the choice of suicide or euthanasia

Because everyone’s life is deemed valuable to God, the choice of suicide or euthanasia contradicts this and is therefore considered sin. Do you agree? Why or why not?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to the “Discussion Question Rubric” and “Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

Parenting scenarios | Nursing homework help

A Word document in 12-point font, double spacing, APA citations (including a title and reference page), and utilizes paragraph format with complete sentences.  This assignment should also respond to the following questions thoroughly and thoughtfully.

Activity Details
Perform the following tasks:

Step 1: Read the following scenarios, and try to come up with a plausible explanation about why the child would behave in the way that s/he did in the scenario.

1. You are walking through a local grocery store and see the following interaction between a parent and child:  The parent and child are in the checkout line.  The child requests a candy bar and the parent says “I’m sorry, but I don’t think it’s a good idea—we’re meeting Gramma and Pop for dinner tonight at a restaurant, and I don’t want to ruin your appetite.”  The child begins to whine and scream that s/he wants the candy bar “now!”

2. A parent and child are in a craft store.  The child has a packet of stickers in his hand.  In one of the aisles of the store, the child removes a glass vase from a shelf, and the mother politely asks the child to put it back.  The child fails to comply so the mother says: “I’m going to count to five, and if you don’t put the vase back, then you’re going to lose the stickers.”  The child again fails to comply, so the mother requests that the child give the stickers back.  The child refuses and ultimately the mother removes the stickers from the child’s hand.  The child begins to scream and call his mother names, and when the mother lifts the child to remove him from the store, he begins to hit and bite her.

3. Two children are playing at recess on a playground.  One child is bouncing a ball.  The other child goes up to the first child, pushes him down, and takes the ball away.

4. You work in a department store.  One day you see a mother and her young daughter in the toy section.  The child is whining about how she wants a book because she is so “bored” with all the books that she has at home.  The mother ignores the child’s request.  The child whines about the book from the “book aisle” into the next aisle.  In the next aisle, the child begins to whine about needing some new clothes for her doll baby because her old clothes are “boring.”  The mother responds with “you have a lot of clothes for your baby, perhaps on another day.”  The child escalates her whining and continues to whine into the next aisle.  In the next aisle, the child begins to whine that she needs some new games because her games are all “boring.”  The mother quickly grabs a pack of “go fish” cards and hands them to the child.  The child smiles brightly.


Step 2: Read through your Textbook, Web Resources, and Other Supplemental Resources to Answer the Scenarios.
As you answer the scenarios, make sure you utilize paragraph format as well as APA guidelines. If you use references, make sure to cite those as well.

Step 3: Look over your Assignment for Spelling or Grammar Errors.
It is always a good idea to proofread your work prior to submission.  Take this time to read over your assignment and make sure you have thoroughly and thoughtfully explained your answers to the questions listed above.

Pnl peers responses | Nursing homework help

Prof. Nursing Leadership week 3 peers response

Peer Response Instructions

Based on your peer’s initial response, provide one additional example of how nurse leaders can promote cost-containment, and share one recommended practice change that your peer may consider integrating into their practice regarding fiscal and resource management.

Respond to your peer in one paragraph. These posts should be thoughtful, respectful, and add value to the discussion. This response could include relating your experience to whatever they initially posted. Use a different scholarly source, reference it using APA format, and include in-text citations when using the referenced material in your post.

You must use DIFFERENT resources, in-text citations, and APA references in your response than your peers used. Use current resources. Please do not routinely cite outdated (no greater than five years old) sources of information. Do NOT use the exact in-text citations or references for your peers in THE INITIAL POST.

1st peer post

McKenna Davis

Mar 19, 2024 at 10:17 AM

Nursing care consumes about 1/3 of a hospitals budget and nurse leaders are tasked with controlling labor costs to aid in cost saving for example, cutting hours, flexing nurses, or increasing patient to nurse ratio where appropriate (Bayram et al., 2022). Another way nurse leaders can impact cost of care is improving work environments and staff satisfaction, leading to reduced nurse turnover and subsequently a decrease in recruiting, hiring, and training new staff which significantly reduces hospital spending. In addition, reducing nurse turnover and increasing nursing staff is associated with fewer infections, fewer adverse reactions, fewer deaths, and increased length of stay which are all associated with cost savings (Lasater et al., 2021)

Implementing evidence-based practice can contribute to cost-containment efforts within healthcare organizations as evidence based practice guides nurses and providers to choose appropriate diagnostic tests which reduces finances associated with over-testing. In addition, evidence based practice is associated with improved outcomes whether that be clinical, organizational, or fiscal. Examples can include reduced patient infections, shorter length of stay for patients, or reduction in unplanned readmissions. All of these are associated with not only better patient outcomes, but also reduced cost to the facility (Cullen et al., 2018). 

A simple example of how evidence-based practice can impact healthcare costs is the implementation of evidence-based methods of administering medications. Evidence supports multiple patient identifiers and use of electronic medication administration record have proven to be effective in reducing patient medication errors. This evidence-based practice leads to decrease in medication error associated costs, and more efficient medication administration ultimately leading to a decrease in hospital spending. 

