HA 3002 mod 2 pre assessment
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Apr 29, 2024
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Scenario: You are a nurse in the surgical unit of a large metropolitan hospital. A young woman has been admitted for an ovarian cyst removal later the same day. As you are taking her health history, she reveals that she has recently been diagnosed as HIV positive. In response to a query from you, she acknowledges that she has not yet seen a healthcare provider regarding this diagnosis. She also quickly adds that she has not disclosed this condition to her new boyfriend, who is in the waiting room, or to any other family members or friends.
1.
The Code of Ethics for Nurses was developed to provide guidance for administering quality and ethical care while upholding standards and obligations of the profession. Select one of the provisions of the Code and explain how you might apply this provision to guide your responses to the health assessment described in the scenario. Support your response with appropriate citations from scholarly references. (2–3 paragraphs)
As a nurse Provision 3 of The Code of Ethics for Nurses is one that I would help assist me during my assessment. This particular provision explains how the nurse promotes, advocates for, and protects the rights, health, and safety of the patient (Fowler, 2015). Even though I am a nurse when I seek medical attention, I am a patient and feel more confident with discussing things with my nurse or provider knowing what I share will only be used to help them care for me. I always think about things as if I were in my
patient’s seat. I never leave my computer unlocked, discuss information only with other professionals that need to know the information treating the patient. I do the right thing if
I hear another professional not following the code of ethics I speak up. I would relate to my patient this in the hopes that she would start to understand how everything a nurse does is for the better good of our patients.
This provision is very important and helps when forming a trusting relationship between a nurse and the patient. As a nurse, your patient must trust you so that they can feel comfortable discussing private health matters with you. When speaking with this patient about her HIV status I want her to understand that what is discussed between us will only be discussed with her physician for her care (
Your Rights Under HIPAA
2020). Going further in this provision to 3.1 Protection of the Rights of Privacy and Confidentiality. I will also explain to her that as a nurse I must protect her privacy and confidentiality. I will explain to her that Health Insurance Portability and Accountability Act (HIPPA) is in place for the protection of patients. Therefore, just because someone has access to her medical record HIPPA forbids them from accessing this record unless they are providing care (
Your Rights Under HIPAA
2020).
Once your patient has revealed her HIV-positive status to you, what else do you need to think about and do in providing quality care? With a holistic approach to this woman’s care in mind, describe one subsequent action you might take. Explain how this action is in alignment with the Code of Ethics for Nurses. Support your response with appropriate citations to scholarly references. (2–3 paragraphs)
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Related Questions
by reading the text above answer the question What is compulsory HIV Testing? When is it allowed? Provide your legal basis or justification. limit answer into 4 to 6 sentences only
arrow_forward
You are working at a health clinic, and a woman enters who suspects that she was exposed to HIV two nights ago.a. Discuss whether or not she can be tested for HIV infection at this point.b. Summarize how you would respond to this patient, providing her with appropriate information regarding testing for HIV infection.
arrow_forward
Your 30-year old patient reports having several recent experiences of unprotected sex and reports genital itching and discharge.
What condition(s) might you suspect?
What are risk factors for this condition?
What further assessment should be performed?
What patient education would you provide if your suspected diagnosis is confirmed?
arrow_forward
Read the background information shown in the pictures and answer the following questions.
1. With the information provided, would you agree with Governor Perry if you were in his place? Do you think he should be commended for his initiative and concern for the public weltare or is he overstepping his bounds?
2. How would you respond to parents with moral reservations about having their young daughters vaccinated against STDs like HPV if you were the governor?
arrow_forward
A friend of yours who is engaged in promiscuous activities showed early signs and symptoms of Human Immunodeficiency Virus(HIV) what will you tell him/her?
arrow_forward
Which statement is the most appropriate advice by the healthcare provider for
suggesting his female client about the human papillomavirus (HPV) vaccine
benefits?
A. "The HPV vaccine will protect you from all types of virus
B. "The HPV vaccine can help prevent Cervical cancer"
C. "You will no longer need to get a routine cervical exam"
D. "You will need to have a booster vaccine every 6 month"
arrow_forward
Mrs. Garcia, a new patient, is seen by Dr. Caesar for occasional vaginal spotting. The doctor determines the bleeding is coming from the cervix and asks her to return in 3 days for cryocauterization of the cervix. They also discussed possible infertility.
