Compose an analytical essay in which you offer an interpretation of a literary element in one of the assigned short stories.

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Nursing homework help
Compose an analytical essay of at least 1,200 words in which you offer an interpretation of a literary element in one of the assigned short stories. Write your analysis focusing on one of the following elements in one of the assigned stories:

Character

Theme

Symbolism

Imagery

Setting

Start by selecting one of the short stories assigned by your instructor. Brainstorm to identify the literary element that you would like to explore in the story. Choose from character, theme, symbolism, imagery, or setting. Then, develop a thesis that offers a specific interpretation of this element. If you have trouble coming up with a thesis, contact your instructor, who will help you. Do not do any outside research at this point. When finished, the draft should be at least 1,200 words (approximately four double-spaced pages).

Tips for the Essay

Open your introduction with an engaging opener, such as a question, quote from the story, or interesting idea. Then, connect to the short story and mention the title and the author. End your introduction with a thesis statement that interprets one literary element of the story (such as theme, symbolism, or characterization).

The body paragraphs should support your thesis. Present specific aspects of the short story that help to illustrate your points. Make sure to quote from the story and analyze specific lines that support your argument.

Include a strong concluding paragraph that summarizes your main points and explains the significance of the thesis.

APA Reminder

Use APA style for formatting the essay and for source citations. Begin with a title page. Include a running header, and use proper font and spacing. End with a separate references page. Refer to the Week 1 lecture on avoiding plagiarism for an APA essay template and additional resources.

Comprehensive Patient Assessment

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Assignment 1: Application – Comprehensive Patient Assessment

When completing practicum requirements in clinical settings, you and your Preceptor might complete several patient assessments in the course of a day or even just a few hours. This schedule does not always allow for a thorough discussion or reflection on every patient you have seen. As a future advanced practice nurse, it is important that you take the time to reflect on a comprehensive patient assessment that includes everything from patient medical history to evaluations and follow-up care. For this Assignment, you begin to plan and write a comprehensive assessment paper that focuses on one female patient from your current practicum setting.

By Day 7 of Week 9

This Assignment is due. It is highly recommended that you begin planning and working on this Assignment as soon as it is viable.

To prepare

Reflect on your Practicum Experience and select a female patient whom you have examined with the support and guidance of your Preceptor.

Think about the details of the patient’s background, medical history, physical exam, labs and diagnostics, diagnosis, treatment and management plan, as well as education strategies and follow-up care.

To complete

Write an 8- to 10-page comprehensive paper that addresses the following:

Age, race and ethnicity, and partner status of the patient

Current health status, including chief concern or complaint of the patient

Contraception method (if any)

Patient history, including medical history, family medical history, gynecologic history, obstetric history, and personal social history (as appropriate to current problem)

Review of systems

Physical exam

Labs, tests, and other diagnostics

Differential diagnoses

Management plan, including diagnosis, treatment, patient education, and follow-up care

Note: Refer to the Comprehensive Write-up Guide in this week’s Learning Resources for a detailed outline with additional guidance.

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available athttp://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

FOLLOW THIS GUIDE. HEADINGS SHOULD BE LIKE ITS ON THE GUIDE. SETTING IS A OB/GYN OFFICE. SO SCENARIO HAS TO BE OB/GYN RELATED

Comprehensive Write-up Guide

Week 2 Assignment:

Comprehensive Patient Assessment When completing practicum requirements in clinical settings, you and your Preceptor might complete several patient assessments in the course of a day or even just a few hours. This schedule does not always allow for a thorough discussion or reflection on every patient you have seen. As a future advanced practice nurse, it is important that you take the time to reflect on a comprehensive patient assessment that includes everything from patient medical history to evaluations and follow-up care. For this Assignment, you begin to plan and write a comprehensive assessment paper that focuses on one female patient from your current practicum setting. To complete: Write an 8- to 10-page comprehensive paper that addresses the following:

1. General patient information a. Age b. Race/ethnicity c. Partner status

2. Current health status a. Chief concern/complaint and history of present illness (include a complete symptom analysis of chief complaint(s) utilizing OLDCART for a sick/problem focused visit) b. Last menstrual period or year of menopause c. DES exposure (if born between 1948 and 1971) d. Sexual activity status e. Barrier prevention f. Sexual preference g. Satisfaction with sexual relations

