I need a slide show in informatics ASPEN university

Shoulder
pain and difficulty taking a deep breath

Describe the patient?s personal and medical history, drug therapy and treatments, and follow-up care.

Question 1

A patient reports ?something flew in my eye?
about an hour ago while he was splitting logs. If there were a foreign body in
his eye, the nurse practitioner would expect to find all except:

Question 2

Your well-nourished 75-year-old patient has
come into the office for a physical exam and states that she recently had two
nosebleeds. She does not take any anticoagulants, and you have ruled out any
coagulopathies. The most likely cause of these nosebleeds is:

Question 3

Mark has just been given a diagnosis of
congestive heart failure. Which of his medications should be discontinued?

Question 5

Which of the following is the most important
diagnosis to rule out in the adult patient with acute bronchitis?

Question 6

Risk factors for acute arterial insufficiency
include which of the following?

Question 7

What is the Gold standard for the diagnosis of
asthma?

Question 8

Which of the following dermatologic vehicles
are the most effective in absorbing moisture and decreasing friction?

Question 9

Amaurosis fugax is described as a:

Question 10

Jennifer, age 49, who has a history of
hyperlipidemia, has symptoms that lead you to suspect unstable angina. Your
next action would be to:

Question 11

Which of the following patient characteristics
are associated with chronic bronchitis?

Question 13

John, age 59, presents with recurrent, sharply
circumscribed red papules and plaques with a powdery white scale on the
extensor aspect of his elbows and knees. What do you suspect?

Question 14

A 2 year old presents with a white pupillary
reflex. What is the most likely cause of this finding?

Question 15

Expected spirometry readings when the patient
has chronic emphysema include:

Question 16

Larry, age 66, is a smoker with hyperlipidemia
and hypertension. He is 6 months post-MI. To prevent reinfarction, the most
important behavior change that he can make is to:

Question 17

A 58-year-old man is diagnosed with Barrett?s
esophagus after an endoscopy. He has no known allergies. Which of the following
medications is MOST appropriate to treat this patient?s disorder?

Question 18

A 57-year-old male presents to urgent care
complaining of substernal chest discomfort for the past hour. The EKG reveals
ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that
these changes are consistent with which myocardial infarction territory?

Question 19

A patient presents with periorbital erythema
and edema, fever, and nasal drainage. The nurse practitioner should:

Question 20

An employee picnic menu includes grilled
hamburgers, potato salad, and homemade ice cream sundaes. Within an hour after
the meal, several children and parents begin to have nausea, vomiting and
stomach cramps. None of those affected have fever. What is the most likely
etiologic agent?

Question 21

Stacy, age 27, states that she has painless,
white, slightly raised patches in her mouth. They are probably caused by:

Question 22

Treatment of H.pylori includes which of the
following?

Question 23

Janine, age 29, has numerous transient lesions
that come and go, and she is diagnosed with urticaria. What do you order?

Question 24

A patient comes in complaining of 1 week of
pain in the posterior neck with difficulty turning the head to the right. What
additional history is needed?

Question 25

Your patient Jerry has gout. What do you
suggest?

Question 26

A 70 year old patient presents with a slightly
raised, scaly, erythematous patch on her forehead. She admits to having been a
?sun worshiper.? The nurse practitioner suspects actinic keratosis. This lesion
is a precursor to:

Question 27

Martha had a less than 7% value on her
Schilling test. What medication do you anticipate she might need?

Question 28

The nurse practitioner observes a tympanic
membrane that is opaque, has decreased mobility, and is without bulging or
inflammation. The least likely diagnosis for this patient is:

Question 29

Which statement below is correct about
pertussis?

Question 30

An AST that is more than twice the level of
ALT is suggestive of:

Question 31

Your 31-year-old patient, whose varicella rash
just erupted yesterday, asks you when she can go back to work. What do you tell
her?