Code the diagnosis, ICD-10.
Vaginal spotting of the cervix
Infertility
A new patient is referred for evaluation with complaints of nausea, tiredness and weight gain. Today's visit is to confirm or rule out pregnancy.
Obtained quantitative a hCG pregnancy test which was returned as positive.
Code this patient's encounter for a pregnancy test.
arrow_forward
How does AST's motto of "Asgard Primo" apply in this case?
A 19 year old female patient is scheduled to have an elective abortion in the OR. IT is legal in your state for this procedure to be performed on this patient.
arrow_forward
A 16-year-old female visits a local women’s health clinic toobtain contraception. She asks the nurse, “What can I do to
protect myself from diseases like AIDS?” Which recommen-dations are appropriate for anyone who is sexually active to
prevent STIs? Select all that apply.a. Have regular checkups for STIs even in the absence ofsymptoms.b. Learn the common symptoms of STIs and seek helpimmediately if any develop—even if the symptom is mild.c. If a partner is infected, consider having sex duringmenstruation when the risk is greatly decreased.d. Douche regularly to remove any bacteria that may form inthe vagina.e. Avoid anal intercourse, but if practiced, use a malecondom.
arrow_forward
For each female patient seeking contraception , select the method that is medically contraindicated for that patient
1. A woman with multiple sexual partners
2. A woman with a history of deep vein thrombosis
3. A woman with moderate cystocele
4. A woman with severely reduced functional capacity as a result of chronic obstructive lung disease
5. A woman with a known latex allergy
METHODS
A. Oral contraceptives
B. IUD
C. Condoms
D. Laparoscopic tubal ligation
E. Diapraghm
arrow_forward
Read the background information shown in the pictures about Governor Rick Perry’s mandatory HPV vaccination. Answer the following questions.
1.With the information provided, do you think Governor Perry did the right thing by mandating that all girls in the Texas public school system receive the HP vaccination? Or is it too early to be mandating Gardasil? Should it be offered to students but not required? How long should tests be conducted betore the vaccine is deemed sate?
2. The series of shots costs $36o. Should the cost of the immunization be borne by the state or by the individuals receiving the shots?
3.Do vou think Governor Perry's decision stemmed solely from his concern for the health of his constituents or did politics play a factor?
arrow_forward
A postpartum woman has been told her new born is G6PD positive. What advice would you give her as a nurse on how to take care of this child.
arrow_forward
Read the background information shown in the picture and answer the following questions.
1. If you were a state representative, would you favor mandating the vaccination against sexually transmitted diseases (STDS) like the HP it vaccines were available? Should the prevention and treatment of sTDs factor into the safeguarding of public health?
2. Why might some parents object to having their daughters vaccinated against HPv?
3. Would you consider getting the vaccine yourselt or recommending it to a family member? Why or why not? What are the questions that you would like to have answered before you decide?
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A 59- year- old woman with a history of cardiac disease is scheduled for modified radical mastectomy. Describe the preoperative and postoperative care of this patient, including discharge planning.
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Scenario 5: Cancer, Immune System, and Skin Disorders
Divide the class into groups to discuss the following & report back to the whole class after 15-20 min. Use your textbook & other reliable resources on the web to get the answers.
Each group will post their answers here.
Scenario 5: Cancer, Immune System, and Skin Disorders
You are caring for a client with acquired immunodeficiency syndrome (AIDS), and the client wants to visit with a friend of his, another client, who you know has an active case of the flu. What are the implications?
Note: What should you know about this client first prior to doing any care? Hint: Resident/Disease Research?
arrow_forward
For birth control, an IUD would be placed in this organ.
arrow_forward
Discuss about AIDS.
arrow_forward
Gloria, a 27-year-old G1P0, on her 20th week gestation, was known to be HIV positive one year prior to this pregnancy. On prenatal checkup the nurse should emphasize which of the following about the prevention of vertical (mother to infant) transmission of HIV infection to the patient?
