NURS 6512 FINAL EXAM (2018): Walden University (Verified answers, Scored A)
NURS 6512 FINAL EXAM
1. Costovertebral angle tenderness should be assessed whenever you suspect the patient may have: -
2. In older adults, overflow fecal incontinence is commonly due to:
3. A 1 month old boy has been vomiting for 2 weeks. How is this symptom of GERD and pyloric stenosis further differentiated in this child’s assessment?
4. Auscultation of borborygmi is associated with:
5. When auscultating the abdomen, which finding would indicate collateral circulation between the portal and systemic venous systems? –
6. Conversion of fat-soluble wastes to water-soluble material for renal excretion is a function of the: -
7. The major function of the large intestine is: -
8. Which structure is located in the hypogastric region of the abdomen? –
9. A 45 year old man relates a several week history of severe intermittent abdominal burning sensations. He relates that the pain is relieved with small amounts of food. Before starting the physical examination, you review his laboratory work, anticipating a (n): -
10. You are caring for a patient with trigeminal neuralgia. During the assessment, the patient would describe the pain as: -
11. Your 85 year old patient is complaining of right knee pain. She has a history of osteoarthritis for which she is given anti-inflammatory medication. To assess her right knee pain, you should ask her if: - 12. A 5 year old is complaining of nondescriptive “belly pain.” Your next action should be to ask him to: - 13. The perception of pain: -
14. Patients presenting with ascites, jaundice, cutaneous spider veins, and nonpalpable liver exhibit signs of: -
15. A patient presents to the emergency department after a motor vehicle accident. The patient sustained blunt trauma to the abdomen and complains of pain in the upper left quadrant that radiates to the left shoulder. What organ is most likely injured?
16. Imaging studies reveal that a patient has dilation of the renal pelvis from an obstruction in the ureter, what condition will be documented in this patient’s health record? –
17. Visible intestinal peristalsis may indicate: -
18. Infants born weighing less than 1500g are at higher risk for:
19. Which of the following factors is not known to affect patient compliance with his or her treatment regimen? –
20. One of the most important aspects to consider in the orthopedic screening examination is: -
21. The sequence of the physical examination should be individualized to:
22. As you greet the patient, which examination technique is first implemented? –
23. Which of the following is most likely to enhance examiner reliability?
24. A 7 year old boy is brought to your office with a chief complaint of possible fracture to his left third finger. He jammed it while playing basketball 2 days ago. The mother states that she really does not think it is broken because he can move it. What is your best response? –
25. A patient presenting for the first time with typical low back pain should receive which of the following diagnostic tests?
26. Skeletal changes in older adults are the result of: -
27. A positive straight leg raise test usually indicates: -
28. What technique is performed at every infant examination during the first year of life to detect hipdislocation? -
29. Expected normal findings during inspection of spinal alignment include-
30. Temporalis and masseter muscles are evaluated by:-
31. When palpating joints, crepitus may be caused when: -
32. A 3 year old is brought to the clinic complaining of a painful right elbow. He is holding the right arm slightly flexed and pronated and refuses to move it. the mother states that symptoms started right after his older brother had been swinging him around by his arms. This presentation supports a diagnosis of: -
33. Light skin and thin body habitus are risk factors for: -
34. Risk factors for sports-related injuries include: -
35. Injuries to long bones and joints are more likely to result in fractures than in sprains until: -
36. Ligaments are stronger than bone until: -
37. The family history for a patient with joint pain should include information about siblings with: -
38. The Thomas test is used to detect: -
39. A goniometer is used to assess: -
40. During a football game, a player was struck on the lateral side of the left leg while his feet were firmly planted. He is complaining of left knee pain. To examine the left knee you should initially perform the ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬________ test. –
41. You note that a child has a positive Gower Sign. You know that this indicates generalized: -
42. The dowager hump is: -
43. What temporary disorder may be experienced by pregnant women during the third trimester because of fluid retention?–
44. A common finding in markedly obese and pregnant women is: -
45. A 45 year old laborer presents with low back pain, stating that the pain comes from the right buttock and shoots down and across the right anterior thigh, down the shin to the ankle. Which examination finding is considered more indicative of nerve root compression? -
