how is this currently impacting nursing practice?

The impact of the 2010 IOM(Institute of Medicine) report ″ The future of Nursing, leading change, Advancing Health″. The report details ″4 key messages″ &″8 recommendations″ For each of the,address the following.
Section1: how is this currently impacting nursing practice? Section2: How will this impact future nursing practice Section III: What will need to happen for these changes to occur? Section IV: How can nurses be involved? You must cite the references (articles) peer reviewed journal in the paper

Have you gained a certain wisdom or insight as a senior nursing student that you did not have prior to becoming a nursing student?

Paper Guidelines:
You developed a nursing philosophy when you first entered the nursing program <– (I did not submit that assignment). Has your philosophy changed, deepened and/or been modified through education and the exposure to real patients with real needs in the clinical setting through your past three
semesters of nursing school?
Have you gained a certain wisdom or insight as a senior nursing student that you did not have prior to becoming a nursing student?
Do you believe your clinical patients and their families were satisfied or pleased with the care you delivered? What do you think made your approach or care unique?
Write about a clinical situation where you were faced providing care to a patient with an ethical or moral issue that was different than your own values or belief system. How did it make you feel?
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What may cultural factors have contributed to her hypertension? And why?

1) Donna White a 59 years old African American woman presents to her clinic for a physical examination. Physical examination reveal that she is 5' 4″ tall and weighs 278lbs, blood pressure160/96 and total cholesterol of 297.
a)What may cultural factors have contributed to her hypertension? And why?
b)What may environmental factors have contributed to her obesity? and why?
2) Mrs. Cheng brought her 4-year-old son, Justin, to the emergency department because of high fever for 4 days. She mentioned that she gave her son some herbal medicine that her mother-in-law prepared, but it was ineffective. The ARNP in the ED diagnosed the child with a pulmonary infection and prescribed liquid antibiotic.
a) From a traditional Chinese medical perspective, how might the nurse incorporate Western medical prescription while respecting Mrs. Cheng's family, who wishes to continue Chinese herbal treatments?
b) Describe from the traditional Chinese individual the ideal health-care provider. Describe your own opinions.
3) Fourteen-years-old Lydia Shultz is 2 months pregnant. She is being see in the health-care provider's office and is accompanied by her mother and grandmother. Both her mother and grandmother occasionally weep as they wait in the office with Lydia. They tell of their disbelief that Lydia is pregnant at 14 and how embarrassed they are. They ask for names of homes for unwed mothers.
a)Discuss the impact of teenage pregnancy on this German American family
b)Understanding the German American family culture, how can this family be helped through this life crises?
4) In your opinion what do nurses need to understand about Jew's relationship with God and view of death?
5) In your opinion what are some Health-Seeking Beliefs and Behaviors that a Vietnamese patient have that would interfere with western medicine. Explain your view point

Discuss what information you should obtain to develop and implement culturally appropriate nursing care plan for a female older adult of a Muslim group. A brief case study or exemplar may be one way to present your information.

Discuss what information you should obtain to develop and implement culturally appropriate nursing care plan for a female older adult of a Muslim group. A brief case study or exemplar may be one way to present your information.
How would you provide culturally- appropriate nursing care for an elderly female who is Muslim and presents to the Emergency Department with chest pain, as a male nurse?