3. Contraception method (if any)

4. Patient history a. Past medical history • Major medical events (including pediatric events) • Psychological and mental health • Surgeries and/or hospitalizations if pertinent • Medications, including prescriptions, over-the-counter medications, home and herbal remedies, calcium, and vitamin supplements • Allergies, including drug, food, and environment © 2013 Laureate Education, Inc. 2 • Health maintenance/screenings, including results of patient’s last Pap and mammogram as appropriate, as well as previous vaccinations (HPV, MMR, hepatitis B, last dT, and pneumovax/influenza as appropriate) b. Family medical history c. Gynecologic history • Nullipara vs. multipara • History of sexually transmitted infections and sexually transmitted diseases • Menarche and menstrual patterns • Menopause or peri-menopausal symptoms (if applicable) d. Obstetric history • Gravida and parity status (TPAL) • Pregnancy history, including history of preterm or low birth weight, other pregnancy complications, history of sexually transmitted diseases, and any pertinent negatives e. Personal social history (as appropriate to the current problem) • Cultural background • Education and economic condition • Abuse history including assault and forced sex (past and current) • Occupational health patterns • Environment • Current health habits and/or risk factors • Substance use (must include for every patient) • Tobacco including frequency and longevity • Alcohol including results of CAGE unless patient has never used • Recreational drug use (past and current) • Exercise and physical activity • Diet and nutrition • Sleep • Caffeine

5. Review of systems (ROS) a. Must include reproductive system as well as other pertinent systems (systems relevant to HPI should be included under HPI)

6. Physical exam a. General exam, including vital signs, height, weight, and BMI on every patient b. Physical exam focused on episodic complaint (include numbers of weeks gestation, fundal height, and fetal heart tones for OB patients)

7. Labs, tests, and other diagnostics © 2013 Laureate Education, Inc. 3 a. Pertinent labs, test, and other diagnostics (include routine tests such as triple screen and urine dip for OB patients)

8. Differential diagnoses a. Explain why this set of differential diagnoses should be considered and why each diagnosis should be ruled in or ruled out.

9. Management plan a. Diagnosis b. Treatment c. Patient education d. Follow-up care .

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting. Please contact the course Instructor with any questions regarding this Assignment.

Infectious Disease Outbreak

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Part 1: Infectious Disease Outbreak

In an infectious disease outbreak, there is often an urgent need to control the outbreak and prevent the disease from spreading. An infectious disease outbreak can be costly—both in health risks and in healthcare expenditures. A common method to confirm that an outbreak is indeed occurring is to examine the surveillance data. Examining the surveillance data is also crucial throughout the outbreak to determine if the control measures were adequate.

From the assigned textbook readings this week, review the chapter, “Controlling an Outbreak of Shigellosis with a Community-Wide Intervention in Lexington County, Kentucky.”

Respond to the following:

  • Examine the infectious disease outbreak of shigellosis in Lexington County, Kentucky.
  • Based on the information contained within the case study, describe additional measures that could have been taken to identify and control the spread of the Shigella infection in a timely manner.
  • In addition to the standard laboratory surveillance, describe other surveillance measures that would have been useful to identify the continued number of shigellosis cases.
  • Suggest other strategies to monitor the potential for an outbreak of this particular infection.

Support your statements with appropriate examples and scholarly references.

Part 2: Surveillance Data and Health Implications

Surveillance systems are crucial in identifying trends both for infectious diseases and chronic diseases. The CDC maintains the Surveillance Resource Center that provides the most up-to-date data on numerous topics. Health educators and public health professionals can use this data to establish the need for health promotion programs to reduce the incidence of disease.

From the assigned readings this week, review the following Web site:

  • Centers for Disease Control and Prevention (CDC). (2010). CDC Surveillance Resource Center. Retrieved from http://www.cdc.gov/surveillancepractice/

Using the above CDC Web site, select a health topic from the interactive database system that is of interest to you. Based on this Web site and the data you have reviewed, respond to the following:

  • Briefly describe the various study designs, statistical findings, and their application in current public health topics.
  • Examine the trends you have noticed for your selected topic.
  • Recommend the type of health promotion program that would be effective in meeting the needs of the target population of your selected topic.

 

data Analysis Design

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Nursing homework help

data Analysis Design

The CDC is proposing to train public health professionals nationally on improving Influenza A prevention strategies targeting particular high-risk groups in the state. In order to prepare for next year’s flu season, the CDC needs to identify the locations where possible mass vaccination clinics need to be set up.