Question 32

Acute rheumatic fever is an inflammatory
disease which can follow infection with:

Question 33

A 46-year-old female with a past medical
history of diabetes presents with a swollen, erythematous right auricle and is
diagnosed with malignant otitis externa. The nurse practitioner knows that the
most likely causative organism for this patient?s problem is:

Question 34

Of the following, the patient who should be
referred for periodic colonoscopy is the patient with:

Question 35

Which type of lung cancer has the poorest
prognosis?

Question 36

Alan, age 54, notices a bulge in his midline
every time he rises from bed in the morning. You tell him it is a ventral
hernia, also known as:

Question 37

Treatment of acute vertigo includes:

Question 38

Marvin, age 56, is a smoker with diabetes. He
has just been diagnosed as hypertensive. Which of the following drugs has the
potential to cause the development of bronchial asthma and inhibit
gluconeogenesis?

Question 39

A patient presents to the primary care
provider complaining of a rash on his right forehead that started yesterday and
is burning and painful. The physical exam reveals an erythematous,
maculopapular rash that extends over the patient?s right eye to his upper right
forehead. Based on the history and examination, the most likely cause of this
patient?s symptoms is:

Question 40

Of the following choices, the least likely
cause of cough is:

Question 41

An 83-year-old female presents to the office
complaining of diarrhea for several days. She explains she has even had fecal
incontinence one time. She describes loose stools 3?4 times a day for several
weeks and denies fever, chills, pain, recent antibiotic use. The history
suggests that the patient has:

Question 42

A 40 year old presents with a hordeolum. The
nurse practitioner teaches the patient to:

Question 44

The Centor criteria for diagnosis of Group A
B-hemolytic streptococcus includes which of the following?

Question 45

Group A ?-hemolytic streptococcal (GABHS)
pharyngitis is most common in which age group?

Question 46

Which of the following statements about
malignant melanomas is true?

Question 47

What conditions must be met for you to bill
?incident to? the physician, receiving 100% reimbursement from Medicare?

Question 48

Appropriate therapy for peptic ulcer disease
(PUD) is:

Question 50

A 16 year old male presents with mild sore
throat, fever, fatigue, posterior cervical adenopathy, and palatine petechiae.
Without a definitive diagnosis for this patient, what drug would be least
appropriate to prescribe?

Question 51

Risk factors for acute otitis media (AOM)
include all of the following except:

Question 52

Shirley, age 58, has been a diabetic for 7
years. Her blood pressure is normal. Other than her diabetes medications, what
would you prescribe today during her routine office visit?

Question 53

The National Cholesterol Education Program?s
Adult Treatment Panel III recommends that the goal for low density lipoproteins
in high risk patients be less than:

Question 54

A 70 year old patient presents with left lower
quadrant (LLQ) abdominal pain, a markedly tender palpable abdominal wall,
fever, and leukocytosis. Of the following terms, which correctly describes the
suspected condition?

Question 55

The most common cancer found on the auricle
is:

Question 57

A 40 year old female with history of frequent
sun exposure presents with a multicolored lesion on her back. It has irregular
borders and is about 11mm in diameter. What should the nurse practitioner
suspect?

Question 58

Lisa, age 49, has daily symptoms of asthma.
She uses her inhaled short-acting beta-2 agonist daily. Her exacerbations
affect her activities and they occur at least twice weekly and may last for
days. She is affected more than once weekly during the night with an
exacerbation. Which category of asthma severity is Lisa in?

Question 59

Mort is hypertensive. Which of the following
factors influenced your choice of using an alpha blocker as the
antihypertensive medication?

Question 61

An 8 year old presents to the health clinic
with history of acute onset severe sore throat and respiratory distress with
stridor in the last 2 hours. The child?s history is positive for fever and
pharyngitis for 2 days. What is the most likely diagnosis?

Question 62

Impetigo and folliculitis are usually
successfully treated with:

Question 63

Which of the following color changes in a
pigmented lesion suggests malignant transformation?

Question 64

A patient presents with an inflamed upper
eyelid margin. The conjunctiva is red and there is particulate matter along the
upper eyelid. The patient complains of a sensation that ?there is something in
my eye.? What is the diagnosis and how should it be treated?

