Leader as Change Agent, Understanding Culture – Organizational Culture Essay Assignment Paper

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Leader as Change Agent, Understanding Culture – Organizational Culture Essay Assignment Paper

Organizational Culture

Leaders have several strategies that they can use to create a culture of change in an organization. Leaders can utilize the mechanisms identified by Schein to educate current and prospective staff on the organization’s culture and how to maintain that awareness.
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Review “Understanding cultural and linguistic barriers to health literacy” from this week’s Electronic Reserve Readings.
Evaluate the primary embedding mechanisms and the secondary articulation and reinforcement mechanisms discussed in Ch. 9, Challenges of Change on p. 229 of your textbook.
Write a 700 to 1,000 word paper in which you will address the following:

  • Which of the five primary mechanisms can be used within your organization to refine, maintain, or change the organizations culture?
  • Which of the five secondary mechanisms can be used to reinforce the primary embedding mechanisms?
  • What impact does an organization’s culture have on the ability of a leader to drive change?

Provide in-text citations and references for all sources cited; format according to APA guidelines.
Click the Assignment Files tab to submit your assignment.
Leader as Change Agent, Understanding Culture – Organizational Culture Essay Assignment Paper

Patient Satisfaction Learning Team Project Summary: Decision Making Models

Week 3

Keeping the issue identified in Week 2 in mind, research decision-making models used in healthcare.

  • Discuss your findings on the team discussion board
  • As a team, choose two or three decision-making models to address the quality measure, using the issue you identified to illustrate the model.
  • Include discussion of why the model would be useful in this situation.

Write a 350 to 500 word paper summarizing the models chosen and applying them to the issue you identified in week 2
Format your summary consistent with APA guidelines.
Note. Points are awarded based on the quality of the content submitted and the degree to which assignment expectations are met.
Leader as Change Agent, Understanding Culture – Organizational Culture Essay Assignment Paper

6604 Theory Paper Assignment and Grade Criteria

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6604 Theory Paper Assignment and Grade Criteria
You can make up patient information. Just make sure you have a lot of evidence-based studies to back up diagnosis. Scholarly articles within the last five years. Also follow rubric as outlined, points will be deducted if the paper doesn’t follow the rubric exactly.  Use a theory that can be utilized in providing the best care possible to the patient. Explain how the theory will be utilized in patient’s care. Again all this information is attacked. Most importantly APA format!!!
6604 Theory Paper Assignment and Grade Criteria
This is a formal APA paper, not an opinion paper. Include the APA title page and reference pages.  The paper should be submitted using APA: 12 point font, Times New Roman, double-spaced, in Word format. The content should be covered in 6 pages or less (there is no minimum, be sure to adequately develop each section), not counting the title page and reference page.  Do not submit an abstract.  Do not submit more than 6 pages of content (not counting the title page and reference pages). Be sure and include a good introduction and conclusion, without repeating content. Use topic headings to separate each section (page 62 of the APA manual).  Do not overspace between headings and topics. Submit your paper in Canvas through Turnitin.
Do not quote unless it cannot be paraphrased without losing the meaning.  Wikipedia/other online dictionaries are not scholarly and cannot be used. Points are deducted if you use an online dictionary and each quote that can be paraphrased.  No date (n. d.), anonymous, or no author references are not acceptable. Do not use only web sites. Only .edu or .gov sites or a professional web site may be used. For all references, especially a weblink, the instructor must be able to access it without any special login information. PowerPoints/lectures/personal communications are not allowed.