Antiretroviral therapy
Cesarean delivery
Antiretroviral therapy and cesarean section
Antiretroviral therapy and vaginal delivery
arrow_forward
Complete each sentence about the main vaccine that exists for HPV. Then, arrange the sentences
into a logical paragraph.
discharge
HPV
18
cytotoxic
Prevnar
Gardasil
11 or 12
EBV
oncogenic
prostate
9
cervical
warts
Drag the text blocks below into their
correct order.
Currently, it protects against
most commonly cause
diseases of the genital tract.
strains of HPV, including those that
or human papillomavirus, is a causative agent of wart
In 2006,
infection by malignant HPV types.
Reset
and cervical cancer.
Many types of HPV exist, including some that are
capable of causing cancer.
or
was approved as the first vaccine to prevent
It is recommended in girls and boys at age
in order to
reduce their risk of infection with this STD. The vaccine protects girls from
cancer.
arrow_forward
Answer the following questions in well planned paragraph responses.
1. Compare North America with Western and Central Europe. Which group is more successful in dealing with HIV/AIDS? What may be some reasons for this?
2. How are economies and social structures related to HIV/AIDS?
3. Write a brief overview of HIV/AIDS including the people it directly affects, and how it became known to the world.
arrow_forward
Answer these questions, briefly, concisely, and straight to the point. Limit your answers to 4-6 sentences only. What is compulsory HIV Testing? When is it allowed? Provide your legal basis or justification.
arrow_forward
1) During the holidays, elementary school-aged children residing in alcoholic/addict families may become more irritable or withdrawn and refuse to participate in holiday-related activities due to
Group of answer choices
all of these
concerns about pending homework assignments
anxiety about parents using more drugs/alcohol during holiday celebrations
thoughts of sadness about not receiving presents
2)
Long-term complications of STDs include
Group of answer choices
ectopic pregnancy and miscarriage
all of these
other chronic diseases
a variety of cancers
infertility
arrow_forward
Name: Thomas Sykes
Gender: Male
Age: 17
Marital Status: Single
Weight: 240 pounds (108.86kg)
Height: 5 ft 11 inches (71 inches)
Occupation: High School Student
Address: New York, USA
Race: African American
Religion: Baptist
Allergies: None Known
Immunizations: Up to date
Major Support
Name: Keisha Sykes, age 31
Relationship: Sister
Phone: 577-666-7890
Attending Provider/Team: Susan Henretty, DNP, CRNP, PPCNP-BC
Past Medical History: Significant for chronic obesity.
History of Present Illness: Thomas was recently admitted to an inpatient psychiatric program for suicidal ideation. He has undergone group therapy, individual therapy, and is taking an SSRI antidepressant medication (escitalopram).
Social History: Thomas lives with his sister, Keisha, and her 3-year-old son Torrey. Keisha has been Thomas’ legal guardian since their mother passed-away 10 years ago from complications associated with uncontrolled diabetes and obesity. Thomas’ father is not involved in his life. About a year…
arrow_forward
Name: Thomas Sykes
Gender: Male
Age: 17
Marital Status: Single
Weight: 240 pounds (108.86kg)
Height: 5 ft 11 inches (71 inches)
Occupation: High School Student
Address: New York, USA
Race: African American
Religion: Baptist
Allergies: None Known
Immunizations: Up to date
Major Support
Name: Keisha Sykes, age 31
Relationship: Sister
Phone: 577-666-7890
Attending Provider/Team: Susan Henretty, DNP, CRNP, PPCNP-BC
Past Medical History: Significant for chronic obesity.
History of Present Illness: Thomas was recently admitted to an inpatient psychiatric program for suicidal ideation. He has undergone group therapy, individual therapy, and is taking an SSRI antidepressant medication (escitalopram).
Social History: Thomas lives with his sister, Keisha, and her 3-year-old son Torrey. Keisha has been Thomas’ legal guardian since their mother passed-away 10 years ago from complications associated with uncontrolled diabetes and obesity. Thomas’ father is not involved in his life. About a year…
arrow_forward
Public Health (True False & MCQ):
arrow_forward
Mr. Hooke a 35 y/o male presented himself in the clinic complaining of shortness of breath and having fevers for the past few weeks. He is known to be infected with HIV for almost 2 years already. He returns to HIV clinic at different intervals for follow-up. He has been on stable antiretroviral therapy consisting on didanosine, stavudine, and indinavir for the past year.