You are the head of a nine-member public health committee at the state public health department. You need to present the proposed data analysis design to the public health department chair. Your proposed data analysis design should include the following:

  • A proposal for the research design.
  • A sample, methods, and data analysis strategy that you would use for this study.
  • Specifics of your research.
  • Updated estimates on the number of influenza cases and related hospitalizations and deaths in your state in the previous years.
  • An analysis of data by geographical area.
  • An analysis of data by demographics.
  • Key flu indicators and their prevalence in your state.
  • Recommendations on the locations of future clinics.

Psychotherapy With Children and Adolescents

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Nursing homework help
Week 9: Psychotherapy With Children and Adolescents

Approximately 1 in 5 children and adolescents have a mental health disorder, which may lead to issues at home, school, and other areas of their lives (Prout & Fedewa, 2015). When working with this population, it is important to recognize that children and adolescents are not “mini adults” and should not be treated as such. Psychotherapy with these clients is often more complex than psychotherapy with the general adult population, particularly in terms of communication. As a result, strong therapeutic relationships are essential to success.

This week, as you explore psychotherapy with children and adolescents, you assess clients presenting with disruptive behaviors. You also examine therapies for treating these clients and consider potential outcomes. Finally, you develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients.

Photo Credit: [dolgachov]/[iStock / Getty Images Plus]/Getty Images

Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

Chapter 17, “Psychotherapy With Children” (pp. 597–624)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: You will access this text from the Walden Library databases.

Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. International Journal of Behavioral Consultation and Therapy, 9(2), 4–8. doi:10.1037/h0100991

Note: You will access this article from the Walden Library databases.

Koocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. Journal of Clinical Psychology, 59(11), 1247–1256. PMID:14566959

Note: You will access this article from the Walden Library databases.

McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow, M. A., Weisz, J. R., & Kendall, P. C. (2016). The role of setting versus treatment type in alliance within youth therapy. Journal of Consulting and Clinical Psychology, 84(5), 453–464. doi:10.1037/ccp0000081

Note: You will access this article from the Walden Library databases.

Zilberstein, K. (2014). The use and limitations of attachment theory in child psychotherapy. Psychotherapy, 51(1), 93–103. doi:10.1037/a0030930

Note: You will access this article from the Walden Library databases.

Required Media

Laureate Education (Producer). (2013a). Disruptive behaviors – Part 1 [Multimedia file]. Baltimore, MD: Author.

Laureate Education (Producer). (2013a). Disruptive behaviors – Part 2 [Multimedia file]. Baltimore, MD: Author.

Walker, R. (n.d.). Making child therapy work [Video file]. Mill Valley, CA: Psychotherapy.net.

Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 95 minutes.

Optional Resources

Bruce, T., & Jongsma, A. (2010a). Evidence-based treatment planning for disruptive child and adolescent behavior [Video file]. Mill Valley, CA: Psychotherapy.net.

Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 63 minutes.

Discussion: Counseling Adolescents

The adolescent population is often referred to as “young adults,” but in some ways, this is a misrepresentation. Adolescents are not children, but they are not yet adults either. This transition from childhood to adulthood often poses many unique challenges to working with adolescent clients, particularly in terms of disruptive behavior. In your role, you must overcome these behaviors to effectively counsel clients. For this Discussion, as you examine the Disruptive Behaviors media in this week’s Learning Resources, consider how you might assess and treat adolescent clients presenting with disruptive behavior.

Learning Objectives

Students will:

Assess clients presenting with disruptive behavior

Analyze therapeutic approaches for treating clients presenting with disruptive behavior

Evaluate outcomes for clients presenting with disruptive behavior

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide.

View the media, Disruptive Behaviors. Select one of the four case studies and assess the client.

For guidance on assessing the client, refer to pages 137-142 of the Wheeler text in this week’s Learning Resources.

Note: To complete this Discussion, you must assess the client, but you are not required to submit a formal Comprehensive Client Assessment.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post an explanation of your observations of the hyperactive adolescent in the case study you selected, including behaviors that align to the criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature.

Read a selection of your colleagues’ responses.

Perform a heritage assessment on three families

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The learning activity and corresponding assignment in this topic requires students to perform a heritage assessment with families selected by students from their local communities.