Criteria Potential Points Actual Points
Within your area of nursing that you are currently working, select a recent patient. Do not identify the patient by name. A deduction of 5 points will be assessed if confidentiality is violated. Provide an overview of the patient in regards to health history, health issues, present problem, etc. See example provided below. 15
Identify a nursing theory that is applicable to designing care for the patient you describe (write this part in first person: I, not the student or author) 6
            Discuss how this theory views this patient 20
            With this theory, discuss the goal of nursing for this             patient 10
            Use the unique concepts of the theory to guide your plan.             Describe how the care will be designed according to             this theory. 25
Use of at least two peer reviewed journal articles for references.  You may use your textbook but do not count it as one of the two required peer reviewed journal articles. 4
APA guidelines, grammar, syntax, spelling; Unnecessary quotes. 20
Total 100

 
Case Study example:
 
Ms. P. is 18 years old and dying from bone cancer. She just graduated from high school and was planning to attend college. Her parents are divorced and she lives with her mother. Her mother is employed at Wal-Mart and has health insurance from Wal-Mart. Her father is living in another state and contacts her frequently. She has a 16 year old brother. She has many friends from school and church. She is at home with home health nurses visiting. She has severe pain that is not completely relieved with medications. She asks you if she can refuse her next dose of chemotherapy because it is “not working any way. I am only taking the chemotherapy because my mother wants me to.” 6604 Theory Paper Assignment and Grade Criteria

Change project: patients with type 2 diabetes, lifestyle modification essay

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Change project: patients with type 2 diabetes, lifestyle modification essay
Change project: In South Florida patients with type 2 diabetes, does lifestyle modification such as diet and physical activity help lower HBA1C compared to
those who do not make life style changes.
Write a literature review of your change project topic using peer-reviewed articles, books, and evidence-based guidelines. Identify and cite all sources of data according to APA guidelines. The goal is to review and critique the most current research to support your change project; this research will help drive the focus of your research.Summarize the key findings and provide a transition to the methods, intervention, or clinical protocol section of your final paper. Describe any gaps in knowledge that you found and the effects this may have on nursing practice as it relates to your change project topic. The literature review should be a synthesis of how each article relates to your change project. Also, when writing your literature review, remember to include subtopics to your main topic and gather data on these areas as well. For example, if you are doing a project on cancer, then subtopics for cancer treatments should be included.
A minimum of 10 Peer-reviewed articles
Literature is supported by scientific evidence that is credible and timely. Subtopics
are used to support the main topic.
Presents a thorough and insightful analysis of significant findings related to the change project topic. Ideas are synthesized and professionally sound and creative. Insightful and comprehensive conclusions and solutions are present
Your integrative literature review should be at least 6 pages. Change project: patients with type 2 diabetes, lifestyle modification essay

NURS-6550 Mid Term Exam Questions and Answers

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NURS-6550 Mid Term Exam Questions and Answers – Advanced Practice Care of Adults in Acute Care Settings

  • Question 1

1 out of 1 points

The AGACNP is caring for a patient who is quite ill and has developed, among other things, a large right sided pleural effusion. Thoracentesis is sent for pleural fluid analysis. While evaluating the fluid analysis, the AGACNP knows that a fluid identified as a(n) __________ is the least worrisome type.

 

Response Feedback: “A” is the correct answer. A transudate is essentially just water and can occur as a consequence of increased hydrostatic pressure in the pulmonary vessels. It typically implies that the some condition has produced an imbalance in colloid-hydrostatic pressures, such as CHF or hypoalbuminemia. While it can represent a serious problem, it may also represent a transient imbalance. Conversely, “B” is not correct as an exudate has more protein in it and implies a condition characterized by protein leaking from vessels, such as a malignancy or some serious systemic stressor. “C” is not correct—a chyliform effusion is characterized by fat and indicates a pathology causing massive triglyceride degradation. “D” is not correct as a hemorrhagic effusion is blood and typically means traumatic injury.
  • Question 2

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0 out of 1 points

Mrs. Miller is transported to the emergency department by paramedics. She is having profound, unremitting chest pain, is diaphoretic and pale. She has jugular venous distention and a widened pulse pressure. Suspecting ascending aortic aneurysm, the AGACNP order which test to confirm the diagnosis?

