Florida National University H

You work in a public health agency. It is the agency’s policy that at least one public health nurse is available in the office every day. Today is your turn to remain in the office. From 1 PM to 5 PM, you will be the public health nurse at the scheduled immunization clinic; you hope to be able to spend some time finishing your end-of-month reports, which are due at 5 PM. The office stays open during lunch; you have a luncheon meeting with a Cancer Society group from noon to 1 PM today. The registered nurse in the office is to serve as a resource to the receptionist and handle patient phone calls and drop-ins. In addition to the receptionist, you may delegate appropriately to a clerical worker. However, the clerical worker also serves the other clinic nurses and is usually fairly busy. While you are in the office today trying to finish your reports, the following interruptions occur:

8:30 AM: Your supervisor, Anne, comes in and requests a count of the diabetic and hypertensive patients seen in the last month.

9:00 AM: An upset patient is waiting to see you about her daughter who just found out that she is pregnant.

9:00 AM: Three drop-in patients are waiting to be interviewed for possible referral to the chest clinic.

9:30 AM: The public health physician calls you and needs someone to contact a family about a child’s immunization.

9:30 AM: The dental department drops off 20 referrals and needs you to pull charts of these patients.

10:00 AM: A confused patient calls to find out what to do about the bills that he has received.

10:45 AM: Six families have been waiting since 8:30 AM to sign up for food vouchers.

11:45 AM: A patient calls about her drug use; she does not know what to do. She has heard about Narcotics Anonymous and wants more information now.

DQ: How would you handle each interruption? Justify your decisions. Do not forget lunch for yourself and the two office workers.

Discussion Protocol. Please observe the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences.

All answers or discussions comments submitted must be in APA

format according to Publication Manual American Psychological Association (APA)

(7th ed.)

Discussions must have a minimum of two references, not

older than 2016.

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Florida National University H

Case Scenario

You are a nursing student. You are also HIV positive because of some high-risk behaviors you engaged in a decade ago. (It seems like a lifetime ago.) You are now in a committed, monogamous relationship, and your partner is aware of your HIV status. You have experienced relatively few side effects from the antiretroviral drugs you take, and you appear to be healthy. You have not shared your sexual preferences, past sexual history, or HIV status with any of your classmates, primarily because you do not feel that it is their business and because you fear being ostracized in the local community, which is fairly conservative.

Today, in the clinical setting, one of the students accidentally stuck herself with a needle right before she injected it into a patient. Laboratory follow-up was ordered to ensure that the patient was not exposed to any blood-borne disease from the student. Tonight, for the first time, you recognize that no matter how careful you are, there is at least a small risk that you could inadvertently expose patients to your bodily fluids and thus to some risk.

Discussion question:

Decide what you will do. Is there a need to share your HIV status with the school? With future employers? With patients? What determines whether there is “a need to tell” and a “need to know”? What objective weighted most heavily in your decision?

Discussion protocol

Please observe the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences.

All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.)

Discussions must have a minimum of two references, not older than 2016. First post by Wednesday 11:59 PM weekly, and respond to two peers by Sunday 11:59 weekly.

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Florida National University H