Click on http://wps.prenhall.com/wps/media/objects/663/679611/box_6_1.pdf in order to access the “Heritage Assessment Tool.”

Interview three families from different cultures. One family should be from your own culture. Compare the differences in health traditions between these cultures.

Assess the three families using the “Heritage Assessment Tool.” In 1,000-1,500 words, discuss the usefulness of applying a heritage assessment to evaluate the needs of families and develop plans for health maintenance, health protection, and health restoration. Include the following:

Perform a heritage assessment on three families. One of these families should be from your own culture.

Complete the “Heritage Assessment Tool” for each of the three families interviewed and submit the three assessments to ………….

Identify common health traditions based on cultural heritage. Evaluate and discuss how the families subscribe to these traditions and practices. Address health maintenance, health protection, and health restoration as they relate to your assessment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

what considerations a health care administrator should keep in mind to track the resources needed for this project.

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You are the health care administrator for a physician practice with five primary care physicians. Your practice has an existing electronic health record (EHR) system, which has been in place for three years. The EHR system has some existing functionalities to support the reporting of quality measures to Medicare to comply with public reporting requirements. However, there are some new requirements that require your practice to upgrade the EHR system’s software. To meet Medicare deadlines, this project will need to be completed within the next 12 months within a budget of $20,000.

For this Assignment, reflect on the scenario presented. Think about what considerations a health care administrator should keep in mind to track the resources needed for this project. Reflect on what types of tools explored this week will best support the health care administrator for the project detailed in the scenario.

The Assignment (3–5 pages, not including the Gantt Chart, Activity Cost Estimates, and Work Breakdown Structure templates):

Prepare a Gantt chart (including time and activities).

Prepare a budget (including dollar amounts).

Explain how you as a current or future health care administrator might use the Gantt chart and budget that you created to assess the project in the scenario presented. Be specific and provide examples.

Complete the Work Breakdown Structure template. Explain how you would break down the activities and why.

REFERENCE:

Schwalbe, K., & Furlong, D. (2013). Healthcare project management. Minneapolis, MN: Schwalbe.

Chapter 4, “Planning Projects, Part 1 (Project Integration and Scope Management)” (pp. 135–169)

Chapter 5, “Planning Projects, Part 2 (Project Time and Cost Management)” (pp. 175–215)

Differential diagnoses for presentation of symptoms involving infectious diseases in pediatric patients

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Nursing homework help
using your course and textbook readings and the South University Online Library, perform research on the following:

Assessment, diagnostic testing, and management of infectious conditions in a pediatric patient

Differential diagnoses for presentation of symptoms involving infectious diseases in pediatric patients

After completing your research, consider this scenario:

An eighteen-month-old child, well-known to your practice, presents with a seven-day history of fever ranging from 101 to 104.7 degrees Fahrenheit. On the fourth day of the fever, the emergency department had performed the following tests:

A blood and urine culture

A complete blood count

A comprehensive metabolic panel

The culture reports were found to be negative.

Today, the vitals of the child are the following:

Temperature: 101.5 degrees Fahrenheit

Heart rate: 120 beats/minute

Respiratory rate: 20 breaths/minute

Blood pressure: 90/40

Physical examination of the child indicates the following positive findings:

Injected conjunctiva

Palmar redness

Magenta-colored lips

Red macula

Excoriating rashes in the diaper area

On the basis of the above information, respond to the following:

What will be your differential diagnoses for this patient?

What specific physical exam findings support these differential diagnoses?

Of the differential diagnoses you listed, which would be the most concerning?

What additional diagnostic tests will you recommend? Why?

What would be your focus for caregiver education?

As the OR nurse what are your legal and ethical issues now?

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Nursing homework help
Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussion and any insights you gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

1. Locate an article that discusses a bioethics issue. First, provide a summary of the article and the bioethics issue being presented. Next, discuss what ethical actions the nurse should take in relation to the issue being presented. Also, discuss possible legal issues that the nurse should be aware of. This section should include at least 1 outside reference and your textbook and should be at least 1 ½ pages long.