46. Mrs. Bower is a 57 year old patient who comes in for an office visit. Which of the following disorders is known to be hereditary? –
47. Testing of cranial nerve ¬¬¬¬________ is not routinely performed unless a problem is suspected. – I
48. The patient is able to rapidly touch each finger to his thumb in rapid sequence. What does this finding mean? –
49. Which question asked by the examiner may hellp to determine prevention strategies for seizures that a patient is experiencing? –
50. A patient has a complaint of dizziness. The patient makes the following statement: “I sometimes feel as if the whole room is spinning.” What type of neurologic dysfunction should the examiner suspect? –
51. The examiner asks the patient to close her eyes, then places a vibrating tuning fork on the patient’s ankle and asks her to indicate what is felt. What is being assessed? -
52. Which of the following findings should an examiner consider a normal finding if associated with pregnancy? – -
52. Jack is a 52 year old obese man with a history of poorly controlled diabetes. He also smokes. Based on the above data, the examiner should recognize that Jack has several risk factors for: - -
53. Mrs. Jones is a 24 year old patient who presents to your office 2 days postpartum. She complains that she is experiencing foot drop. Which of the following problems should the examiner consider? –
54. The examiner is assessing deep tendon reflex response in a 12 year old boy. The response is an expected reflex response. Which of the following scores should be documented? –
55. A 68 year old patient presents to your office for follow-up. He tells you, “I have a hard time finding the right words when I am talking;” he also is experiencing numbness. On examination, you note postural instability. This symptom may be: -
56. Motor maturation proceeds in an orderly progression from: -
57. The thalamus is the major integration center for perception of: -
58. The examiner should be concerned about neurologic competence if a social smile cannot be elicited by the time a child is ________old. -
59. Normal changes of the aging brain include: - -
60. When interviewing a 70 year old female clinic patient, she tells you that she takes ginkgo biloba and St. John’s Wort. You make a short note to check for results of the: --
61. The area of body surface innervated by a particular spinal nerve is called a: - -
62. If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation? – -
63. The finger-to-nose test allows assessment of: - -
64. You ask the patient to follow a series of short commands to assess: - -
65. As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.’s pattern as: -
66. When is the mental status portion of the neurologic system examination performed? -
67. An aversion to touch or being held, along with delayed or absent language development, is a characteristic of: --
68. The autonomic nervous system coordinates which of the following? -
69. The major function of the sympathetic nervous system is to: - -
70. The parasympathetic nervous system maintains the day-to-day function of: -
71. Cerebrospinal fluid serves as a: - -
72. You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the: --
73. Which type of hallucination is most commonly associated with alcohol withdrawal? – -
74. On a scale of 0 to 4 , which deep tendon reflex score is appropriate for a finding of clonus in a patient? -
75. Which statement is true regarding mental status changes in older adults? – -
76. A characteristic related to syphilis or diabetic neuropathy is testicular: --
77. When collecting personal and social history data from a woman complaining of breast discomfort, you should question her regarding: - -
78. What risk factor is associated with cervical cancer? – -
79. A 23 year old female presents with severe right lower quadrant tenderness. All of the following should be considered in the differential except: - -
80. What is the initial diagnostic radiology test that should be ordered if you suspect a ruptured ovarian cyst? – -
81. A 17 year old male was brought into the emergency room with testicular/scrotal pain. The differential diagnosis should include all except: -
82. The nursing mother complains that her breasts are tender. You assess hard, shiny, and erythremicbreasts bilaterally. You should advise the patient to: - -
83. A normal vas deferens should feel: - -
84. In a woman complaining of a breast lump, it is most important to ask about: - -
85. The finding of a painless indurated lesion on the glans penis is most consistent with: - -
86. Thrombosed hemorrhoids are: - -
87. Pregnancy-related cervical changes include: -
88. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: - -
89. An adolescent male is being seen for acute onset of left testicular pain. The pain started 3 hours ago. He complains of nausea and denies dysuria or fever. Your prioritized assessment should be to: -
90. A 23 year old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is: - -
