...SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene. 1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is A. Stay with the person, Encourage her to remain still and Immobilize the leg while While waiting for the ambulance. B. Leave the person for a few moments to call for help. C. Reduce the fracture manually. D. Move the person to a safer place. 2. Arthur suspects a hip fracture when he noticed that the old woman’s leg is A. Lengthened, Abducted and Internally Rotated. B. Shortened, Abducted and Externally Rotated. C. Shortened, Adducted and Internally Rotated. D. Shortened, Adducted and Externally Rotated. 3. The old woman complains of pain. John noticed that the knee is reddened, warm to touch and swollen. John interprets that this signs and symptoms are likely related to A. Infection B. Thrombophlebitis C. Inflammation D. Degenerative disease 4. The old woman told John that she has osteoporosis; Arthur knew that all of the following factors would contribute to osteoporosis except A. Hypothyroidism B. End stage renal disease C. Cushing’s Disease D. Taking Furosemide and Phenytoin. 5. Martha, The old woman was now Immobilized and brought to the emergency room. The X-ray shows a fractured femur and pelvis. The ER Nurse would carefully monitor Martha for which of the following...
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...Health Promotion: Changing Healthcare Trends A trend recognized in today’s healthcare setting is that of a shift from professional dictation to patient directed healthcare. An emphasis on the treatment of disease, which was highly successful in the past, is not the answer for today's healthcare needs. Today, patient education is the primary focus with the emphasis on prevention of disease by screening for risk factors and encouraging patients to practice behaviors that foster good health. In the past patients would seek medical care only after symptoms had developed that interfered with their lifestyle. Todays’ trend reflects patients taking a proactive approach to preventing a disease after they have been exposed to the education through mass media such as commercials, the internet, or brochures obtained from clinics or physicians’ offices. With the advances in technology medical professionals are able to reach far more people than in the past. This technology has given professional nurses the ability to encourage more patients to improve their health while fostering positive behavioral changes, referred to as health promotion. Health promotion is defined as the process of empowering patients to improve their health while fostering behavioral, cognitive and emotional activities as to advocate health and well-being of the population as a whole (Edelman & Mandle, 2010). Lifestyle choices and motivation both play a major role in positive patient outcomes. As stated by Edelman...
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...Sarah Engelbrecht Professor Dawn George English 1301 13 September 2015 Theme of Shooting an Elephant The article “Shooting an Elephant,” by George Orwell seeks to address how imperialism is evil. First, it humiliates the imperialized people, reducing them to inferior status in their own county. Second, it provokes the people into making immoral decisions to maintain their superiority over everyone else. When a white man becomes a tyrant, it is his own freedom that he loses. In Moulmein, in lower Burma, the author is a hated, sub-divisional police officer. One day something happened that helped him understand the real motives for which despotic governments act. He received a phone call, from the sub-inspector at the police station, about a normally tame elephant who starting behaving aggressively and unpredictably. White men are not supposed to be afraid in front of the “natives,” therefore, he goes against his own conscience to protect himself and his fellow imperialists. In the article, Orwell demonstrates how he loses his freedom to prove his intelligence and morals. When he stumbles upon the elephant eating, he refers to it as looking no more dangerous than a cow, and is no longer showing signs of hostility. He strongly believes the elephant’s “must” is declining; therefore, he does not feel the desire to kill it, but he has no choice. He is a man with authorities over the people and cannot allow the others to see him as a weak man. Therefore, his tyrant situation makes...
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