2. Analyze the following case study and then answer the following questions:

You are working on the Operating Room and the trauma alert goes off. You respond to the ER to provide support. Once in the ER, you receive report that an 89 year old male is coming in with a self-inflicted GSW (Gun Shot Wound) to the head. You listen to the radio traffic between the ER and ambulance to get an idea what kind of surgery you need to set up for and what will be needed as far as lines and fluid. Here is the report:

HR: 121

B/P: 60/45

Saturation: 93%

Patient is intubated and non-responsive. Right pupil is fixed and dilated. Paramedic also states there is a large extended family headed to the ER. The patient lost his wife of 60 years 1 week ago and left a note stating that he is too heartbroken to go on. The patient and family arrive. The neurosurgeon discusses that their father’s potential outcome, even with surgery, is not good. The family still insists that the neurosurgeon complete the surgery.

1. What are the ethical and legal issues in this case study. Be specific and support your response with references

Once you have the patient in the room and you are prepped and ready for surgery, the phone rings. You receive word that the patient signed DNR orders two days ago.

1. As the OR nurse what are your legal and ethical issues now? Was the patient of sound mind when he signed this order? Do you honor the DNR or the family’s wishes? Explain and support your response.

Your response to this case study should be at least 2 pages and include 2 outside references and your textbook.

Please submit one paper which includes both assignments.

What is the major virus involved in the development of cervical cancer?

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Nursing homework help
Question

Question 1

2 / 2 pts

What is the major virus involved in the development of cervical cancer?

Herpes simplex virus type 6

Herpes simplex virus type 2

Human papillomavirus

Human immunodeficiency virus

Question 2

2 / 2 pts

Which statement accurately describes childhood asthma?

An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation

A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and diffuse densities on chest x-ray imaging

A pulmonary disorder involving an abnormal expression of a protein, producing viscous mucus that lines the airways, pancreas, sweat ducts, and vas deferens

An obstructive airway disease characterized by atelectasis and increased pulmonary resistance as a result of a surfactant deficiency

Question 3

0 / 2 pts

The ability of the pathogen to invade and multiply in the host is referred to as:

Infectivity

Toxigenicity

Pathogenicity

Virulence

Question 4

2 / 2 pts

Obesity creates a greater risk for dehydration in people because:

Adipose cells contain little water because fat is water repelling.

The metabolic rate of obese adults is slower than the rate of lean adults.

The rate of urine output of obese adults is higher than the rate of output of lean adults.

The thirst receptors of the hypothalamus do not function effectively.

Question 5

2 / 2 pts

Continued therapy of pernicious anemia (PA) generally lasts how long?

6 to 8 weeks

8 to 12 months

Until the iron level is normal

The rest of one’s life

Question 6

2 / 2 pts

Which statement best describes cystic fibrosis?

Obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation

Respiratory disease characterized by severe hypoxemia, decreased pulmonary compliance, and diffuse densities on chest x-ray imaging

Pulmonary disorder involving an abnormal expression of a protein-producing viscous mucus that obstructs the airways, pancreas, sweat ducts, and vas deferens

Pulmonary disorder characterized by atelectasis and increased pulmonary resistance as a result of a surfactant deficiency

Question 7

2 / 2 pts

What pulmonary defense mechanism propels a mucous blanket that entraps particles moving toward the oropharynx?

Nasal turbinates

Alveolar macrophages

Cilia

Irritant receptors on the nares

Question 8

2 / 2 pts

As stated in the Frank-Starling law, a direct relationship exists between the _____ of the blood in the heart at the end of diastole and the _____ of contraction during the next systole.

Pressure; force

Volume; strength

Viscosity; force

Viscosity; strength

Question 9

2 / 2 pts

The tonic neck reflex observed in a newborn should no longer be obtainable by:

2 years

1 year

10 months

5 months

Question 10

2 / 2 pts

Carcinoma refers to abnormal cell proliferation originating from which tissue origin?

Blood vessels

Epithelial cells

Connective tissue

Glandular tissue

Question 11

2 / 2 pts

Which of the following describes how the body compensates for anemia?

Increasing rate and depth of breathing

Decreasing capillary vasoconstriction

Hemoglobin holding more firmly onto oxygen

Kidneys releasing more erythropoietin

Question 12

2 / 2 pts

What term is used to describe a hernial protrusion of a saclike cyst that contains meninges, spinal fluid, and a portion of the spinal cord through a defect in a posterior arch of a vertebra?

Encephalocele

Meningocele

Spina bifida occulta

Myelomeningocele

Question 13

2 / 2 pts

Chvostek and Trousseau signs indicate which electrolyte imbalance?