Question 1 

  • Anxiety Disorders include 
  • Panic Disorder 
  • Obsessive-Compulsive Disorder 
  • Posttraumatic Stress Disorder 
  • Anxiety Disorders and phobias 
  • All of the above 
  • Question 2 
  • Approximately 1 million American adults, or about 0.1 percent of the population age 20 and younger in a given year, have schizophrenia 
  • True 
  • False 
  • Question 3 
  • Autism affects an estimated 1 to 2 per 1,000 people. Is about four times more common in boys than girls 
  • True 
  • False 
  • Question 4 
  • Fill in the blank: In reference to the supply of physicians, the number of physicians in the United States has increased rapidly in the last four decades, with an estimated _________active nonfederal physicians 
  • 945,684 
  • 845,000  
  • 845,684 
  • 855,684 
  • Question 5 
  • Long-term care is defined as health, mental health, residential or social support provided to a person with functional disabilities on an informal or formal basis over an extended period of time with the goal of maximizing the person’s independence. 
  • True 
  • False                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Question 12
  • Men with depression are less likely to suffer from depression than women, 3 to 4 million men in the United States are affected by the illness.
  • True 
  • False   
  • Question 13
  • One of the greatest challenges of long-term care is that there is no single organized formal delivery system. 
  • True
  • False  
  • Question 14
    Private health insurance is generally more restrictive in coverage of mental illness than in cover-age for somatic illness
    True
    False     
  • Question 15
    The main types of eating disorders
    anorexia nervosa
    bulimia nervosa
    binge- eating disorder
    A and B only
    All of the above             
  • Question 16
    Which of the following is/are examples of long-term care? 
  • A young man with schizophrenia lives in sheltered housing, with financial assistance provided through a public housing voucher program and medication or counseling assistance available from an on-site staff when needed. 
  • A child with cerebral palsy attends a special needs classroom in a public school, with therapy available on-site, and her parents care for her when she is at home. 
  • An 85-year-old recovering from a broken hip receives meals on wheels during the week and relies on her daughter for meals over the weekend. 
  • An elderly couple, one of whom is blind from advanced glaucoma and one of whom is crippled with severe arthritis, uses a money-management service from a local community agency to pay their bills since neither can write a check.
  • All of the above
  • Question 17
    Women with depression experience depression about twice as often as men
    True
    False 
  • Question 18
  • Ambulatory care services form the network for the distribution of what has become the core of health care services in the United States
  • True 
  • False          
  • Question 19
    0.54 Points
    Among the many complexes and long-standing issues facing the nation’s health care system are the uninsured and underinsured populations.
    True
    False   
  • Question 20 
  • Ethical Issues in Organization of Services, Which of the following is/are True? 
  • The principal ethical imperative in the organization of health services is that services be organized and distributed in accordance with health needs and the ability to bene?t.
  • The development of various forms of managed care—health maintenance organizations, prepaid group practices, preferred provider organizations, and independent practice associations—raise an- other set of ethical questions.
  • The ethical issues in managed care are illustrated most sharply by the question of who decides what is medically necessary: the physician or others, the disease management program, the insurer, the employer, or the state legislature
  • A and B only 
  • A, B and C                              
  • Question 21
  • Health administration has ethical consequences that may be overlooked because they appear ethically neutral: organization, staf?ng, budgeting, supervision, consultation, procurement, logistics, records and reporting, coordination, and evaluation.
  • True
  • False      
  • Question 22
    In reference to Ethical Issues in Assuring Quality of Care: If a public health ethic requires fair and equitable distribution of medical care, then it is essential that waste and inef?ciency be eliminated. Spending scarce resources on useless medical acts is a violation of a public health ethic
    True
    False               
  • Question 23
  • In reference to Ethical Issues in Economic Support, Which of the following is/are true? 
  • Nowhere is the public health ethical perspective clearer than on issues of economic support. 
  • It is imperative that everyone in the population has equitable access to health care services with dignity, so as not to discourage necessary utilization; in most cases, this means universal health insurance coverage
  • . From a public health perspective, ?nancial barriers to essential health care are inappropriate.
  • Economic disparity in society is a public health ethical issue related to justice. From a public health point of view, the economic resources to support health services should be fair and equitable
  • All of the above
  • Question 24
  • In reference to the future of the Pharmaceutical Industry, which of the following is/are True?
  • The pharmaceutical industry, which also encompasses biotechnology and medical device companies, faces numerous challenges for the future. 
  • Many pharmaceutical products face complex pricing issues that will fundamentally affect the pro?tability of pharmaceutical and biotechnology companies
  • The United States, Western Europe, select Asian nations (an expanding membership group), and other countries that conduct most of the research that produces new drugs invest in these efforts with the expectation of being paid back through product sales, and pro?ts.
  • The issue of advertising, marketing, and distribution expense is another area subject to public debate. For many drugs, about one-third of revenue is spent on advertising and promotion 
  • All of the above                  
  • Question 25
    Management involves planning, administration, regulation, and legislation
    True
    False           
  • Question 26
    OVERARCHING PUBLIC HEALTH PRINCIPLES, which of the following assumptions is/are TRUE?  
  • Provision of care on the basis of health need, without regard to race, religion, gender, sexual orientation, or ability to pay
    Equity in distribution of resources, giving due regard to vulnerable groups in the population (ethnic minorities, migrants, children, pregnant women, the poor, the handicapped, and others)
    Respect for human rights—including autonomy, privacy, liberty, health, and well-being—keeping in mind social justice considerations
    A and C Only
    All of the above       
  • Question 27
  • The continued evolution of health insurance plans and the development of new forms of managed care have largely been evolutionary rather than revolutionary processes.
  • True 
  • False            
  • Question 28
    Which of the following diseases challenge United States?  
  • Cardiovascular and cerebrovascular disease. 
  • Most types of cancers, certain infectious diseases, particularly HIV/AIDS, and in?uenza, accidents, injuries and violence, mental illness, and emerging diseases 
  • The threats accruing from potential terrorist’s actions, new forms of virulent disease or the outbreak of previously dormant diseases, and even potential unknown and undetermined threats lurk in the future. 
  • Recent epidemics and threats including SARS, avian bird ?u, hemorrhagic fevers, and a host of endemic infectious diseases 
  • All of the above 