Question 65

A 65-year-old female with a past medical
history of hypertension, hyperlipidemia, and polymyalgia rheumatica presents to
urgent care with new onset left lower quadrant pain. Her current medications
include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily,
simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily. The
nurse practitioner suspects acute diverticulitis and possibly an abscess. The
most appropriate diagnostic test for this patient at this time is:

Question 66

An 80-year-old male admits to difficulty
swallowing during the review of systems. The nurse practitioner recognizes the
differential diagnosis for this patient?s dysphagia is:

Question 67

When a patient presents with symptoms of acute
gallbladder disease, what is the appropriate nurse practitioner action?

Question 68

Sandra has celiac disease. You place her on
which diet?

Question 69

Harvey has had Meniere?s disease for several
years. He has some hearing loss but now has persistent vertigo. What treatment
might be instituted to relieve the vertigo?

Question 71

The nurse practitioner is performing a
physical exam on a middle-aged African-American man. Which of the following
areas is a common site for melanomas in African-Americans and other
dark-skinned individuals?

Question 74

A patient complains of ?an aggravating cough
for the past 6 weeks.? There is no physiological cause for the cough. Which
medication is most likely causing the cough?

Question 75

A middle-aged male presents to urgent care
complaining of fever, dysphagia, and shortness of breath. The nurse
practitioner notes the patient leaning forward in a tripod position and
drooling. The clinical presentation of this patient suggests:

Question 77

A 45 year old with diabetes has had itching
and burning lesions between her toes for 2 months. Scrapings of the lesions
confirm the diagnosis tinea pedis. What is the best initial treatment option
for this patient?

Question 78

Which of the following is not a risk factor
for coronary arterial insufficiency?

Question 79

A very active elderly patient has a documented
diagnosis of arteriosclerosis obliterans. Common expected lower extremity
physical exam findings include:

Question 80

Which of the following medication classes
should be avoided in patients with acute or chronic bronchitis because it will
contribute to ventilation-perfusion mismatch in the patient?

Question 81

John, age 33, has a total cholesterol level of
188 mg/dL. How often should he be screened for hypercholesterolemia?

Question 82

A 35 year old man presents with radicular pain
followed by the appearance of grouped vesicles consisting of about 15 lesions
across 3 different thoracic dermatomes. He complains of pain, burning, and
itching. The nurse practitioner should suspect:

Question 83

Margaret, age 32, comes into the office with
painful joints and a distinctive rash in a butterfly distribution on her face.
The rash has red papules and plaques with a fine scale. What do you suspect?

Question 86

Which of the following is a secondary cause of
hyperlipidemia?

Question 87

What condition is associated with mucus
production greater than 3 months per year for at least 2 consecutive years?

Question 88

In order to decrease deaths from lung cancer:

Question 89

Marian, age 52, is obese. She complains of a
rapid onset of severe right upper quadrant abdominal cramping pain, nausea, and
vomiting. Your differential diagnosis might be:

Question 90

A 76-year-old male complains of weight loss,
nausea, vomiting, abdominal cramping and pain. Physical findings include an
abdominal mass and stool positive for occult blood. The nurse practitioner pain
suspects a tumor in the small intestine. The best diagnostic test for this
patient is:

Question 92

The differential diagnosis for a patient
complaining of a sore throat includes which of the following?

Question 93

Which of the following is the most appropriate
therapeutic regimen for an adult patient with no known allergies diagnosed with
group A B-hemolytic strep?

Question 96

A false-positive result with the fecal occult
blood test can result from:

Question 97

Carl, age 78, is brought to the office by his
son, who states that his father has been unable to see clearly since last
night. Carl reports that his vision is ?like looking through a veil.? He also
sees floaters and flashing lights but is not having any pain. What do you
suspect?

Question 98

A 21 year old college student presents to the
student health center with copious, markedly purulent discharge from her left
eye. The nurse practitioner student should suspect:

Question 100

A 20 year old is diagnosed with mild
persistent asthma. What drug combination would be most effective in keeping him
symptom-free?