I will admit that in my role as a bedside nurse I rarely consider fiscal and resource management. Healthcare costs and their affects on my patient are not usually at the forefront of my mind however this discussion post has made me reflect on my own experience and how my practice could change to aid the efforts of nurse leaders in reducing these costs which can ultimately help to reduce patient costs and improve patient experience and satisfaction. 



Bayram, A., Pokorná, A., Ličen, S., Beharková, N., Saibertová, S., Wilhelmová, R., Prosen, M., Karnjus, I., Buchtová, B., & Palese, A. (2022). Financial competencies as investigated in the nursing field: Findings of a scoping review. 
Journal of nursing management.

Cullen, L., Hanrahan, K. (2018). Evidence-based practice and the bottom line: an issue of cost. 
Healthcare financial management association.

Lasater, K., McHugh, D., Rosenbaum, R., Aiken, H., Smith, L., Reiter,  G., Niknam,  A., Hill,  S., Hochman,  L., Jain, & Silber, H. (2021). Evaluating the Costs and Outcomes of Hospital Nursing Resources: a Matched Cohort Study of Patients with Common Medical Conditions. 
Journal of general internal medicine.

2nd peer post

Taylor Overcash

Mar 19, 2024 at 6:44 PM

NSG 4320 Week 3 Discussion Post

Provide two different examples that demonstrate how nurse leaders can impact cost of care through cost-containment efforts surrounding budgeting, expense reporting, personnel/staffing decisions, or reimbursement.

1. Nurse leaders can impact the cost of care through strategic personnel and staffing decisions that optimize staffing levels and scheduling practices to match patient acuity per unit. “Nursing care has been reported as consuming approximately one third of the hospital budget, and head nurses in charge of the units are expected to control labor costs, to contribute to cost saving and ultimately, to the financial stability of the system” (Bayram et al., 2022). Nurse leaders can minimize labor costs by implementing a flexible staffing arrangement while maintaining safe staffing ratios and preserving job satisfaction.

2. Nurse leaders can also impact the cost of care by participating in budgeting processes and advocating for appropriate resource allocation to support patient care delivery. Leaders may collaborate with other departmental leaders to prioritize funding for essential equipment, supplies, and clinical priorities. Nurse leaders may explore resource-sharing opportunities or consolidation to maximize efficiency and cost-effectiveness.

Discuss how implementing evidence-based practice can contribute to cost-containment efforts within healthcare organizations.

Implementing evidence-based practice (EBP) within healthcare organizations can significantly contribute to cost-containment efforts by ensuring that clinical interventions and care processes are grounded in the best available evidence of effectiveness. By utilizing evidence-based guidelines and protocols, healthcare providers can avoid unnecessary interventions, reduce variations in care, and minimize the risks of medical errors and adverse outcomes. By adopting evidence-based protocols, healthcare organizations can standardize care practices, streamline workflows, and reduce unnecessary tests, procedures, and hospitalizations, lowering healthcare costs.

Provide one example of an evidence-based change that can impact healthcare costs.

One example of an evidence-based change that can impact healthcare costs is implementing telehealth services for certain types of appointments and consultations. Telehealth can provide effective and efficient care delivery while reducing healthcare costs associated with traditional in-person visits. By using this technology to conduct remote consultations, follow-up appointments, and monitoring sessions, healthcare providers can minimize the need for costly office visits, travel expenses, and facility overhead. Telehealth also improves access to care for patients in remote or underserved areas, reducing the burden on emergency departments and urgent care centers for non-emergent issues.

Reflect on your work as a nurse. After reviewing the content in this module, how will your practice change in the future concerning fiscal and resource management? What specific changes will you make in your practice?

After reviewing these modules, I plan to pay more attention to the supplies I use for patients. With an increased emphasis on cost-conscious care delivery, I will be more mindful of resource utilization and waste reduction in my clinical practice. I help decide which intravenous device is placed for patients needing vascular access. I know there are cost differences in the various products, and I oversee which device is placed based on the patient’s clinical picture. When reflecting on cost, it is also necessary to think of the charge to the patient and if the device is essential.


Bayram, A., Pokorná, A., Ličen, S., Beharková, N., Saibertová, S., Wilhelmová, R., Prosen, M., Karnjus, I., Buchtová, B., & Palese, A. (2022). Financial competencies investigated in the nursing field: Findings of a scoping review. 
Journal of Nursing Management
30(7), 2801–2810.

Assist w8 | Nursing homework help

Week 8 – Assignment: Utilize Feedback through Self-Reflection and Literature Review

In Week 7, you integrated and applied elements of the course content in the Signature Assignment, which allowed you to address a significant question or issue (i.e., through creative thinking, critical thinking, problem-solving, inquiry, and analysis, etc.). Using the feedback from your Week 7 assignment, you will have the opportunity to complete a self-reflection and respond accordingly.  Reflect on and respond to how the feedback provided can help you improve your academic performance and contribute to your professional growth. In addition to your self-reflection, you will also conduct an independent literature review of relevant scholarly, peer-reviewed sources. Choose sources that support your ideas for enhancement of the course competencies and content areas where you have identified opportunities for improvement. For example, if your professor indicated you need improvement in the area of team leadership, select sources that would enhance your knowledge and skill base in this area.