 

Response Feedback: “D” is the correct answer. It is the most widely used diagnostic tool as it rapidly and precisely can outline the thoracic and abdominal aorta. “A” is not the correct answer—there are radiographic findings that suggest thoracic aneurysm, but they need confirmation by CT. “B” is not the correct answer as ultrasound is not nearly as precise as a CT scan. “C” is not correct—MRI is only indicated when the patient cannot have a contrast CT.
  • Question 3

1 out of 1 points

Certain subgroups of the elderly population are at an increased risk for rapid deterioration and long-term care placement. Which of the following is not considered a high risk factor for long term care placement?

NURS-6550 Mid Term Exam Questions and Answers – Advanced Practice Care of Adults in Acute Care Settings

Response Feedback: “A” is the correct answer; men are at higher risk for long-term care placement than women. In addition to male gender, other risk factors include age over 80, living alone, bowel or bladder incontinence, history of falls, dysfunctional coping, and intellectual impairment.
  • Question 4

0 out of 1 points

A patient with anterior epistaxis has been treated with 20 minutes of direct pressure to the cartilaginous portion of the nose. Following pressure the patient is instructed to gently blow the nose. Expected findings in the patient who has been successfully treated include all of the following except a:

 

Response Feedback: “C” is the correct answer. If bleeding is successfully stopped with 20 minutes of directed pressure, there will be residual blood and clot formation. This is evacuated either by gentle suction or having the patient gently blow. Residual blood and formed clot may present as a sudden gush of dark blood or discharge with or without a clot—these are all typical expected findings. However, if bleeding is not stopped, it will continue as a bright red steady trickle. When this occurs, more invasive measures are indicated.
  • Question 5

0 out of 1 points

Kevin is a 14-year-old male who presents for evaluation of a fever of 102.5° F and significant right ear pain. He appears quite ill and says he feels nauseous. Otoscopic evaluation reveals pain to palpation, a very erythematous and bulging tympanic membrane with bullous myringitis. The AGACNP knows that antibiotic therapy must be selected to cover:

 

Response Feedback: “D” is the correct answer. Streptococcus pneumoniae is the most common bacteria that infects the head and neck in immunocompetent persons, and is the primary treatment target when treating otitis media, bacterial sinusitis, and bacterial pharyngitis. “A” is not correct—while likely on broken skin and soft tissue, it is not common in the ear, nose, or throat unless specific risk factors exist. “B” is not correct—this is much more likely in an immunocompromised patient or a patient on mechanical ventilation. “C” is not correct—it is the second most common organism, but strep is the primary treatment target.
  • Question 6

1 out of 1 points

P.M. is a 71-year-old gay male patient who presents as an outpatient for evaluation of increasing shortness of breath. The diagnostic evaluation ultimately supports a diagnosis of community acquired pneumonia. The AGACNP appreciates right middle lobe consolidation on chest radiography. Pending sputum cultures, empiric antibiotic therapy must be initiated to cover which organism?

NURS-6550 Mid Term Exam Questions and Answers – Advanced Practice Care of Adults in Acute Care Settings

Response Feedback: “D” is the correct answer. This patient presents from the outpatient population where the most common cause of pneumonia is Streptococcus pneumoniae, and is the primary treatment target for any patient being treated empirically. “A” is not correct—while the patient’s sexual orientation is offered in the provided history, there is no indication that he has HIV/AIDS or any other condition characterized by immunosuppression that would increase his risk for this organism. “B” is not correct, as this organism is not typically seen in the outpatient population without specific risk, e.g. immunosuppression or chronic ventilator therapy. “C” is not the correct answer as this organism is not likely absent specific risk such as instrumentation or known colonization.
  • Question 7

0 out of 1 points

Which of the following is the greatest risk factor for vascular dementia?