Implementation of New Systems

Recorded presentation between 7 and 12 minutes in length. The presentation should include a PowerPoint and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. Be sure to include a title slide, objective slide, content slides, reference slide in APA format. Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly citations to support your claims. This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level. Save your assignment as an MP4 document (.mp4) or link.

You are a project manager assigned to implementing a new computer system in an organization:

– Why is it important to understand usability, configurability, and interoperability? Should these concepts outweigh the underlining cost of the new system? Which system do you recommend and why?
– During phase one, you are selecting a team. What characteristics are important to consider when selecting a team?
– During phase two the following principle was discussed, ?lead with culture, determining where the resistance is,? and then, engage all levels of employees (Sipes, 2019, p. 161). What does this principle mean to you and how can you implement this principle?
– How will you handle physician and other key professionals’ resistance to change and using the new system?
– Discuss possible pitfalls during the implementation phase and how you can avoid them?
– Describe your personal experience with automation and new information systems.

Assignment Expectations:

Length: Recorded presentation between 7 and 12 minutes in length. The presentation should include a Power Point and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. Use www.screencast-o-matic.comor other software to record your presentation as an mp4.

Structure: Include a title slide, objective slide, content slides, reference slide in APA format.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as an MP4 document (.mp4) or link

File name: Name your saved file according to your first initial, last name, and the module number (for example, ?RHall Module 1.mp4?)

Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests?

Sensitivity and specificity are not related.

Sensitivity and specificity are inversely correlated.

Sensitivity and specificity are directly correlated.

No test has 100% sensitivity and specificity.

The gold standard test has 100% sensitivity and specificity.

Which medical condition would exclude one from sports participation?

Asthma

Fever

Controlled seizures

HIV-positive status

Sickle cell trait

Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her:

sleep patterns.

salt intake.

aerobic workouts.

menstrual cycles.

family history.

Which of the following are examined with the patient in a reclining 45-degree position?

Bilateral hips and popliteal angles

Facial bones and cranial nerves V and VII

Cardinal fields of gaze

Oropharynx and thyroid gland placement

Jugular venous pulsation and pressure

Which one of the following patient characteristics is most likely to limit patient reliability during history taking?

Patient s measured IQ is above average.

Patient is alert and oriented to time and place.

Patient is sleep and sensory deprived.

Patient speaks the same language as examiner.

Patient appears emotionally stable.

Functional assessment is most important during the examination of a(n):

adolescent.

infant.

older adult.

young adult.

toddler.

The best way to ease the apprehension of a 3-year-old child before a physical examination is to:

explain that you will be gentle.

have the parents leave the examination room.

let the child hold the stethoscope while you listen.

tell the child he or she will get a lollipop for good behavior.

hand the child a picture book.

An ophthalmoscopic eye examination involves:

lens inspection.

near vision evaluation.

sclera observation.

visual field assessment.

assessing extraocular eye muscles.

When conducting a geriatric assessment, basic activities of daily living (ADLs) include:

bathing.

housekeeping.

medication compliance.

communication skills.

money management.

The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:

all completed forms are distributed.

parental cosignatures are obtained.

the relevant history is obtained.

coordination of follow-ups is reviewed.

a primary care visit will not be required.

Which of the following is true regarding the relationship between the examiner and the patient?

It is the examiner s responsibility to help the patient understand that he or she is qualified to make decisions regarding health care.

The patient must trust the examiner completely.

The examiner-patient relationship is enhanced by ignoring cultural issues.

The patient is a full partner with the examiner.

The examiner-patient relationship should never have priority over strict information gathering.

The greatest risk for potential health problems occurs in which age group?

Newborn

Toddler

School age

Adolescence

Young adult

The sequence of the physical examination should be individualized to:

minimize the number of times that the patient must change positions.

maximize the convenience of the examiner.

improve patient flow.

minimize the time the patient is in the room.

maximize patient movements to assess their mobility.

When you attempt to move a 10-month-old child from his mother s lap to the examination table, he screams loudly. Your best action is to:

move the child to the examination table and proceed matter-of-factly with the examination.

perform the examination while the child is in the mother s lap.

ask the mother to get the child to stop crying.

defer the examination until another day.

have the mother place the child on the examination table.