Hypokalemia

Hyperkalemia

Hypocalcemia

Hypercalcemia

Question 14

2 / 2 pts

After sexual transmission of HIV, a person can be infected yet seronegative for how many months?

1 to 2

6 to 14

18 to 20

24 to 36

Question 15

2 / 2 pts

Which hormone prompts increased anxiety, vigilance, and arousal during a stress response?

Norepinephrine

Epinephrine

Cortisol

Adrenocorticotropic hormone (ACTH)

Question 16

2 / 2 pts

Which blood cells are the chief phagocytes involved in the early inflammation process?

Neutrophils

Monocytes

Eosinophils

Erythrocytes

Question 17

2 / 2 pts

Where are alveolar macrophages found?

Skin

Breasts

Gastrointestinal tract

Lungs

Question 18

2 / 2 pts

Which normal physiologic change occurs in the aging pulmonary system?

Decreased flow resistance

Fewer alveoli

Stiffening of the chest wall

Improved elastic recoil

Question 19

0 / 2 pts

An infant diagnosed with a small patent ductus arteriosus (PDA) would likely exhibit which symptom?

Intermittent murmur

Lack of symptoms

Need for surgical repair

Triad of congenital defects

Question 20

2 / 2 pts

Hemophilia B is caused by a deficiency of which clotting factor?

V

VIII

IX

X

Question 21

2 / 2 pts

A hypersensitivity reaction that produces an allergic response is called:

Hemolytic shock

Anaphylaxis

Necrotizing vasculitis

Systemic erythematosus

Question 22

2 / 2 pts

Which statement is true regarding pain and cancer?

Pain is primarily a result of pressure caused by the tumor.

Pain indicates the metastasis of a cancer.

Pain is usually the initial symptom of cancer.

Pain is generally associated with late-stage cancer.

Question 23

2 / 2 pts

What is the anomaly in which the soft bony component of the skull and much of the brain is missing?

Anencephaly

Myelodysplasia

Cranial meningocele

Hydrocephaly

Question 24

0 / 2 pts

At birth, which statement is true?

Systemic resistance and pulmonary resistance fall.

Gas exchange shifts from the placenta to the lung.

Systemic resistance falls and pulmonary resistance rises.

Systemic resistance and pulmonary resistance rise.

Question 25

2 / 2 pts

What is the most commonly reported symptom of cancer treatment?

Nausea

Fatigue

Hair loss

Weight loss

Question 26

0 / 2 pts

The common property among the three types of medications used to treat depression is that they:

Increase neurotransmitter levels within the synapse.

Increase neurotransmitter levels in the presynapse.

Decrease neurotransmitter levels in the postsynapse.

Decrease neurotransmitter levels within the synapse.

Question 27

0 / 2 pts

Prolonged high environmental temperatures that produce dehydration, decreased plasma volumes, hypotension, decreased cardiac output, and tachycardia cause which disorder of temperature regulation?

Heat cramps

Heat stroke

Malignant hyperthermia

Heat exhaustion

Question 28

2 / 2 pts

Congenital aganglionic megacolon (Hirschsprung disease) involves inadequate motility of the colon caused by neural malformation of which nervous system?

Central

Parasympathetic

Sympathetic

Somatic

Question 29

2 / 2 pts

What type of fracture occurs at a site of a preexisting bone abnormality and is a result of a force that would not normally cause a fracture?

Idiopathic

Incomplete

Pathologic

Greenstick

Question 30

0 / 2 pts

What is the leading cause of infertility in women?

Pelvic inflammatory disease

Endometriosis

Salpingitis

Polycystic ovary syndrome

Question 31

2 / 2 pts

Alterations in which part of the brain are linked to hallucinations, delusions, and thought disorders associated with schizophrenia?

Parietal lobe

Limbic system

Temporal lobe

Hypothalamus

.

Question 32

0 / 2 pts

What is the function of the mucus secreted by the Bartholin glands?

Enhancement of the motility of sperm

Lubrication of the urinary meatus and vestibule

Maintenance of an acid-base balance to discourage proliferation of pathogenic bacteria

Enhancement of the size of the penis during intercourse

Question 33

0 / 2 pts

People with gout are at high risk for which co-morbid condition?

Renal calculi

Joint trauma

Anemia

Hearing loss

Question 34

0 / 2 pts

The tear in a ligament is referred to as a:

Fracture

Strain

Disunion

Sprain

Question 35

0 / 2 pts

Regarding type 2 diabetes, obesity is considered to be what type of risk?