 

Response Feedback: “B” is the correct answer. Vascular dementia is a consequence of vascular disease, and is more likely to occur in patients with risk factors for target organ damage, such as hypertension, dyslipidemia, and diabetes. “A” is not a distinct risk factor for vascular dementia; it is a risk for Alzheimer’s dementia. “C” likewise increases risk for Parkinson’s dementia, but does not present a risk for vascular dementia. “D” is not a risk factor for vascular dementia. Although there may be some familial risk for certain vascular diseases that may lead to vascular dementia, there is no clear familial tendency for this type of dementia.

NURS-6550 Mid Term Exam Questions and Answers – Advanced Practice Care of Adults in Acute Care Settings

  • Question 91

1 out of 1 points

A 31-year-old male presents to urgent care because he has something in his eye. He was changing the oil under his car and says that something dropped into his eye. He is not having any pain, in fact he waited a day before coming in because he thought it would work itself out. Physical exam reveals a black 1 mm foreign body visible on the corneal surface. The most appropriate intervention is to:

 

Response Feedback: “C” is the correct answer. The nature of the injury suggests an external foreign body and it is visible to inspection. The absence of symptoms suggests that this is a simple external foreign body that will be easily removed with a saline soaked sterile swab. If unable to remove it this way, the more invasive Morgan lens or another method of eye irrigation may be utilized – but the least invasive acceptable method should always be tried first. “A” is not correct—there are not symptoms consistent with corneal abrasion. “B” is not correct as the history does not suggest an embedded or internal foreign body.
  • Question 92

0 out of 1 points

A patient with pericarditis is most appropriately treated with:

 

Response Feedback: “C” is the correct answer. Pericarditis is an inflammation of the pericardium, most often due to viral infection. The medication of choice is an NSAID. “A” is not correct—although isolated cases of pericardial inflammation are bacterial and require antibiotics, this is very uncommon. “B” is incorrect—NSAIDs generally control pain adequately and the escalation to opiate analgesia is rarely indicated. “D” is incorrect—as with choice “C” NSAIDs control pain adequately in most cases and use of corticosteroids while appropriate for NSAID-refractory cases, is uncommon.
  • Question 93

0 out of 1 points

Which of the following is not a risk factor for thoracic aneurysm?

 

Response Feedback: “B” is the correct answer. There are multiple risk factors for thoracic aneurysm, including “A,” “C,” and “D” above. However, aortic valve disease, not mitral valve disease, is correlated with increased risk. A variety of other factors including family history, smoking, and atherosclerosis, also increase risk.
  • Question 94

1 out of 1 points

The “MONA” acronym provides guidance for immediate interventions in the patient with:

NURS-6550 Mid Term Exam Questions and Answers – Advanced Practice Care of Adults in Acute Care Settings

Response Feedback: “A” is the correct answer. MONA stands for Morphine, Oxygen, Nitroglycerin, and Aspirin, and should be considered for every patient with acute coronary syndrome. Morphine may not always be used—the general guideline is to administer to any patient who does not get pain relief with three doses of nitroglycerin—but it should be considered and administered if appropriate.
  • Question 95

1 out of 1 points

Mr. Sloane is a 36-year-old male patient who presents for treatment of eye pain. He has no significant medical history and does not take any daily or over-the-counter medications. His only recent history is nighttime allergies for which he takes occasional diphenhydramine with good relief. He has had some throbbing in his eye for the last few days on and off but just ignored it; today he says it is flat out painful and he had to come to the emergency department. The eye is throbbing and painful, and he reports generalized decreased vision. The pupil is dilated to 5 mm and non-reactive to light. The eye conjunctiva is reddened. The next step in the diagnostic evaluation should be:

 

Response Feedback: “A” is the correct answer. This is a classic presentation of acute angle closure glaucoma, the patient likely had an underlying anatomic abnormality that was exacerbated by the anticholinergic properties of diphenhydramine. Assessment of intraocular pressure via tonometry must be performed and if elevated will confirm diagnosis. Once elevated pressure is confirmed, the condition will be treated. “B” and “C” are not correct—the first diagnostic evaluation must be tonometric pressure; if pressure is normal, acute angle closure glaucoma is ruled out and then imaging may be indicted depending upon the differential diagnoses. “D” is not correct; if glaucoma is confirmed than ophthalmology will be consulted.
  • Question 96