Patient history revealed that he is unsure about his immunization status, and thinks he got them as a child.
Physical Examination as follows:
General: thin, anxious, acutely ill-appearing, young white man with tachypnea
Neck/LN: slight cervical lymphadenopathy, thyroid normal
Lungs/Thorax: CTA, slight axillary lymphadenopathy
Labs
Chest X-ray: Bilateral subtle infiltrates
Bronchoscopy with BAL: positive for the presence of a unicellular eukaryote, a yeast-like fungus
Assessment: breakthrough opportunistic infection
Case Study Questions:
Aside from HIV, what is your diagnosis? Support your clinical diagnosis.
Could…
arrow_forward
Mr. Hooke a 35 y/o male presented himself in the clinic complaining of shortness of breath and having fevers for the past few weeks. He is known to be infected with HIV for almost 2 years already. He returns to HIV clinic at different intervals for follow-up. He has been on stable antiretroviral therapy consisting on didanosine, stavudine, and indinavir for the past year.
Patient history revealed that he is unsure about his immunization status, and thinks he got them as a child.
Physical Examination as follows:
General: thin, anxious, acutely ill-appearing, young white man with tachypnea
Neck/LN: slight cervical lymphadenopathy, thyroid normal
Lungs/Thorax: CTA, slight axillary lymphadenopathy
Labs
Chest X-ray: Bilateral subtle infiltrates
Bronchoscopy with BAL: positive for the presence of a unicellular eukaryote, a yeast-like fungus
Assessment: breakthrough opportunistic infection
Case Study Questions:
1.Aside from HIV, what is your diagnosis? Support your clinical diagnosis.
arrow_forward
Mr. Hooke a 35 y/o male presented himself in the clinic complaining of shortness of breath and having fevers for the past few weeks. He is known to be infected with HIV for almost 2 years already. He returns to HIV clinic at different intervals for follow-up. He has been on stable antiretroviral therapy consisting on didanosine, stavudine, and indinavir for the past year.
Patient history revealed that he is unsure about his immunization status, and thinks he got them as a child.
Physical Examination as follows:
General: thin, anxious, acutely ill-appearing, young white man with tachypnea
Neck/LN: slight cervical lymphadenopathy, thyroid normal
Lungs/Thorax: CTA, slight axillary lymphadenopathy
Labs
Chest X-ray: Bilateral subtle infiltrates
Bronchoscopy with BAL: positive for the presence of a unicellular eukaryote, a yeast-like fungus
Assessment: breakthrough opportunistic infection
question:
Could any of the patient’s problems have been caused by drug therapy?
arrow_forward
Mr. Hooke a 35 y/o male presented himself in the clinic complaining of shortness of breath and having fevers for the past few weeks. He is known to be infected with HIV for almost 2 years already. He returns to HIV clinic at different intervals for follow-up. He has been on stable antiretroviral therapy consisting on didanosine, stavudine, and indinavir for the past year.
Patient history revealed that he is unsure about his immunization status, and thinks he got them as a child.
