Week 2 Discussion-Caring and Ethics in Your Practice

NURS 3020 Health Assessment Week 2 Discussion

Week 2 Discussion-Caring and Ethics in Your Practice

Some things in nursing never change. Caring has been the basic work of nurses from the genesis of nursing.

Caring and nursing are inextricably intertwined. For example, caring is defined as, “feeling and exhibiting concern and empathy for others; showing or having compassion” (The Free Dictionary by Farlex, 2015, para. 2). Nurse is defined by Merriam-Webster (2018) as, “a person who cares for the sick or infirm” (para. 3). As these definitions demonstrate, caring is a feeling that also requires an action.

The theory of the ethics of care has evolved over time between obligation-based ethics and responsibility-based ethics. The former asks, “What obligation, if any, do I have to this person?” In the latter, responsibility-based ethics, the relationship with others is a given. The only question is how to best meet the responsibility for effective care.

According to the Code of Ethics for Nurses, “Optimal nursing care enables the patient to live with as much physical, emotional, social, and religious or spiritual well-being as possible” (American Nurses Association, 2015, p. 2).

Caring is an essential part of patient care. There are four phases of caring. They are attentiveness, responsibility, competence, and responsiveness. Caring requires the nurse to put aside personal biases and prejudices to effectuate the four phases of caring. The four phases of caring suggest that good care demands more than just good intention; good care. It is a practice of combining activities, attitudes, and knowledge of the situation.

ORDER NOW FOR AN ORIGINAL PAPER!!! Week 2 Discussion-Caring and Ethics in Your Practice

To Prepare

Review the Week 2 Discussion Rubric provided in the Course Information area.

Review Chapters 7–10 and 12–16 in the course text.

Review, this week’s Resources.

Review this week’s Writing Resources and Program Success Tools.

Consider types of caring techniques and strategies that can be used during a health assessment.

Think about a time when you had the opportunity to encourage a patient to comply with a health promotion activity, and whether you did so successfully or not.

By Day 3

Post a substantive 2-paragraph response (at least 350 words) to one of the options below. Develop and post cohesive paragraphs, and use evidence to support your ideas.

Cohesive paragraphs

Evidence

What caring techniques/strategy can you use during the health assessment of a patient to encourage the patient’s adherence to a treatment plan?

Describe an instance in your practice when you successfully encouraged a patient to comply with a health promotion activity. If you have not successfully encouraged a patient to comply with a health promotion activity, how might you have done so based on what you know now?

By Day 7

Read two or more of your colleagues’ postings for the Discussion question.

Respond to at least two of your colleagues in one of the following ways:

Expand upon the proposed technique(s).

Suggest an alternative technique to encourage adherence to a treatment plan.

Ask a clarifying question about a colleague’s proposed technique or strategy, or about the instance when your colleague successfully encouraged a patient to comply with a health promotion activity.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights you have gained as a result of the comments your colleagues made.

Provide a Discussion entry on three different days of the week. See the Discussion Rubric for more information.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message. Week 2 Discussion-Caring and Ethics in Your Practice.

NURS 3020 Health Assessment Week 2 Quiz

• Question 1 The nurse educator is preparing an education module for the nursing staff on the epidermal layer of skin. Which of these statements would be included in the module? The epidermis is:

Answers: a. Highly vascular.

b. Thick and tough.

c. Thin and nonstratified.

d. Replaced every 4 weeks.

• Question 3 The nurse is examining a patient who tells the nurse, “I sure sweat a lot, especially on my face and feet but it doesn’t have an odor.” The nurse knows that this condition could be related to:

Answers: a. Eccrine glands.

b. Apocrine glands.

c. Disorder of the stratum corneum.

d. Disorder of the stratum germinativum.

• Question 2 The nurse educator is preparing an education module for the nursing staff on the dermis layer of skin. Which of these statements would be included in the module? The dermis:

Answers: a. Contains mostly fat cells.

b. Consists mostly of keratin.

c. Is replaced every 4 weeks.

d. Contains sensory receptors.

• Question 4 A newborn infant is in the clinic for a well-baby checkup. The nurse observes the infant for the possibility of fluid loss because of which of these factors?

Answers: a. Subcutaneous fat deposits are high in the newborn.

b. Sebaceous glands are overproductive in the newborn.

c. The newborn’s skin is more permeable than that of the adult.

d. The amount of vernix caseosa dramatically rises in the newborn.

• Question 5 The nurse is aware that the four areas in the body where lymph nodes are accessible are the:

Answers: a. Head, breasts, groin, and abdomen.

b. Arms, breasts, inguinal area, and legs.

c. Head and neck, arms, breasts, and axillae.

d. Head and neck, arms, inguinal area, and axillae.

• Question 6 A patient’s thyroid gland is enlarged, and the nurse is preparing to auscultate the thyroid gland for the presence of a bruit. A bruit is a __________ sound that is heard best with the __________ of the stethoscope.

Answers: a. Low gurgling; diaphragm

b. Loud, whooshing, blowing; bell

c. Soft, whooshing, pulsatile; bell

d. High-pitched tinkling; diaphragm

• Question 7 The nurse is testing a patient’s visual accommodation, which refers to which action?

Answers: a. Pupillary constriction when looking at a near object

b. Pupillary dilation when looking at a far object

c. Changes in peripheral vision in response to light

d. Involuntary blinking in the presence of bright light

• Question 8 A patient has a normal pupillary light reflex. The nurse recognizes that this reflex indicates that:

Answers: a. The eyes converge to focus on the light.

b. Light is reflected at the same spot in both eyes.

c. The eye focuses the image in the center of the pupil.

d. Constriction of both pupils occurs in response to bright light.

• Question 9 A mother asks when her newborn infant’s eyesight will be developed. The nurse should reply:

Answers: a. “Vision is not totally developed until 2 years of age.”

b. “Infants develop the ability to focus on an object at approximately 8 months of age.”

c. “By approximately 3 months of age, infants develop more coordinated eye movements and can fixate on an object.”

d. “Most infants have uncoordinated eye movements for the first year of life.”

• Question 10 The nurse is reviewing in age-related changes in the eye for a class. Which of these physiologic changes is responsible for presbyopia?

Answers: a. Degeneration of the cornea

b. Loss of lens elasticity

c. Decreased adaptation to darkness

d. Decreased distance vision abilities

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

 

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

• Communication is so very important. There are multiple ways to communicate with me: 
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.