91. What accommodations should be used in the position of a hearing-impaired woman for a pelvic examination? – -
92. Sexual differentiation in the fetus has occurred by ¬¬¬_______weeks gestation. - -
93. You are performing a clinical breast examination for a 55 year old woman. While palpating the supraclavicular area, you suspect that you felt a node. In order to improve your hooked technique, you should: --
94. If a firm, transverse ridge of compressed tissue is felt bilaterally along the lower edge of a 40 year old patient’s breast, you should: --
95. A therapeutic technique for dealing with grieving individuals is to: -
96. The examination of the newborn should begin with: - -
97. Which one of the following patient characteristics is most likely to limit patient reliability during history taking? – -
98. In crying infants, it is often difficult to: - -
99. Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests? –-
100. Which medical condition would exclude one from sports participation? – -
101. Your 15 year old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You question this patient about her: - -
102. Which of the following are examined with the patient in a reclining 45 degree position? –-
103. Functional assessment is most important during the examination of a(n): --
104. The best way to ease the apprehension of a 3 year old child before a physical examination is to: - -
105. An ophthalmoscopic eye examination involves: - -
106. When conducting a geriatric assessment, basic activities of daily living (ADLs) include: -
107. The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: -
108. Which of the following is true regarding the relationship between the examiner and the patient? –
109. Which of the following factors is not known to affect patient compliance with his or her treatment regimen? –
110. One of the most important aspects to consider in the orthopedic screening examination is: -
111. As you greet the patient, which examination technique is first implemented? –
112. Which portion of the physical examination is best done with the patient standing? –
113. Which patient position facilitates inspection of the chest and shoulders? –
114. The least reliable indicator of newborn distress is: -
115. Proprioception should be assessed while the patient is: -
116. Part of the screening orthopedic component of the examination includes evaluating the person while: -
Academic Competences (summary)
In this summary you will find the six web clips and the three interactive lectures from Academic Competences for the premasters TiSEM 2019 (Tilburg University). In the Index you find all specific subjects.
Might be handy for the midterm 2019.
Exploring the role of competence-based trust in building cross-cultural supply chain collaboration with Chinese partners
The study aims to help the building of cross-cultural supply chain collaboration between
western and Chinese supply chain partners by investigating how do Chinese supply chain
partners view competence-based trust, the influencing factors towards competence-based
trust and the effect of competence-based trust in cross-cultural supply chain collaboration.
In addition, this is a qualitative study that utilise semi-structured interviews to understand
interviewees’ opinions and to shape findings. The interviewees are all from Chinese supply
chain departments that have had cross-cultural supply chain collaboration with westerns
The major findings have shown the particular Chinese supply chain partners views on
competence-based trust, the influencing factors and the effects of competence-based trust
in building supply chain collaboration with Chinese partners. Findings also show the
necessity for western supply chain partners to lay emphasis on Chinese culture for gaining
competence-based trust. The findings have linked back to the literature review part with
discussions and there are consistent, contradict and unpredicted new findings involved in.
Finally, the limitations and further research recommendations are provided in the final
Nowadays supply chain infrastructure is much more complex than before. Supply chain
partners are commonly facing possible problems such as overspending operational costs,
meaningfulness rework, inefficient resources management (Walters, 2011). Walter (2011)
indicates that, in order to be accessible to the limited global expertise and to achieve cost
reduction and less project timescale by ensuring the performance and safety, many
geographically dispersed companies have built supply chain collaboration with each other.
In the past four decades, companies have started to look outside their organisations for
sensing and seizing new opportunities. Building supply chain collaboration with other
partners has already become a common norm for many companies around the world
(Simchi-Levi et al, 2000). In the increasingly competitive world, collaboration is the accepted
strategic choice which across institutional, sectoral and national boundaries (Nielsen, 2004).