Physical Examination as follows:
General: thin, anxious, acutely ill-appearing, young white man with tachypnea
Neck/LN: slight cervical lymphadenopathy, thyroid normal
Lungs/Thorax: CTA, slight axillary lymphadenopathy
Labs
Chest X-ray: Bilateral subtle infiltrates
Bronchoscopy with BAL: positive for the presence of a unicellular eukaryote, a yeast-like fungus
Assessment: breakthrough opportunistic infection
question:
What drug, dosage form, schedule, and duration of therapy are best for treating this…
arrow_forward
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Related Questions
- by reading the text above answer the question What is compulsory HIV Testing? When is it allowed? Provide your legal basis or justification. limit answer into 4 to 6 sentences onlyarrow_forwardYou are working at a health clinic, and a woman enters who suspects that she was exposed to HIV two nights ago.a. Discuss whether or not she can be tested for HIV infection at this point.b. Summarize how you would respond to this patient, providing her with appropriate information regarding testing for HIV infection.arrow_forwardYour 30-year old patient reports having several recent experiences of unprotected sex and reports genital itching and discharge. What condition(s) might you suspect? What are risk factors for this condition? What further assessment should be performed? What patient education would you provide if your suspected diagnosis is confirmed?arrow_forward
- Read the background information shown in the pictures and answer the following questions. 1. With the information provided, would you agree with Governor Perry if you were in his place? Do you think he should be commended for his initiative and concern for the public weltare or is he overstepping his bounds? 2. How would you respond to parents with moral reservations about having their young daughters vaccinated against STDs like HPV if you were the governor?arrow_forwardA friend of yours who is engaged in promiscuous activities showed early signs and symptoms of Human Immunodeficiency Virus(HIV) what will you tell him/her?arrow_forwardWhich statement is the most appropriate advice by the healthcare provider for suggesting his female client about the human papillomavirus (HPV) vaccine benefits? A. "The HPV vaccine will protect you from all types of virus B. "The HPV vaccine can help prevent Cervical cancer" C. "You will no longer need to get a routine cervical exam" D. "You will need to have a booster vaccine every 6 month"arrow_forward
- Mrs. Garcia, a new patient, is seen by Dr. Caesar for occasional vaginal spotting. The doctor determines the bleeding is coming from the cervix and asks her to return in 3 days for cryocauterization of the cervix. They also discussed possible infertility. Code the diagnosis, ICD-10. Vaginal spotting of the cervix Infertility A new patient is referred for evaluation with complaints of nausea, tiredness and weight gain. Today's visit is to confirm or rule out pregnancy. Obtained quantitative a hCG pregnancy test which was returned as positive. Code this patient's encounter for a pregnancy test.arrow_forwardHow does AST's motto of "Asgard Primo" apply in this case? A 19 year old female patient is scheduled to have an elective abortion in the OR. IT is legal in your state for this procedure to be performed on this patient.arrow_forwardA 16-year-old female visits a local women’s health clinic toobtain contraception. She asks the nurse, “What can I do to protect myself from diseases like AIDS?” Which recommen-dations are appropriate for anyone who is sexually active to prevent STIs? Select all that apply.a. Have regular checkups for STIs even in the absence ofsymptoms.b. Learn the common symptoms of STIs and seek helpimmediately if any develop—even if the symptom is mild.c. If a partner is infected, consider having sex duringmenstruation when the risk is greatly decreased.d. Douche regularly to remove any bacteria that may form inthe vagina.e. Avoid anal intercourse, but if practiced, use a malecondom.arrow_forward
- For each female patient seeking contraception , select the method that is medically contraindicated for that patient 1. A woman with multiple sexual partners 2. A woman with a history of deep vein thrombosis 3. A woman with moderate cystocele 4. A woman with severely reduced functional capacity as a result of chronic obstructive lung disease 5. A woman with a known latex allergy METHODS A. Oral contraceptives B. IUD C. Condoms D. Laparoscopic tubal ligation E. Diapraghmarrow_forwardRead the background information shown in the pictures about Governor Rick Perry’s mandatory HPV vaccination. Answer the following questions. 1.With the information provided, do you think Governor Perry did the right thing by mandating that all girls in the Texas public school system receive the HP vaccination? Or is it too early to be mandating Gardasil? Should it be offered to students but not required? How long should tests be conducted betore the vaccine is deemed sate? 2. The series of shots costs $36o. Should the cost of the immunization be borne by the state or by the individuals receiving the shots? 3.Do vou think Governor Perry's decision stemmed solely from his concern for the health of his constituents or did politics play a factor?arrow_forwardA postpartum woman has been told her new born is G6PD positive. What advice would you give her as a nurse on how to take care of this child.arrow_forward
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SEE MORE QUESTIONS
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Recommended textbooks for you
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Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning
Lifetime Physical Fitness & Wellness
Health & Nutrition
ISBN:9781337677509
Author:HOEGER
Publisher:Cengage
Case Studies In Health Information Management
Biology
ISBN:9781337676908
Author:SCHNERING
Publisher:Cengage