1 out of 1 points

The AGACNP counsels a patient with recurrent epistaxis that the most common cause of nose bleeding is:

 

Response Feedback: “A” is the correct answer. Statistically most nose bleeding is cause by the irritation of nose picking, and patients of all ages should be evaluated for this when presenting with a complaint of recurrent nose bleed. “B,” “C,” and “D” are also causes and are all part of the differential diagnosis and will guide the history of present illness, but “A” is most common and the first thing to be considered; similarly, while patients may not realize or acknowledge that this is a factor, if no cause is identified, counseling about the avoidance of nose picking may ultimately result in improvement of symptoms.
  • Question 97

0 out of 1 points

The geriatric depression scale (GDS) is a commonly used tool to diagnose depression in the elderly population. It comes in a variety of forms for maximal utility. When administering the geriatric depression scale to patients, the AGACNP recognizes that it is extremely important to:

NURS-6550 Mid Term Exam Questions and Answers – Advanced Practice Care of Adults in Acute Care Settings

Response Feedback: “B” is the correct answer. All forms of the GDS require one word “yes/no” answers; the tool cannot be scored with more ambiguous or scaled scoring. “A” is incorrect—the tool helps establish a diagnosis of depression, and then the etiology will be pursued. “C” is not correct, in fact the one word answer format, different from most tools that use “1 to 5” scaled scoring, allows the tool to be used in those with more significant cognitive impairment. “D” is not correct as the tool can evaluate change after initiation or change in drug therapy.
  • Question 98

1 out of 1 points

Ventilator-acquired pneumonia (VAP) is a significant problem impacting morbidity, mortality and the cost of inpatient health care. Data-supported mechanisms to reduce the risk for VAP include all of the following except:

 

Response Feedback: “B” is the correct answer. Strategies both pre and post intubation to reduce the likelihood of VAP have been extensively studied, and there are numerous data-supported strategies including those presented in choices “A,” “C,” and “D” above. Conversely, while “B” has been proposed as a possible strategy, data are conflicted. Endotracheal tube cuff biofilm formation and bacterial colonization are proposed mechanisms by which ventilator acquired pneumonia occurs, and there are several strategies in use to target this, such as antibiotic impregnated, chlorhexidine coated and silver coated endotracheal tubes. Cost and effectiveness data continue to emerge.
  • Question 99

0 out of 1 points

Absolute contraindications to thrombolytic therapy in the patient having an acute myocardial infarction include all of the following except:

 

Response Feedback: “D” is the correct answer. A history of hemorrhagic ophthalmic condition is a relative contraindication; a risk benefit analysis must be considered and thrombolytics may be used. Conversely, “A,” “B,” and “C” above are all absolute contraindications to thrombolytic therapy.
  • Question 100

1 out of 1 points

Which of the following is not a true statement with respect to risk for or occurrence of elder abuse?

 

Response Feedback: “D” is the correct answer. There are a variety of theories regarding the etiology of caregiver abuse, and a common theme is that the greater the stressors and/or burden on the caregiver, the greater the likelihood of some form of caregiver abuse, whether psychological, physical, or neglect. Otherwise “healthy” people can become abusive if the demands placed upon them are great enough; this is one of the reasons that respite care is so important. “A,” “B,” and “C” are true statements. Caregiver stress is a risk factor, the cycle of learned violence suggests that those subjected to violence are at greater risk of becoming violent, and the greater the physical and/or mental impairment of the patient, the higher the risk for an abusive situation.NURS-6550 Mid Term Exam Questions and Answers – Advanced Practice Care of Adults in Acute Care Settings