Genetic

Empirical

Relative

Modifiable

Question 36

0 / 2 pts

Adoption studies have shown that the offspring of an alcoholic parent when raised by nonalcoholic parents have what amount of an increased risk of developing alcoholism?

Twofold

Threefold

Fourfold

Tenfold

Question 37

2 / 2 pts

What causes the crystallization within the synovial fluid of the joint affected by gouty arthritis?

Reduced excretion of purines

Overproduction of uric acid

Increase in the glycosaminoglycan levels

Overproduction of proteoglycans

Question 38

0 / 2 pts

It is true that Guillain-Barré syndrome (GBS):

Is preceded by a viral illness.

Involves a deficit in acetylcholine.

Results in asymmetric paralysis.

Is an outcome of HIV.

Question 39

2 / 2 pts

The failure of bones to ossify, resulting in soft bones and skeletal deformity, characterizes which disorder?

Osteogenesis imperfecta

Rickets

Osteochondrosis

Legg-Calvé-Perthes disease

Question 40

2 / 2 pts

Which dietary lifestyle choice has been associated with a decreased risk for developing colon cancer?

Increased consumption of dairy produces

Increased consumption of foods containing vitamin C

Decreased consumption of foods high in fat

Decreased consumption of artificial food coloring

Question 41

2 / 2 pts

The sudden apparent arousal in which a child expresses intense fear or another strong emotion while still in a sleep state characterizes which sleep disorder?

Night terrors

Insomnia

Somnambulism

Enuresis

Question 42

2 / 2 pts

Which virus is a precursor for developing cervical intraepithelial neoplasia (CIN) and cervical cancer?

Human papillomavirus (HPV)

Epstein-Barr virus (EBV)

Herpes simplex II virus (HSV)

Cytomegalovirus (CMV)

Question 43

0 / 2 pts

What anchors articular cartilage to the underlying bone?

Sharpey fibers

Collagen fibers

Glycoproteins

Elastin fibers

Question 44

0 / 2 pts

Which gastric cells secrete hydrochloric acid and intrinsic factor?

Parietal

Chief

G

H

Question 45

2 / 2 pts

Which water-soluble vitamin is absorbed by passive diffusion?

Vitamin B6

Vitamin B1

Vitamin K

Folic acid

Question 46

2 / 2 pts

What is the first sign of puberty in girls?

Breast enlargement

Growth of pubic hair

Menstruation

Vaginal discharge

Question 47

2 / 2 pts

Pinkeye is characterized by inflammation of which structure?

Eyelids

Sebaceous glands

Meibomian glands

Conjunctiva

Question 48

2 / 2 pts

What syndrome, characterized by an absent homologous X chromosome with only a single X chromosome, exhibits features that include a short stature, widely spaced nipples, and webbed neck?

Down

Cri du chat

Turner

Klinefelter

Question 49

2 / 2 pts

A criterion for a diagnosis of generalized anxiety disorder (GAD) is a period of excessive worrying that lasts for at least how many months?

3

6

9

12

Question 50

0 / 2 pts

Obesity acts as an important risk factor for type 2 diabetes mellitus by:

Reducing the amount of insulin the pancreas produces

Increasing the resistance to insulin by cells

Obstructing the outflow of insulin from the pancreas

Stimulating the liver to increase glucose production

Question 51

0 / 2 pts

Which clinical manifestations would be expected for a child who has complete trisomy of the twenty-first chromosome?

Widely spaced nipples, reduced carrying angle at the elbow, and sparse body hair

An IQ of 25 to 70, low nasal bridge, protruding tongue, and flat, low-set ears

High-pitched voice, tall stature, gynecomastia, and an IQ of 60 to 90

Circumoral cyanosis, edema of the feet, short stature, and mental slowness

Question 52

0 / 2 pts

Where is the usual site of cervical dysplasia or cancer in situ?

Squamous epithelium of the cervix meets the cuboidal epithelium of the vagina.

Columnar epithelium of the cervix meets the squamous epithelium of the uterus.

Squamous epithelium of the cervix meets the columnar epithelium of the uterus.

Columnar epithelium of the cervix meets the squamous epithelium of the vagina.

Question 53

0 / 2 pts

How can glaucoma cause blindness?