One of the most important aspects to consider in the orthopedic screening examination is:

muscle contraction.

flexibility.

muscle development.

balance.

symmetry.

The cranial nerves are usually assessed while the patient is in which position?

Left lateral

Supine

Sitting

Prone

Standing

Which patient position facilitates inspection of the chest and shoulders?

Sitting

Supine

Trendelenburg

Prone

Lithotomy

Which of the following factors is not known to affect patient compliance with his or her treatment regimen?

The patient s ability to understand the problem

The value the patient places on resolving the problem

The provider s relationship with the patient

The patient s age and social status

The provider s recognition of the patient s autonomy

Throughout the history and physical examination, the clinician should:

concentrate on emotional issues.

follow an inflexible sequence.

maintain a matter-of-fact demeanor.

deal only with previously identified problems.

evaluate the whole patient.

According to the usual examination procedure, you would first assist your patient to assume which position?

Lithotomy

Prone

Standing

Supine

Sitting

Results Displayed Feedback

Question 1

2 out of 2 points

Which medical condition would exclude one from sports participation?

Question 2

2 out of 2 points

Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her:

Question 3

2 out of 2 points

Which of the following are examined with the patient in a reclining 45-degree position?

Question 4

2 out of 2 points

Which one of the following patient characteristics is most likely to limit patient reliability during history taking?

Question 5

2 out of 2 points

Functional assessment is most important during the examination of a(n):

Question 6

2 out of 2 points

The best way to ease the apprehension of a 3-year-old child before a physical examination is to:

Question 7

2 out of 2 points

An ophthalmoscopic eye examination involves:

Question 8

2 out of 2 points

When conducting a geriatric assessment, basic activities of daily living (ADLs) include:

Question 9

2 out of 2 points

The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:

Question 10

2 out of 2 points

Which of the following is true regarding the relationship between the examiner and the patient?

Question 11

2 out of 2 points

The greatest risk for potential health problems occurs in which age group?

Question 12

2 out of 2 points

The sequence of the physical examination should be individualized to:

Question 13

2 out of 2 points

When you attempt to move a 10-month-old child from his mother s lap to the examination table, he screams loudly. Your best action is to:

Question 14

2 out of 2 points

One of the most important aspects to consider in the orthopedic screening examination is:

Question 15

2 out of 2 points

The cranial nerves are usually assessed while the patient is in which position?

Question 16

2 out of 2 points

Which patient position facilitates inspection of the chest and shoulders?

Question 17

2 out of 2 points

Which of the following factors is not known to affect patient compliance with his or her treatment regimen?

Question 18

2 out of 2 points

Throughout the history and physical examination, the clinician should:

Question 19

2 out of 2 points

According to the usual examination procedure, you would first assist your patient to assume which position?

Question 20

2 out of 2 points

Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests?

Additional Quiz questions:

____ 41. Which of the following is true regarding the relationship between the examiner and the patient?

____ 2. An examiner might be able to help a patient who seems uncomfortable with close contact during an examination by

____ 3. At your first meeting with a patient, it is usually best to say

____ 4. Which one of the following patient characteristics is most likely to limit patient reliability during history taking?

