Initial Post Instructions
Deductive categorical reasoning is demanding. Its forms are rigid, but they are rigid with a reason; deductive categorical arguments are intended to prove the conclusion. If the premises are true and the conclusion logically follows, you have no choice but to accept the argument. The categorical syllogism is like a piece of machinery, the parts working together to produce a result – in the case of the categorical syllogism, the truth of the conclusion.

For the initial post, address all of the following:

  • Explain how the machinery of the categorical syllogisms works.
    • Why two premises and one conclusion?
    • Why only three terms?
    • Why only four standard forms?
    • When and where, in your private life or your work life, would you want to use this type of reasoning?
  • Look at “One Step Further” at the end of Chapter 6 or choose from Exercise 6.22, examples 1, 5 or 7. Translate one of the arguments there into a categorical syllogism.

Discuss Why You Have Decided To Complete Your BSN At This Time, And The Concerns You Have About Completing Your Baccalaureate Degree. Based On The Readings In The Course Materials, What Strategies Can You Implement To Be A Successful Student?

The reason that I have decided to continue my education was that it was always part of the plan. I just recently graduated from an ADN program at the end of 2018 and passed the dreaded NCLEX. The next step was to decided on which RN to BSN school and format to go with and obviously I went with GCU. The reason that BSN was always part of the plan is because I do not want to be limited in job prospects in the future.  Graduating with  a baccalaureate degree from university has been something that I have always wanted to do for the sense of accomplishment.

The concerns that I have for completing the program are the unknown. This is my first online class so I don’t know exactly what to expect, you don’t know what you don’t know. Another concern that I have is the load and or time management aspect of it all. Dealing with completing assignments and starting as a new grad nurse.

In the course materials section their is a blog post by Philip Murphy in which he list out 7 habits for being a student nurse. I believe that to be successful in any program or on an even broader setting for completeing any goals these are tools for success. I also think that one has to make these tools their own take ownership. A little experimentation to apply the concepts in the post to your specific life will yield greater results than just following some generic tips. I will personally probably end up using several different strategies in a some sort of combination but will adjust and modify them until they fit my personal life.

Health Assessment

You are admitting a 19-year old female college student to the hospital for fevers.  Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource.

500 words , 2 reference in APA format , NO PLAGIARISM.

Nursing Standardized Simulation (Jesus Garcia)


Jesus Garcia is a 28 years who was directly admitted to the medical unit on Tuesday evening with a diagnosis of dehydration. Fifteen days ago, Jesus underwent a partial colectomy with creation of a transverse colostomy. Jesus’ girlfriend Virginia has been taking care of him since discharge and reports that Jesus has resisted participation in colostomy care. Virginia needs to return to her full-time job and is concerned with how Jesus will manage without her at his side


In order to prepare for the simulation, you are required to complete the pre-briefing questions below and submit to the faculty facilitating the simulation prior to the start of pre-briefing. If you do not complete the pre-briefing questions below and submit to faculty facilitating the simulation prior to the start of pre-briefing, you will not be permitted to participate in the simulation.

Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to abnormalities in these skills.


1. What are common signs and symptoms of dehydration?

2. What are complications you may see as a result of poor nutrition?

3. Describe nursing care and interventions for a client with a colostomy


Organizational Policies And Practices To Support Healthcare Issues

Give an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.


CC is a previously healthy 27-year-old man admitted to the critical care unit after an accident in which he was hit by a car and dragged along the pavement for nearly 100 feet. He suffered a frontal contusion, fractured clavicle and ribs, and extensive abrasions on his arms, legs, side, back, and buttocks. On admission, he was tachycardic, hypotensive, unresponsive, and ventilating poorly. He was placed on a mechanical ventilator and given IV fluids for the treatment of his shock. CC responded well to fluids, with an increase in blood pressure and an improvement in urine output.

1.       Based on his case history and responsiveness to fluid therapy, what type of shock was CC experiencing?

2.       What other clinical findings would be helpful in confirming the type of shock? Why?

3.       Because of his many open wounds and invasive lines, CC is at risk for sepsis and septic shock. What clinical findings would suggest that this complication has developed?