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Florida National University H


  1. Question 1

    True or False? The person in a pharmacy who deals most directly with insurers is the pharmacy benefit manager.


  2. Question 2

    When, during the medication use process, is CDS the greatest life-saver?


  3. Question 3

    Which of the following is a non-critical part of a CDS?


  4. Question 4

    Third-generation EHR is approximately how old?


  5. Question 5

    True or False? If you want to open a pharmacy that will use eRx, you will need to be EPCS-certified.


  6. Question 6

    What do carousels do to the picking of medications?


  7. Question 7

    True or False? A pharmacy technician should use photographs to document the steps taken in dispensing an IV drug.


  8. Question 8

    True or False? PP lets patients play a more active role in their therapies if they choose to do so.


  9. Question 9 If your local hospital still uses paper records, what might be the reason?


  10. Question 10

    Which screening is most important when a pharmacist is dispensing antibiotics for a patient with a food allergy?


  11. Question 11

    What percentage of preventable errors remain in a system fully using fourth-generation EHR?


  12. Question 12

    True or False? The step in the medication use process that least involves the pharmacist is the monitoring step.


  13. Question 13

    Most errors in the medication use process occur:


  14. Question 14

    EHR are supposed to look at a patient’s history in what way with regard to time?


  15. Question 15

    True or False? In CDS, translation and interpretation of results are performed by the intelligent graphical interface.


  16. Question 16

    When did the use of HMIS noticeably begin in pharmacy?


  17. Question 17

    Which of the following would be the least likely reason for resistance to the use of eRx?


  18. Question 18

    True or False? Many pharmacists already practice informatics in their daily work.


  19. Question 19

    What must a repackager provide for a medicine?


  20. Question 20

    True or False? Software can help in the preparation of TPN admixtures.


  21. Question 21

    In a CDS, what does the inference engine do?


  22. Question 22

    True or False? CDS can help to point out easily missed medication conflicts.


  23. Question 23

    True or False? Medical errors, including those leading to patient deaths, have dropped as EHR have been implemented.


  24. Question 24

    Which of the following most accelerated the use of HIT in pharmacy?


  25. Question 25

    In theory, the use of EHR should reduce the incidence of:


  26. Question 26

    At which point in the medication use process is a nurse most likely to make an error?

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Florida National University H


  1. Question

    0.25 PointsHuntington’s disease is caused by a:


  2. Question

    0.25 PointsIdentify human genetic defects or diseases that are inherited as:A.an autosomal recessive.B.an autosomal dominant.C.an X-linked recessive.


  3. Question

    0.25 PointsIn a chromosomal inversion, a segment of a chromosome is:


  4. Question

    0.25 PointsIn fragile X syndrome, the fragile X gene contains a nucleotide triplet that repeats 200-1000 times.


  5. Question

    0.25 PointsIn genomic imprinting:


  6. Question

    0.25 PointsIn individuals with cystic fibrosis:


  7. Question

    0.25 PointsIndividuals who are ____ for sickle cell hemoglobin tend to be ____ resistant to falciparum malaria, but do not experience the effects of sickled red blood cells.


  8. Question

    0.25 PointsKaryotyping is useful for determining:


  9. Question

    0.25 PointsMaternal PKU can result in serious effects in fetuses. This problem occurs because:


  10. Question

    0.25 PointsNearly half of the pregnancies that end in miscarriage have:


  11. Question

    0.25 PointsNondisjunction during mitosis leads to:


  12. Question

    0.25 PointsPersons having an XO karyotype are sterile females. They have ____ syndrome.


  13. Question

    0.25 PointsPolyploidy:


  14. Question

    0.25 PointsSickle cell anemia and cystic fibrosis are examples of a(n) homozygote advantage. _________________


  15. Question

    0.25 PointsTay-Sachs disease is a(n) ____ disease that results in blindness, intellectual disability, and death due to ____.