Infection of the cornea

Pressure on the optic nerve

Opacity of the lens

Obstruction of the venous return from the retina

Question 54

0 / 2 pts

Parkinson disease is a degenerative disorder of the brain’s:

Hypothalamus

Anterior pituitary

Frontal lobe

Basal ganglia

Question 55

0 / 2 pts

Which pain theory proposes that a balance of impulses conducted from the spinal cord to the higher centers in the central nervous system (CNS) modulates the transmission of pain?

GCT

Pattern theory

Specificity theory

Neuromatrix theory

Question 56

0 / 2 pts

Where is oxytocin synthesized?

Hypothalamus

Paraventricular nuclei

Anterior pituitary

Posterior pituitary

Question 57

0 / 2 pts

An insufficient dietary intake of which vitamin can lead to rickets in children?

C

B12

B6

D

Question 58

2 / 2 pts

What term is used to identify the condition that exists when the urethral meatus is located on the undersurface of the penis?

Hypospadias

Epispadias

Hyperspadias

Chordee

Question 59

2 / 2 pts

The most critical aspect in ly diagnosing a seizure disorder and establishing its cause is:

Computed tomographic (CT) scan

Cerebrospinal fluid analysis

Skull x-ray studies

Health history

Question 60

0 / 2 pts

Transcription is best defined as a process by which:

DNA polymerase binds to the promoter site on ribonucleic acid (RNA).

RNA directs the synthesis of polypeptides for protein synthesis.

RNA is synthesized from a DNA template.

A base pair substitution results in a mutation of the amino acid sequence.

Question 61

0 / 2 pts

Which person is at the greatest risk for developing delirium?

An individual with diabetes celebrating a 70th birthday

A depressed Hispanic woman

An individual on the second day after hip replacement

A man diagnosed with schizophrenia

Question 62

2 / 2 pts

Which hormone is linked to an increase in appetite during puberty?

Inhibin

Leptin

Activin

Follistatin

Question 63

0 / 2 pts

Which type of diarrhea results from lactose intolerance?

Secretory

Motility

Osmotic

Small volume

Question 64

2 / 2 pts

An amniocentesis is recommended for pregnant women who:

Have a history of chronic illness

Have a family history of genetic disorders

Have experienced in vitro fertilization

Had a late menarche

Question 65

2 / 2 pts

Which characteristic is true of type II (white fast-motor) muscle fibers?

Slow contraction speed

Fast conduction velocities

Profuse capillary supply

Oxidative metabolism

Question 66

2 / 2 pts

The mucosal secretions of the cervix secrete which immunoglobulin?

IgA

IgE

IgG

IgM

Question 67

2 / 2 pts

Dilation of the ipsilateral pupil, following uncal herniation, is the result of pressure on which cranial nerve (CN)?

Optic (CN I)

Abducens (CN VI)

Oculomotor (CN III)

Trochlear (CN IV)

Question 68

0 / 2 pts

Which of the following is a lipid-soluble hormone?

Cortisol

Oxytocin

Epinephrine

Growth hormone

Question 69

2 / 2 pts

What is the first indication of nephrotic syndrome in children?

Periorbital edema

Scrotal or labial edema

Frothy urine

Ascites

Question 70

2 / 2 pts

The BRCA1 and BRCA2 mutations increase the risk of which cancer in women?

Ovarian

Lung

Uterine

Pancreatic

Question 71

0 / 2 pts

The data reporting that sickle cell disease affects approximately 1 in 600 American blacks is an example of which concept?

Incidence

Prevalence

Ratio

Risk

Question 72

2 / 2 pts

When a woman’s uterus is assessed as protruding through the entrance of the vagina to the hymen, which grade of prolapse does this indicate?

0

1

2

3

Question 73

2 / 2 pts

What is the term that denotes the duration of time or the intensity of pain that a person will endure before outwardly responding?

Tolerance

Perception

Threshold

Dominance

Question 74

2 / 2 pts

Clinical manifestations that include irregular or heavy bleeding, the passage of large clots, and the depletion of iron stores support which diagnosis?

Premenstrual syndrome

Dysfunctional uterine bleeding

Polycystic ovary syndrome

Primary dysmenorrhea

Question 75

0 / 2 pts

What term describes the loss of the comprehension or production of language?

Agnosia

Aphasia

Akinesia

Dysphasia