4.       What is the link between sepsis and multiple organ dysfunction syndrome (MODS)?


To complete this Assignment, you will create a Microsoft Project plan for a patient information management system. The primary deliverable for the plan is the patient information management system itself, but it is comprised of many modules. Include the following tasks, subtasks, and timeframes:

  • Create the Admission, Discharge, and Transfer Module (requires subtask I, configuration period: 25 days, training period: 10 days)
  • Subtask I: Create the Patient Registration Module (requires subtask II, configuration period: 4 days, training period: 4 days)
  • Subtask II: Create the Master Patient Index (configuration period: 4 days)
  • Subtask III: Create the Patient Scheduling Module (requires subtask II, configuration period: 7 days, training period: 15 days)

Transformational Nursing Leaders

Review Appendix A, Sections I–V in Finkelman (2012, pp. 510–515).

  1. Select one of the sections and share how your chief nurse executive demonstrates expertise in these competencies.  Your comments should be about the “highest nursing leader” in your organization. Typically this is the leader who represents nurses and nursing to the governing board.
  2. In your own words, explain the differences between a transactional nursing leader and a transformational nursing leader. What one is more like your Nurse Executive?
  3. Describe how the Nurse Executive “leads the charge” for transformational leadership in an organization where you work or have done prelicensure clinical experiences.

Finkelman, A. (2012). Leadership and management for nurses: Core competencies for quality care (2nd ed.). Boston, MA: Pearson.

  • Chapter 15: Evidence-based Practice and Management
  • Appendix A: Nurse Executive Competencies (pp. 510–515)

Howto Execute A Example

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Code the first operative report, include any CPT surgery code(s), anesthesia code(s), and any modifiers applicable. (20 points)Code the E&M code for the second office visit.1. Description: Bilateral o

Code the first operative report, include any CPT surgery code(s), anesthesia code(s), and any modifiers applicable. (20 points)Code the E&M code for the second office visit.1. Description: Bilateral o

Code the first operative report, include any CPT surgery code(s), anesthesia code(s), and any modifiers applicable. (20 points)

Code the E&M code for the second office visit.

1. Description: Bilateral open Achilles lengthening with placement of short leg walking cast. 

PREOPERATIVE DIAGNOSIS: Idiopathic toe walker.POSTOPERATIVE DIAGNOSIS: Idiopathic toe walker.PROCEDURE: Bilateral open Achilles lengthening with placement of short leg walking cast.ANESTHESIA: Surgery performed under general anesthesia. A total of 10 mL of 0.5% Marcaine local anesthetic was used.COMPLICATIONS: No intraoperative complications.DRAINS: None.SPECIMENS: None.TOURNIQUET TIME: On the left side was 30 minutes, on the right was 21 minutes.HISTORY AND PHYSICAL: The patient is a 10-year-old boy who has been a toe walker since he started ambulating at about a year. The patient had some mild hamstring tightness with his popliteal angle of approximately 20 degrees bilaterally. He does not walk with a crouched gait but does toe walk. Given his tightness, surgery versus observation was recommended to the family. Family however wanted to correct his toe walking. Surgery was then discussed. Risks of surgery include risks of anesthesia, infection, bleeding, changes in sensation and motion of the extremities, failure to resolve toe walking, possible stiffness, cast, and cast problems. All questions were answered and parents agreed to above surgical plan.PROCEDURE IN DETAIL: The patient was taken to the operating room and placed supine on the operating table General anesthesia was then administered. The patient received Ancef preoperatively. The patient was then subsequently placed prone with all bony prominences padded. Two bilateral nonsterile tourniquets were placed on each thigh. Both extremities were then prepped and draped in a standard surgical fashion. We turned our attention first towards the left side. A planned incision of 1 cm medial to the Achilles tendon was marked on the skin. The extremity was wrapped in Esmarch prior to inflation of tourniquet to 250 mmHg. Incision was then made and carried down through subcutaneous fat down to the tendon sheath. Achilles tendon was identified and Z-lengthening was done with the medial distal half cut. Once Z-lengthening was completed proximally, the length of the Achilles tendon was then checked. This was trimmed to obtain an end-on-end repair with 0 Ethibond suture. This was also oversewn. Wound was then irrigated. Achilles tendon sheath was reapproximated using 2-0 Vicryl as well as the subcutaneous fat. The skin was closed using 4-0 Monocryl. Once the wound was cleaned and dried and dressed with Steri-Strips and Xeroform, the area was injected with 0.5% Marcaine. It was then dressed with 4 x 4 and Webril. Tourniquet was released at 30 minutes. The same procedure was repeated on the right side with tourniquet time of 21 minutes. While the patient was still prone, two short-leg walking casts were then placed. The patient tolerated the procedure well and was subsequently flipped supine on to hospital gurney and taken to PACU in stable condition.POSTOPERATIVE PLAN: The patient will be discharged on the day of surgery. He may weightbear as tolerated in his cast, which he will have for about 4 to 6 weeks. He is to follow up in approximately 10 days for recheck as well as prescription for intended AFOs, which he will need up to 6 months. The patient may or may not need physical therapy while his Achilles lengthenings are healing. The patient is not to participate in any PE for at least 6 months. The patient is given Tylenol No. 3 for pain.