Supply chain collaboration is defined as two or more firms working together to plan and
execute supply chain operations and will have greater chances to jointly create success than
isolated working (Simatupang and Sridharan, 2002). Companies have strived to collaborate
with their partners in the uncertain environment for gaining competitive benefits, such as
reducing the costs of product, process, inventory; increasing reliability and responsibilities
to market needs (McLaren et al, 2002). According to Cheung et al (2010), supply chain
collaborative resources sharing in the global business-to-business markets could build
competitive advantages for companies. Building supply chain collaboration could also have
many other benefits such as helping companies capitalise individual firms’ expertise and
skills to collectively provide benefits to end customers, creating and contributing to firm’s
more efficient supply chain operation in marketplace for bringing value to organisations.
In nowadays global market, many companies have chosen Chinese companies to be the
supply chain partners. China has become a fastest-growing economy and the largest world
manufacturer. The country has attracted a large number of the western countries to build
supply chain collaboration with. For example, Walmart, as the top Fortune 500 company,9
was going to source products in Guangdong province and help more of the local department
and local sourcing in China to enter Walmart global supply chain system (Qiu and Xu, 2017).
The company Apple is another typical example company that has built collaboration with
Chinese partners. The number of its collaborated firms in China has increased from eight to
sixteen from 2011 to 2013. Apple has relied on the supplied material and components for
their products in China and is especially highly collaborating with Chinese supply chain
manufacture companies for the production of batteries of its product (Mishkin, 2013).
1.2. Research objectives
This research is going to explore the role of competence-based trust in building supply chain
collaboration with Chinese business partners. Study will investigate this with the focus upon
Chinese supply chain partners views on competence-based trust, the influencing factors as
well as the effect of competence-based trust in building cross-cultural supply chain
collaboration with Chinese partners. Fundamentally, the following research questions will
guide the research
What are the Chinese partners’ views on competence-based trust in building supply chain
collaboration with western partners?
How to develop competence-based trust in building supply chain collaboration with
Chinese business partners?
What is the effect of competence-based trust in building supply chain collaboration with
Academische Competenties Marketing (summary 2019)
This summary contains all information of the five modules of ACCO, including: the six web clips and the three interactive lectures (tutorials). Applicable for all premaster studies at TiSEM 2019 (Tilburg University). As preparation for the midterm 2019.
Summary Intercultural Sensitivity, from denial to intercultural competence
This is a summary of the book: Intercultural sensitivity, from denial to intercultural competence
The book has 8 chapters, every chapter is elaborated specifically.
MN502-4: Develop a philosophy that supports advanced nursing practice reflecting the values, beliefs, and cultural competencies relative to nursing practice, science, and theory.
This Assignment addresses this course outcome:
MN502-4: Develop a philosophy that supports advanced nursing practice reflecting the values, beliefs, and cultural competencies relative to nursing practice, science, and theory.
Now that you have spent the last 8 weeks discussing theory development and exploring models and philosophies that guide advance practice nursing, it is time for you to put it all together. In this Assignment, you will create a presentation using any form of presentation software (e.g., PowerPoint®, Prezi™, Movenote™, Powtoons™, Slidedog™, and so on). Your presentation should bring together the theory that best fits your concept of advance practice nursing, the model that you will use to translate this into practice, and your final philosophy of advance practice nursing related to your role after graduation.
Please remember that your presentation should contain slides that have bullet points. The bullets should number no more than four to six per slide. The bullet point is not written as a complete sentence. It contains key words. You, as the presenter will explain in depth what each bullet point means in the audio portion of the presentation. Slides may contain graphics, but should be uncluttered. Background and font colors should be of sufficient contrast to make reading them easy on the eyes. Attention to colors should be paid so that a person who is colorblind can easily read the presentation.
The presentation should consist of a series of slides that include:
Title Slide: A title slide that identifies the title of the presentation and name of the student.
Introduction Slide: An introduction slide that includes brief information about you and your program track. The slide should also explain to the audience the purpose of the presentation.
Model Slides: The third and fourth slides will address your chosen model. The bullet points should consist of the specific characteristics of the model. You will need at least one citation that identifies where the model came from. Your audio will expound upon the model and what the characteristics mean. The fourth slide should include why you chose the model and how you will apply it in practice.
