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Exercises: (5 points each, for a total of 15 points)
Describe the mechanisms that confine cells and tissues to a specific anatomic site.
Discuss the use of tumor markers in cancer diagnoses. Which types of cancer can be diagnosed in this manner? How do tumor markers work? What are the markers actually measuring?
Complete the following table by relating benign and malignant tumors to their sites of origin:
Tissue
Benign Tumor
Malignant Tumor
Connective/mesenchymal tissue
Fibroma
Chondroma
Osteoma
Lipoma
Leiomyoma
Rhabdomyoma
Hemangioma
Hematopoietic
Infectious mononucleosis
Nerve tissue
Neuroma
Neurilemmoma
Epithelial tissue
Papilloma
Ademoma
Case Study (10 points)
Complete Case Study #60 (Down’s syndrome) in the Bruyere textbook.
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Reviewing the four categories of ostensible agency from an ethical perspective, consider which principles and theories these concepts support from the aspect of both patients and health care providers. Is there an instance where having such a concept could violate the ethical duties and responsibilities for health care providers and health care institutions? What evidence would the health care provider or institution need to present in such a case?
Read the case study presented at the end of Chapter 13 (Guido, p. 272).
Did Mrs. Dolon follow the correct procedure for voicing her concerns about the no-contact policy?
Does the no-contact policy meet the definition of a violation of public policy significant enough to be reportable?
Did the home terminate Mrs. Dolon in retaliation for her actions or was the action appropriate given her public voicing of her disapproval of the new policy?
How would you decide this case?
Read the case study presented at the end of Chapter 14 (Guido, p. 292).
Is Eileen a qualified individual under the provisions of the ADA in that she has a disability as defined by the ADA?
Is the request to work at home a reasonable accommodation given the circumstances?
What other accommodations could be considered reasonable for this individual?
How should this case be resolved?
Please combine all of these responses into a single Microsoft Word document for submission
Please submit only complete assignments (not partial or “draft” assignments). Submit only the assignments corresponding to the module in this section.
You are not required to adhere to the 500-1000 word count for each of the responses, but please be thourough in your responses so that you adequately address all aspects of each question.
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Read the case study presented at the end of Chapter 17 (Guido, p. 362)
Was the nurse negligent for unlocking the bath-room door and allowing Judy to shower by herself?
Was it below the standard of care for the nurse to leave the bathroom door unlocked when the psychiatrist came to see Judy?
How significant are the hospital policy and procedures in this instance?
How would you decide this case?
Read the case study presented at the end of Chapter 18 (Guido, p. 393)
Was the nurse negligent in the advice she gave Mr. Gonzales concerning his condition?
Did the nurse exceed her scope of practice in the advice she gave the patient?
Should the nurse have instructed Mr. Gonzales to go immediately to the local emergency center?
How would you decide this case? Who, if anyone, is liable in this case?
Read the case study presented at the end of Chapter 20 (Guido, p. 439)
What should the standards of care be for such a patient?
Even though the nursing care plan did not specify that the wound should be checked hourly, how should the prudent nurse have acted?
Should the lawsuit center primarily on the surgeon for allowing this patient to be sent back to the nursing home for post- operative care rather than insisting he be kept for 24 hours in an acute care facility post-operatively?
How would you decide this case?
Please combine all of these responses into a single Microsoft Word document for submission
Please submit only complete assignments (not partial or “draft” assignments). Submit only the assignments corresponding to the module in this section.
You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question.
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Read the case study presented at the end of Chapter 8 (Guido, p. 150)
Is the patient correct in asserting that he has a right to know the
names and status of individuals who will be performing this procedure?
Does the manner in which the student introduced herself and the two
other team members have relevance in this case?
Was the informed consent deficient to the degree that there was a lack
of informed consent by the patient?
How would you decide this case?
A patient is admitted to your surgical center for a breast biopsy
under local anesthesia. The surgeon has previously informed the
patient of the procedure, risks, alternatives, desired outcomes, and
possible complications. You give the surgery permit form to the
patient for her signature. She readily states that she knows about the
procedure and has no additional questions; she signs the form with no
hesitation. Her husband, who is visiting with her, says he is worried
that something may be said during the procedure to alarm his wife.
What do you do at this point? Do you alert the surgeon that informed
consent has not been obtained? Do you request that the surgeon revisit
the patient and reinstruct her about the surgery? Since the patient
has already signed the form, is there anything more you should do?
Now consider the ethical issues that such a scenario raises. Which
ethical principles is the husband in this example most portraying?
Which ethical principles should guide the nurse in working with this
patient and family member?
Jimmy Chang, a 20- year- old college student, is admitted to your
institution for additional chemotherapy. Jimmy was diagnosed with
leukemia 5 years earlier and has had several courses of chemotherapy.
He is currently in an acute active phase of the disease, though he had
enjoyed a 14- month remission phase prior to this admission. His
parents, who accompany him to the hospital, are divided as to the
benefits of additional chemotherapy. His mother is adamant that she
will sign the informed consent form for this course of therapy, and
his father is equally adamant that he will refuse to sign the informed
consent form because “Jimmy has suffered enough.”
You are his primary nurse and must assist in somehow resolving this
impasse. What do you do about the informed consent form? Who signs and
why? Using the MORAL model, decide the best course of action for Jimmy
from an ethical perspective rather than a legal perspective. Did you
come to the same conclusion using both an ethical and a legal
approach?
Please combine all of these responses into a single Microsoft Word
document for submission
Please submit only complete assignments (not partial or “draft”
assignments). Submit only the assignments corresponding to the module
in this section.