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Florida National University H


  1. Question 1

    0.25 PointsA couple in which the woman is homozygous dominant for clotting ability and the man has hemophilia A will produce:


  2. Question 2

    0.25 PointsA fragile site:


  3. Question 3

    0.25 PointsA genetic counselor will know that the probability of having a child affected with a condition inherited as an autosomal recessive would be:


  4. Question 4

    0.25 PointsA karyotype reveals that an individual is XYY. Based on your knowledge of human genetics, you correctly conclude that this individual has ____, and is a phenotypically _____.


  5. Question 5

    0.25 PointsAccording to data from the ENCODE project, approximately 80% of the human genome is associated with biological function.


  6. Question 6

    0.25 PointsAn advantage of chorionic villus sampling (compared with amniocentesis) is that:


  7. Question 7

    0.25 PointsAn individual who inherits the specific chromosome ____ deletion from his/her ____ will most likely have Prader-Willi syndrome rather than Angelman syndrome.


  8. Question 8

    0.25 PointsAneuploidies describe:


  9. Question 9

    0.25 PointsAutosomal aneuploidies arise by:


  10. Question 10

    0.25 PointsAutosomal monosomy is not seen in live births because:


  11. Question 11

    0.25 PointsColchicine is a drug that:


  12. Question 12

    0.25 PointsComparing the human and mouse genomes has revealed that the mouse and human:


  13. Question 13

    0.25 PointsCri du chat syndrome arises from:


  14. Question 14

    0.25 PointsDescribe how amniocentesis is used in the prenatal diagnosis of human genetic abnormalities. Then compare and contrast the benefits and risks associated with amniocentesis and chorionic villus sampling.


  15. Question 15

    0.25 PointsDiscuss the necessity and benefits of the Genetic Information Nondiscrimination Act (GINA) of 2008.


  16. Question 16

    0.25 PointsDown syndrome is an example of a ____ condition.


  17. Question 17

    0.25 PointsDown syndrome is characterized by:


  18. Question 18

    0.25 PointsFragile X syndrome:


  19. Question 19

    0.25 PointsGene targeting has been used in mice to produce strains that were either homozygous or heterozygous for ____.


  20. Question 20

    0.25 PointsGene therapy involves:


  21. Question 21

    0.25 PointsGenetic screening can be used to identify:


  22. Question 22

    0.25 PointsGeneticists study pedigrees in order to predict how traits determined by phenotype are inherited from one generation to the next. _________________


  23. Question 23

    0.25 PointsGenome-wide association scans compare the proteins of individuals with a particular disease to individuals without the disease. _________________


  24. Question 24

    0.25 PointsHemophilia A is an example of a(n) _____ disease and is characterized by a lack of blood-clotting factor ____.


  25. Question 25

    0.25 PointsHuman genetics can be most effectively studied using:


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Florida National University H

Explain what health literacy is and why it is so important to nurse’s and health care professionals overall. Can you explain a specific example of a time when you, a family member or a friend experienced a problem with health literacy in a healthcare setting? Make sure to provide sufficient detail.

Go to the CDC 2030 Health People website (you can find the link in this Module under Health Literacy or google it). What is the relation between health literacy and the Healthy People 2030 Initiatives? Choose at least 2 of the objectives outlined in the Healthy People 2030 Initiative in relation to health literacy that you feel would be most appropriate to address within the community where you work and/or live. Provide a detailed explanation of why you chose these two objectives in relation to your community.

Describe three specific interventions that could address the 2 health literacy objectives you identified. It is important to integrate your understanding of the community in relation to those factors that are integral to your community (cultural norms, socioeconomic status, health education status, English language fluency, etc). Make sure to support these interventions with rationales of why you believe these interventions would be effective in your community; essentially integrating your personal and professional understanding of your community into the discussion.

Discussion Protocol. Please observe the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences. Remember that peer responses need to be substantive and extend the original discussion posting by making connections, relating to others’ ideas and adding supporting detail. Refer to grading rubric, to receive full credit each portion of the discussion posting must be addressed along with the 2 peer responses.

All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.) 2019.

Discussions must have a minimum of 2 references, not older than 2015 (you can use those on the website). First post is due by Wednesday, 11:59 EST and respond to 2 of your peers by Sunday, 11:59.

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