HISTORY OF PRESENT ILLNESS: Mr. Smith is a 63-year-old gentleman new to our Clinic. He had been followed by Dr. Jones at Kernodle Clinic. Mr. Smith has a past medical history that includes hypertension for more than five years. It sounds like he has fairly severe white coat hypertension. Apparently, he has home readings consistently 30 points below what he gets in the office. He had been on Capoten in the past and gotten a cough with that. He had been on Norvasc in the past, but then stopped it for unclear reasons. More recently, he has been on Hyzaar. He also has hypercholesterolemia and has been on Lipitor. He has for the past year or so felt that his hands and feet were “burning up” at night. He reports that “he can almost see the heat waves from them.” He thinks this is a medication side effect. On his own, he stopped his Lipitor three weeks ago. He has not noticed any difference in his symptoms. He otherwise feels well and has no complaints.

PAST MEDICAL HISTORY: 1. Hypertension. 2. Hypercholesterolemia. 3. Status post plastic surgery after a motor vehicle collision when he was in his 20s. 4. History of depression around the time of the accident. He does report that intermittently he feels quite down, but he is able “to pick himself back up”. More recently, however, he has been in a more prolonged period. 5. He has significant moles and he is followed by an outside dermatologist. 6. He has had normal PSA and rectal exams. He had a colonoscopy about five years ago and again one year ago, both of which showed many polyps, pathology not known.

MEDICATIONS: Now only Hyzaar, a baby aspirin and a multivitamin

ALLERGIES: Capoten caused a cough.

SOCIAL HISTORY: He works in computer software. He does not smoke. He drinks wine and Martinis “probably more than I need to.” No drug use.

FAMILY HISTORY: The patient’s father died of a brain aneurysm in his 50s. Mom had colon cancer in her 80s and also hypertension. Five older sisters all with hypertension and hypercholesterolemia. No known coronary artery disease.


CONSTITUTIONAL: No fevers. Weight up 15 lbs since March. HEENT: Teeth doing okay. Does not feel congested in his sinuses. CARDIOVASCULAR: No chest pains, palpitations, PND, orthopnea or edema. RESPIRATORY: No shortness of breath. He does have a chronic intermittent cough that he has had for years. He had a chest x-ray a couple of years ago to evaluate this which was apparently normal. GI: No abdominal pain. No reflux-type symptoms. No change in bowel habits. GU: No hematuria or dysuria. MUSCULOSKELETAL: No chronic joint pains. PSYCHIATRIC: Not suicidal.


VITAL SIGNS: Weight 86.7 kg which is 191 lbs, blood pressure 174/114, pulse 103.

HEENT: Conjunctivae pink. Sclerae anicteric. Oropharynx clear.

NECK: No lymphadenopathy or thyromegaly or JVD.

LUNGS: Clear to auscultation and percussion.

HEART: Regular rate and rhythm without murmur, rub or gallop.

ABDOMEN: Normal bowel sounds. Soft, nontender. No hepatosplenomegaly.

EXTREMITIES: No cyanosis, clubbing or edema.

PSYCHIATRIC: Normal affect and behavior with seemingly good insight.


  1. Hypertension, poor control even with supposed white coat hypertension. He again is worried about side effect of his medications. We talked about many options and decided to change him to HCTA 25 mg a day and Norvasc 10 mg a day.
  2. Hypercholesterolemia. We will check lipid panel today. We will hold off on Lipitor for now, but will likely restart this once we confirm he is not having drug side effects. He is also interested in possibly trying fish oil.
  3. Psychiatric. He was not interested in counseling at all. He was interested in medication. We will start Celexa 20 mg a day. He will titrate this up to 40 mg after three to four weeks. He will call us in a few weeks if he is having any problems.
  4. Health maintenance. We will hold on PSA screening for a bit as he has been screened in the past. We will repeat colonoscopy in a few years and will try to get records of prior polyp pathology. He will try to focus on drinking a bit less alcohol and getting some regular exercise and eating better. Continue baby aspirin.
  5. Return to clinic in two months.

John Student, MS3

Seen with Joe Doctor, MD