Week 3 Discussion-It’s a Small, Small World

NURS 3020 Health Assessment Week 3 Discussion-It’s a Small, Small World

Week 3 Discussion-It’s a Small, Small World

Health conditions, including heart disease and respiratory infections, have no borders. What happens in one part of the world has ripple effects through the other parts, including the United States. Technology has created an even smaller world, with nurses in instant contact and eager to share information.

You and your nursing colleagues live and work around this shrinking professional world. Your nursing experience working with diverse populations presents a rich opportunity to share your international health perspectives. This exercise is a growth opportunity in terms of how we see ourselves, the world, and how we interact with our patients during the health interview and health assessment process.

In this week’s Discussion, your stories will illustrate relevant social and cultural differences among yourselves and your patients. The collective experience will expand your individual nursing knowledge; improve upon our cultural humility and perspectives, in order to foster social and culturally-sensitive health interviews and assessments. This, in turn, contributes to safer and higher quality outcomes for your patients. Consider how your sensitive care is expressed through choice of your words, maintaining a distance that is culturally appropriate, and utilizing other techniques to negotiate through established social and cultural values. This leads to patient trust and comfort and a respectful nurse-patient relationship.

 

To Pr

epare

Review the Week 3 Discussion Rubric provided in the Course Information area.

Review Chapters 8 and 18–20 in the course text.

Review the article “Many Faces: Addressing Diversity in Health Care,” provided in this week’s Resources.

Review this week’s Writing Resources and Program Success Tools.

By Day 3

Post a substantive 2-paragraph response (at least 350 words) to one of the options below. Develop and post cohesive paragraphs, and use evidence to support your ideas.

Cohesive paragraphs

Evidence

Complete one of the following options (Option One, Option Two, or Option Three). Use the Discussion Rubric to develop your post.

Reflect on your reading from this week, and then address one of the following:

Option One:

Describe an incident, or incidents, in your own nursing practice in which you expressed social or cultural sensitivity in order to elicit a competent health history or assessment. Explain the positive impact your sensitivity had on patient care or collegial efficacy of patient care.

Option Two:

Describe a situation in which the absence of social or cultural sensitivity adversely impacted patient care or collegial efficacy of patient care. How could the situation been handled to produce a more positive outcome during the health interview or assessment?

Option Three:

Describe one or more situations that illustrate social or cultural humility, or insensitivity, among your colleagues in a manner that fostered improved peer cooperation or efficacy of patient care or impeded such care.

By Day 7

Read two or more of your colleagues’ postings for the Discussion question.

Respond to at least two of your colleagues in one of the following ways:

Expand upon their Discussion.

Suggest an alternative to their viewpoint.

Ask a clarifying question about a colleague’s proposed technique or strategy.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights you have gained as a result of the comments your colleagues made.

Provide a Discussion entry on three different days of the week. See the Discussion Rubric for more information.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message. Week 3 Discussion-It’s a Small, Small World

NURS 3020 Health Assessment Week 3 Quiz

• Question 1 When performing a respiratory assessment on a patient, the nurse notices a costal angle of approximately 90 degrees. This characteristic is:

Answers: a. Observed in patients with kyphosis.

b. Indicative of pectus excavatum.

c. A normal finding in a healthy adult.

d. An expected finding in a patient with a barrel chest.

• Question 2 When assessing a patient’s lungs, the nurse recalls that the left lung:

Answers: a. Consists of two lobes.

b. Is divided by the horizontal fissure.

c. Primarily consists of an upper lobe on the posterior chest.

d. Is shorter than the right lung because of the underlying stomach.

Question 3 The nurse is observing the auscultation technique of another nurse. The correct method to use when progressing from one auscultatory site on the thorax to another is _______ comparison.

Answers: a. Side-to-side

b. Top-to-bottom

c. Posterior-to-anterior

d. Interspace-by-interspace

• Question 4 When auscultating the lungs of an adult patient, the nurse notes that low-pitched, soft breath sounds are heard over the posterior lower lobes, with inspiration being longer than expiration. The nurse interprets that these sounds are:

Answers: a. Normally auscultated over the trachea.

b. Bronchial breath sounds and normal in that location.

c. Vesicular breath sounds and normal in that location.

d. Bronchovesicular breath sounds and normal in that location.

• Question 5 The direction of blood flow through the heart is best described by which of these? Answers: a. Vena cava ? right atrium ? right ventricle ? lungs ? pulmonary artery ? left atrium ? left ventricle

b. Right atrium ? right ventricle ? pulmonary artery ? lungs ? pulmonary vein ? left atrium ? left ventricle

c. Aorta ? right atrium ? right ventricle ? lungs ? pulmonary vein ? left atrium ? left ventricle ? vena cava

d. Right atrium ? right ventricle ? pulmonary vein ? lungs ? pulmonary artery ? left atrium ? left ventricle

• Question 6 A 45-year-old man is in the clinic for a routine physical examination. During the recording of his health history, the patient states that he has been having difficulty sleeping. “I’ll be sleeping great, and then I wake up and feel like I can’t get my breath.” The nurse’s best response to this would be:

Answers: a. “When was your last electrocardiogram?”

b. “It’s probably because it’s been so hot at night.”

c. “Do you have any history of problems with your heart?”

d. “Have you had a recent sinus infection or upper respiratory infection?”

• Question 7 In assessing a patient’s major risk factors for heart disease, which would the nurse want to include when taking a history?

Answers: a. Family history, hypertension, stress, and age

b. Personality type, high cholesterol, diabetes, and smoking

c. Smoking, hypertension, obesity, diabetes, and high cholesterol

d. Alcohol consumption, obesity, diabetes, stress, and high cholesterol

• Question 8 The mother of a 3-month-old infant states that her baby has not been gaining weight. With further questioning, the nurse finds that the infant falls asleep after nursing and wakes up after a short time, hungry again. What other information would the nurse want to have?

Answers: a. Infant’s sleeping position

b. Sibling history of eating disorders

c. Amount of background noise when eating

d. Presence of dyspnea or diaphoresis when sucking

• Question 9 In assessing the carotid arteries of an older patient with cardiovascular disease, the nurse would:

Answers: a. Palpate the artery in the upper one third of the neck.

b. Listen with the bell of the stethoscope to assess for bruits.

c. Simultaneously palpate both arteries to compare amplitude.

d. Instruct the patient to take slow deep breaths during auscultation.

• Question 10 Which statement is true regarding the arterial system?

Answers: a. Arteries are large-diameter vessels.

b. The arterial system is a high-pressure system.

c. The walls of arteries are thinner than those of the veins.

d. Arteries can greatly expand to accommodate a large blood volume increase.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

 

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

• Communication is so very important. There are multiple ways to communicate with me: 
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

 

Week 3 Discussion-It’s a Small, Small World