You are not required to adhere to the 500-1000 word count for each of
the responses, but please be thorough in your responses so that you
adequately address all aspects of each question
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Read the case study presented at the end of Chapter 11 (Guido, p. 222)
Did the facility have sufficient evidence to suspend the nurse?
How should the testimony of the other nurses in the unit affect the outcome of this case?
What additional questions should the institution address before the court rules in this case?
How would you have ruled in this case?
Read the case study presented at the end of Chapter 12 (Guido, p. 238)
Did the ANP have a duty to consult with the child’s physician or another emergency center physician regarding the possibility of child abuse before she reported her findings to the case worker?
What questions would you anticipate might be asked regarding the injury itself and the possibility that the child had caused her own injury?
Did the ANP have a duty to report the injury, even though the diagnosis was not absolutely conclusive at the point that the child was initially examined?
How would you determine liability in this case, assuming that the trial court found liability against any of the three defendants?
Read the case study presented at the end of Chapter 16 (Guido, p. 329)
Did the nurse manager have a responsibility to supervise the care of the patient?
Was the care of this patient appropriately assigned to the LPN by the charge nurse, or could the charge nurse have delegated this patient’s care more appropriately?
If the charge nurse assigned the care of the patient to the LPN, did she retain any supervisory responsibility that would result in her liability in this case?
How do the principles associated with delegation and supervision figure into this case?
How would you decide this case?
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Read the case study presented at the end of Chapter 9 (Guido, p. 185-186).
Did the lack of documentation in the admitting nurse’s assessment and notes affect the ultimate outcome of this case?
Was there negligence on the part of the nursing staff in the care of this patient?
What could the nurse have done differently to facilitate a different outcome in this case?
How would you decide this case?
Using the sample professional liability insurance policy (Guido, p. 193-194), locate the various provisions:
Limits of liability
Declarations
Deductibles
Exclusions
Reservation of rights
Covered injuries
Defense costs
Coverage conditions and supplementary payments
Did you have difficulty finding some of the sections? Would this be a policy that you would consider purchasing for your own liability coverage? Why or why not?Read the case
Read the case study presented at the end of Chapter 10 (Guido, p. 198)
What provisions of an insurance policy would you consult to determine if an insurance company should pay such a claim, and what would the limits of the liability be?
Is the nursing home insurance company correct in saying that this is a professional judgment issue?
Which insurance company (the nursing home’s or that of the administrator of the nursing home, assuming she has coverage) should pay the court-ordered judgment?
Was the physician neglectful in this case or does the responsibility lie primarily on the nurse?
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Describe the kinds of evidence that a plaintiff can present in order to establish a negligent act. What defenses can a defendant present in order to refute a plaintiff’s evidence?
How do statutes of limitations protect professional nurse-defendants? Do they also protect the injured parties?
What can staff nurses do to protect patients from quasi-intentional torts? Does this differ from the nurse manager’s role in preventing quasi-intentional torts?
Read the case study presented at the end of Chapter 5 (Guido, p. 67).
Does the failure to document an admission nursing assessment equate with the fact that this nurse did no admission nursing assessment?
What might the patient’s attorney further allege in his supplemental report?
How would one decide the standard of care for this patient?
How would you decide the outcome of this case?
Read the case study presented at the end of Chapter 6 (Guido, p. 96)
Was there negligence in this case and who should be liable for the negligence?
What type of damages should be assessed and how would you begin to determine the amount to assess?
Given that there were multiple individuals involved in this case as well as the institution that employed these individuals, how would you determine the percentage of liability for the multiple defendants, assuming that more than one defendant should be assessed with damages?
How would you decide this case?
Read the case study presented at the end of Chapter 7(Guido, p. 115)
Were there damages that should be paid to this patient for negligence?
Who should be the individuals responsible for these damages? For example, is the surgeon the individual most liable for the damages owed to the patient?
Should the Bovie manufacturer also have been included in the lawsuit?
Are there any defenses that the defendants could cite that would mitigate their liability to this patient?
How should the court decide the damage awards in this instance?
Please combine all of these responses into a single Microsoft Word document for submission
Please submit only complete assignments (not partial or “draft” assignments).
Submit only the assignments corresponding to the module in this section.
You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question.
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Read the case study presented at the end of Chapter 17 (Guido, p. 362)
Was the nurse negligent for unlocking the bath-room door and allowing Judy to shower by herself?
Was it below the standard of care for the nurse to leave the bathroom door unlocked when the psychiatrist came to see Judy?
How significant are the hospital policy and procedures in this instance?
How would you decide this case?
Read the case study presented at the end of Chapter 18 (Guido, p. 393)
Was the nurse negligent in the advice she gave Mr. Gonzales concerning his condition?
Did the nurse exceed her scope of practice in the advice she gave the patient?
Should the nurse have instructed Mr. Gonzales to go immediately to the local emergency center?
How would you decide this case? Who, if anyone, is liable in this case?
Read the case study presented at the end of Chapter 20 (Guido, p. 439)
What should the standards of care be for such a patient?
Even though the nursing care plan did not specify that the wound should be checked hourly, how should the prudent nurse have acted?
Should the lawsuit center primarily on the surgeon for allowing this patient to be sent back to the nursing home for post- operative care rather than insisting he be kept for 24 hours in an acute care facility post-operatively?
How would you decide this case?
Please combine all of these responses into a single Microsoft Word document for submission
Please submit only complete assignments (not partial or “draft” assignments). Submit only the assignments corresponding to the module in this section.
You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question.
Needs help with similar assignment?
We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper
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