adult Age Continuum III

Unit 6 Quiz

Question 1

A 26 year old man presents with acute abdominal pain. As
part of the evaluation for acute appendicitis, you order a white blood cell
count (WBC) with differential and anticipate the following results:

Question options:

total WBC’s 4500 mm; neutrophils 35%; bands 2%; lymphocytes
45%

total WBC’s 14,000 mm; neutrophils 55%; bands 3%;
lymphocytes 38%

total WBC’s 16,500 mm; neutrophils 66%; bands 8%; lymphocytes
22%

total WBC’s 18,100 mm; neutrophils 55%; bands 3%;
lymphocytes 28%

Question 2

Intervention for patients with heatstroke includes:

Question options:

total body ice packing

rehydration

fluid restriction

potassium supplementation

Question 3

A 38 year old woman with a long standing history of alcohol
abuse presents with a 4-day history of a mid-abdominal ache that radiates
through to her back, remains constant, and is accompanied by nausea and
vomiting. Abdominal assessment reveals slightly hyperactive bowel sounds with
rebound tenderness. Her skin is cool and moist with a blood pressure of 90/72
mm Hg, pulse rate of 120 bpm, and respiratory rate of 24/min. The most likely
diagnosis is:

Question options:

gastric ulcer

acute pancreatitis

acute alcohol poisoning

viral hepatitis

Question 4 Your
next best action in caring for the patient in the previous question is to:

Question options:

refer to the acute care hospital for admission

attempt office hydration after administration of an
analgesic agent

initiate therapy with ranitidine (Zantac) and an antacid

obtain serum electrolytes

Question 5

The classic clinical triad of ectopic pregnancy includes all
of the following except:

Question options:

abdominal pain

vaginal bleeding

large-for-gestational-age uterus

adnexal mass

MN556
Primary Care Across the Adult Age Continuum III

Unit 7 Quiz

Question 1

You examine a 38 year old woman who has presented for an
initial examination and Papanicolaou test. She has no complaints. Her blood
pressure (BP) is 144/98 mm Hg bilaterally and her body mass index (BMI) is 31.
The rest of her physical examination is unremarkable. Your next best action is
to:

Question options:

initiate antihypertensive therapy

arrange for at least two additional BP measurements during
the next 2 weeks

order blood urea nitrogen, creatinine, and potassium ion
measurements and urinalysis

advise her to reduce her sodium intake

Question 2

Which is most likely to be found in a person with acute
cholecystitis?

Question options:

Fever

Vomiting

Jaundice

Palpable gallbladder

Question 3

A 45 year old woman complains of periodic heartburn.
Examination reveals a single altered finding of epigastric tenderness without
rebound. As first line therapy, you advise:

Question options:

avoiding trigger foods

the use of a prokinetic agent

a daily dose of a proton pump inhibitor (PPI)

increased fluid intake with meals

Question 4

Which of the following is the most accurate information in
caring for a 40 year old male with cystitis?

Question options:

This is a common condition in men of this age

A gram-positive organism is the likely causative factor

Pyuria i