____ 5. Which of the following is most likely to enhance examiner reliability?

____ 6. The reliability of health-related findings and observations is the responsibility of the

____ 7. Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests?

____ 8. As you greet the patient, which examination technique is first implemented?

____ 9. Which of the following data are not part of your general inspection?

____ 10. The sequence of the physical examination should be individualized to

____ 11. According to the usual examination procedure, you would first assist your patient to assume which position?

____ 12. An ophthalmoscopic eye examination involves

____ 13. The cranial nerves are usually assessed while the patient is in which position?

____ 14. Which of the following are examined with the patient in a reclining 45-degree position?

____ 15. Which patient position facilitates inspection of the chest and shoulders?

____ 16. When assessing the abdomen, one needs to expose the patient

____ 17. To inspect the abdominal muscles, ask the

____ 18. Proprioception should be assessed while the patient is

____ 19. Examination of the patient in the lithotomy, or knee-chest, position includes

____ 20. Which portion of the physical examination is best done with the patient standing?

____ 21. The greatest risk for potential health problems occurs in which age group?

____ 22. A common method of estimating gestational age of a newborn is to assess

____ 23. To promote your examination time with a cooperative child, your approach to the examination should be to

____ 24. When conveying “bad” or distasteful news to the patient and family, it is best to

____ 25. The examination of a newborn should begin with

____ 26. The best way to ease the apprehension of a 3-year-old child before a physical examination is to

____ 27. In crying infants, it is often difficult to

____ 28. When you attempt to move a 10-month-old child from his mother’s lap to the examination table, he screams loudly. Your best action is to

____ 29. Observation of the child playing in the playroom provides information about which two systems?

____ 30. When conducting a geriatric assessment, basic activities of daily living (ADLs) include

____ 31. Functional assessment is most important during the examination of a(n)

____ 32. Throughout the history and physical examination, the clinician should

____ 33. Which of the following is not assessed in a newborn’s Apgar score?

____ 2. Which one of the following examiner behaviors would help minimize your patient’s dissatisfaction?

____ 3. An examiner might be able to help a patient who seems uncomfortable with close contact during an examination by:

____ 4. When performing a history and physical assessment, the examiner should:

____ 5. The examiner should develop a demeanor that is exemplified by which one of the following behaviors?

____ 6. At your first meeting with a patient, it is usually best to say:

____ 7. Which one of the following patient characteristics is most likely to limit patient reliability during history taking?

____ 8. Which of the following is most likely to enhance examiner reliability?

____ 9. The reliability of health-related findings and observations is the responsibility of the:

____ 10. Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests?

____ 11. As you greet the patient, which examination technique is first implemented?

____ 12. Which of the following data are not part of your general inspection?

____ 13. The sequence of the physical examination should be individualized to:

____ 14. According to the usual examination procedure, you would first assist your patient to assume which position?

____ 15. An ophthalmoscopic eye examination involves:

____ 16. Palpation of the epitrochlear nodes is part of the:

____ 17. Which of the following are examined with the patient in a reclining 45-degree position?

____ 18. Which patient position facilitates inspection of the chest and shoulders?

____ 19. When assessing the abdomen, the examiner needs to expose the patient:

____ 20. To inspect the abdominal muscles, ask the:

____ 21. Proprioception should be assessed while the patient is:

____ 22. Examination of the patient in the lithotomy, or knee-chest, position includes:

____ 23. Which portion of the physical examination is best done with the patient standing?

____ 24. The greatest risk for potential health problems occurs in which age group?

____ 25. A common method for estimating gestational age of a newborn is to assess:

____ 26. To promote a child’s cooperation during your examination, your approach to the examination should be to:

____ 27. Which of the following cannot be assessed in the crying infant:

____ 28. The Ballard Gestational Age Test is completed within 36 hours of birth to:

____ 29. Mrs. Kia has brought her newborn infant in for a 2-week examination. The examination of the newborn should begin with:

____ 30. The best way to ease the apprehension of a 3-year-old child before a physical examination is to:

____ 31. In crying infants, it is often difficult to:

____ 32. When you attempt to move a 10-month-old child from his mother’s lap to the examination table, he screams loudly. Your best action is to:

____ 33. When conducting a geriatric assessment, keep in mind that basic activities of daily living (ADLs) include:

____ 34. When interviewing a disabled patient, it is best to speak to:

____ 35. Functional assessment is most important during the examination of a(n):

____ 36. Which of the following factors is not known to affect patient compliance with his or her treatment regimen?

____ 37. When a patient has not been compliant with instructions, an examiner should:

____ 38. Observation of the child playing in the playroom provides information about which two systems?

____ 39. Throughout the history and physical examination, the clinician should:

____ 40. For a routine physical examination, all the following equipment is necessary except:

____ 41. The cranial nerves are usually assessed while the patient is in which position?