Jane Vuong is a 24-year-old single Vietnamese woman living in the United States on an academic visa. She has been attending the local university for two years, studying cellular biology as an undergraduate. She comes from an affluent Vietnamese family. Her parents are paying for her education. They want her to return to Vietnam with her doctorate and take over the research lab owned by her uncle. Jane is a straight-A student who spends much of her time studying. She makes extra money by working part-time in the molecular biology laboratory in the university campus research center. She takes the subway or rides her bicycle to get around.
Jane enjoys working out by doing Quan Khi Dao at the local martial arts school. One day while there, she feels a severe tightness in her chest and says she is having difficulty breathing. Susan, a regular attendee in the class, brings Jane to the emergency department where you work. You note that Jane is having trouble speaking, appears anxious, and her lips are dusky. You are able to hear a wheezing sound when she breathes. She denies a history of asthma but says that she has some allergies which she generally treats with herbs. Susan takes you aside and tells you that she has noticed over the past month that Jane has seemed out of breath after taking the stairs up to the martial arts studio, and that she no longer rides her bike to the studio.
Because of the severity of Jane’s symptoms, the doctor decides to admit Jane for evaluation and observation. The physician orders supplemental oxygen, a chest X-ray, blood tests, and a regular diet. Jane’s anticipated stay is two days.
Once on supplemental oxygen, she is better able to communicate, and you begin to do a general assessment and take a history. Here are some of your findings:
• Diet: Jane states that she is proud that she only eats a traditional Vietnamese diet of fresh vegetables, chicken, rice, and noodles. Much of the food she eats is prepared with nuoc mam (fish sauce), soy sauce, sour lemons, bean sprouts, and scallions. She prefers to eat banh khuc (rice ball), banh cuon (rolled rice pancake), and pho bo (beef and noodle soup). You note that she is very slender, verging on being underweight.
• Religion: Jane states she is a Mahayana Buddhist. She goes to the Buddhist temple early each morning for meditation and communion with her dead ancestors. She says her meditation brings blessings from her ancestors, and they watch over her and help her succeed and stay healthy.
• Health history: Jane admits she has had a dry cough for several months, which she attributes to allergies. She says her allergies have kept her from riding her bike to work. She continues to smoke one pack of cigarettes daily and says smoking does not bother her. She laughs during your assessment and says she could never quit because her roommate smokes too.
Six months earlier she tested positive for hepatitis B. The diagnosis surprised her because she did not show any symptoms. She denies drug use but admits to being sexually active. She reports having five sexual partners in the past six months. She states, “I meet guys at the college bar and we have weekend flings. I like it this way, so I don’t have to be involved in any type of long-term relationship, which can make life really complicated.” When asked if she uses protection, she shrugs and says, “Sometimes.” She claims that no one told her that hepatitis B was sexually transmitted, but she is not worried because she says she is over it now.
During her examination, red circular burns were found on Jane’s chest. On Jane’s back, there are reddened abrasions. When asked about these strange marks, Jane explains that she was having difficulty breathing earlier in the week, and went to a Vietnamese medicine man who treated her with “coining” on her back and “cupping” on her chest to remove the bad air. He also gave her an herbal mixture and told her to boil it and breathe the steam from the mixture three times daily. She says it really helped her.
Jane’s primary nursing diagnosis is “impaired gas exchange.”
Requirements:
A. Write an analysis paper (suggested length of 2 pages) in which you do the following:
1. Summarize (suggested length of 1 paragraph) Jane’s medical history.
2. Assess which stage of each of the following theories Jane characterizes when she is admitted to the hospital, using her history and behavior:
• Erikson’s adult growth and development theory
• Freud’s adult growth and development theory
• Maslow’s needs theory
3. Discuss how you could adapt care to meet Jane’s cultural needs.
a. Explain the rationale behind the adaptions.
4. Explain how the nursing process could assist you in planning Jane’s care, including one specific example.
5. Discuss which therapeutic communication techniques you would use in order to carry out Jane’s plan of care, including one specific example.
a. Explain a potential barrier to therapeutic communication with Jane, based on her history and background.

Why is the sky blue? Why do bees sting? Why is the ocean salty? These are questions a young child may ask about the world based on his or her observations and experiences. As children grow older, their inquisitive nature may begin to fade. Anyone involved in the scientific process, however, must continually make observations and ask questions about his or her observations. In addition, scientists suggest possible answers to their questions and then test their ideas to determine if they are correct. This process is known as the scientific method.
The scientific method, however, does not answer every question about the universe. For example, it cannot answer questions such as “Is there a god?” or “What is the true meaning of life?” As you begin your exploration of biology this week, you consider the nature of science and how the scientific approach to the world differs from others, such as philosophical or spiritual approaches. Then, you apply this understanding by identifying a situation in which you can apply the scientific method and a situation in which you cannot.
To prepare for this:
Consider the question, “Can Science Cure the Common Cold?” Think of a few additional questions science could answer. How do you think science might find answers to these questions?
Consider how the scientific method tests ideas and attempts to find answers to questions. For example,
oWhat is a hypothesis?
oHow does an experiment test a hypothesis?
oWhy is the experimental process essential to science?
Review the articles in this week's Required Resources.
oIn the article “The Nature of Science,” note the characteristics of scientific inquirythat is, how scientists study phenomena to arrive at evidence-based conclusions.
oPay special attention to the Reality Check activity in the article “How Can We Tell Science from Non-Science?” Consider what distinguishes the scientific statements from the non-scientific ones.
With these thoughts in mind:
Write two or more paragraphs that distinguish the nature of science from non-science and that explain how the scientific method can be used to answer a question or solve a problem.
Your post should include the following:
Three characteristics of a scientific approach to the world
A real-life example of how the scientific method was or could be applied to solve a problem or answer a question
A real-life scenario that cannot be tested scientifically
References to at least two sources outside the Required Resources
All references cited in APA format
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Essay, English
Paper , Order, or Assignment Requirements
In her article “In Praise of the F Word,” Mary Sherry purposes using “flunking as a regular policy” as a way to encourage students to work harder.
What else might school student do to help students? Write an essay in which you think those changes would be beneficial.
Include examples from the article as well as from your own experiences, observations, or other readings.
Just to clarify, this is not a research essay so please don't cite anything else form online besides this article and another article called “Why do Schools Flunk Biology?” by LynNell Hancock. Both of these are online and you can find them with a simple Google search.