Theory Slides: The next three slides will focus on your chosen theory. The first slide should present your theory and why you chose it. The next slide would present the key concepts of the theory and how it has been used to date in past research no older than 5 years ago. The third slide will discuss how you will use this theory in practice as an advance practice nurse upon graduation.
Philosophy Slide: The next area will consist of one slide that presents your philosophy of advance practice nursing in the post-graduate role you will assume. The philosophy statement will consist of one to three sentences that distill the essence of what you believe advance practice nursing is and your conception of nursing as a profession. It is written in the first person and present tense. It is a personal statement of your beliefs about the profession of nursing. This should present guiding statements for your future practice in the advanced practice role. An example of a philosophy statement might read this way:Advanced practice nursing takes the art and science of nursing to a level of \"other\" and \"self\" interacting together to reach a state of optimal wellness guided with compassion and love for the culture of the \"other.\"
Graphical Slide: The next-to-last slide will be a graphical representation of how the model, theory, and your philosophy fit together.
Conclusion Slide: The last slide will be a conclusion that brings together everything you have presented. It isnota summary that just reiterates what you presented. It is a judgment about what you presented and bring the audience home, ending the presentation on a positive note about the future.
You will need supporting citations for your theory and model slides, and possibly for your philosophy, as appropriate. You will include the citations where appropriate and your very last slide will be a reference slide.
The total slide count should not exceed 15 slides. This does not include the reference slide(s) or the title slide.
Organization, documentation, references formatting guidelines must follow APA 6th edition:To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.
Total points: 300
Before finalizing your work, you should:
be sure toread the Assignment description carefully(as displayed above);
consult the Grading Rubric(under the Course Home) to make sure you have included everything necessary; and
utilizespellingandgrammar checkto minimize errors.
Your writing Assignment should:
follow the conventions ofStandard American English(correct grammar, punctuation, etc.);
bewell ordered,logical,andunified, as well asoriginal and insightful;
displaysuperior content, organization, style,andmechanics; and
useAPA 6th Editionformat.
Intercultural Sensitivity: from denial to intercultural competence - Chapter 1-7 + Harari\'s article
Summary of the book \'Intercultural Sensitivity: from denial to intercultural competence\' by B.J. Babin. Covers chapter 1-7 Harari\'s article
ICB2 Intercultural Competences in Business 2 Exam Summary
Summary of the Exam topics & PDFs for Intercultural Competences in Business (ICB2) at IBS at Hanze University Groningen. 2nd year course.
Intercultural competence in business summary (ICB)
Intercultural skills for international business and business relations S. Paul Verluyten ACCO Fourth edition for Intercultural competence in business ISBN 9789033480539 IBMS Hanzehogeschool
Colleges 5-8 uitwerkingen - Clinical Child & Adolescent Psychology
Dit document bevat de uitwerking van de eerste vier colleges van het specialisatievak \'Clinical Child & Adolescent Psychology (CCAP)\'. Het gaat om (ALLE!) informatie van de collegeslides plus mijn aantekeningen van wat de docent heeft verteld tijdens het college. Ik heb deze informatie zo veel mogelijk in verhaalvorm gezet. Hierdoor wordt alle informatie net even wat duidelijker uitgelegd. Alles is geschreven in het Nederlands, met Engelse benamingen van begrippen en theorieën wanneer dat meer duidelijkheid gaf. De colleges die hier zijn uitgewerkt, zijn de volgende: College 5 - Emotion socialization, emotional competence, and adjustment; College 6 - Emotional competence and depression; College 7 - Emotional competence and anxiety; College 8 - Emotional competence as a transdiagnostic factor.
In dit document staan ook enkele tips voor het leren voor het tentamen, gegeven door de docent.
Dit document is het vervolg op de uitwerkingen van colleges 1-4 van dit vak. Zie ook de bundel van beide uitwerkingen voor een kleinere prijs!
The Power of Morality and Competence Norms on Buying Organic Food
Example LAB REPORT for the Research Methods (PSY1206) module at the University of Exeter. DO NOT copy as you will be done for plagiarism - use ONLY for a guideline to references, content, structure and an idea of what you need for a first class essay.