Part 1: Self-Reflection

You will complete a self-reflection using the
Feedback Review Template. The
Feedback Review Template is located in this week’s Course Resources area.  To complete your self-reflection, seek clarity from your professor about the areas you did not understand or areas that require improvement. Schedule a one-to-one meeting with your professor to discuss the feedback provided and to inform your responses.  Use the
Feedback Review Template to address the following themes:

· How you developed and demonstrated the course competencies tied to this course.

· The practical relevance of the course concepts and course competencies to your professional growth and career interests.

· Future considerations (e.g., key trends or challenges) to keep in mind as related to the topics covered in this course.

Be sure to comprehensively address the feedback provided by professor for your Week 7 Signature Assignment. As you complete the template, you will be asked to address the following questions:

· What are the areas in which your professor indicated you did well? Why do you think you did well in this (these) areas?

· What are the areas in which your professor indicated you need to improve? What can you do to improve in this (these) areas?

· How did your professor’s feedback help your mastery of the course subject matter?

· How did the Week 7 Signature Assignment and this course help you to develop the course competencies?

· What aspects of this assignment can you take forward into your professional career and why?

· How did this course contribute to your understanding of possible trends and/or challenges related to the profession of health administration in the future? What do you need to consider regarding the course topic and why? 



Part 2: Annotated Bibliography

You will prepare an annotated bibliography of three scholarly, peer-reviewed resources to enhance your knowledge base related to selected course competencies and that is informed by your self-reflection and professor feedback. The resources must be current, published within the past 3-5 years. Each annotated bibliography should be no less than three robust paragraphs. Use feedback from your professor to identify scholarly, peer-reviewed sources that can help you improve in the areas noted (e.g., assignment enhancement, personal and/or professional growth, topic of further interest prompted by the course content).

Use the annotated bibliography guide from Academic Success Center (ASC)* to ensure that your annotated bibliography meets all requirements.

Your assignment will be submitted in one single document with two parts.  Part 1 will be your summary of your self-reflection using the
Feedback Review Template and Part 2 will be your annotated bibliography.

· Title page

Part 1: Based on the completion of your
Feedback Review Template, provide a self-reflection summary on how this course contributed to your professional growth and your understanding of future trends and/or challenges related to your profession (2 pages minimum).

· Include your
Feedback Review Template.

Part 2: An APA-formatted annotated bibliography with 3 scholarly, peer-reviewed resources addressing any one, or all, of the following areas:

· Enhancement of the Assignment

· Personal/Professional Growth and Development

· Topic of interest for further investigation based on course content

· References (additional to the annotated bibliography)

Response to disc 2 | Nursing homework help


We live in a busy environment and have a lot of stress but not everyone pays attention to how to deal with it. I know for a long time I had no idea what my feelings were and how to deal with high stress. I had so much anxiety and had no way out. I was stuck in a place where I did not think that someone would be able to help me. That was the time of 90ies in the former USSR where no one even heard about meditation, relaxation techniques, biofeedback, or hypnotic therapy. Years later one of my mom’s friends suggested that I try relaxation techniques and meditation. I honestly did not think any of it would help but I was willing to try. I felt that there is a connection between myself with my body and I was feeling good about myself. As I am reading from our textbook Micozzi describes meditation very well that it alleviates anxiety, fosters positive attitude, and improves immune response (Micozzi et al., 2019 p.92). I also read that HIV, cancer and other immunocompromise patients would have beneficial effects toward recovery with meditation. Since stress elimination would ease in recovery. As I was listening to the meditative relaxation video, I was also doing breathing exercises, my body was connected to me and the universe. I felt asleep and had a great night rest after not properly sleeping for 4 nights since the time change affects me in a negative way. 

I like what Micozzi said about biofeedback that it uses special instruments and methods to expand the body natural internal feedback system with adjust thinking the body will be able to control bodily processes such as blood pressure, temperature and GI function and brain wave activity (Micozzi et al., 2019 p.143). Also, hypnosis resembles other forms of relaxation. When hypnotherapist leads patients through relaxation, mental imagery, and suggestions. Patients can perform techniques on themselves in their home settings. It works by decreasing sympathetic nervous system activity, decreasing oxygen consumption and carbon dioxide elimination, lowering blood pressure and heart rate. It increases or decreases certain brain activity (Micozzi et al., 2019 p.142). 


Micozzi, M. S., Koop, C. E., Haramati, A., & Lundberg, G. D. (2019). Fundamentals of complementary, alternative, and Integrative Medicine (6th ed. p. 92, 142, 143). Elsevier.  

Interview with a client who utilizes complementary/alternative

The BSN student will select a client who has or currently utilizing complementary therapies in healthcare. An interview will be conducted regarding the client’s decision to seek such care modalities, their experiences, and their usage in conjunction with Western Medicine.  The assignment will be written, submitted via the appropriate portal, and will be discussed in the class forum.

Health and healing | Nursing homework help

Health, Healing, and the Nursing Process 2

Part A: Revised Case Scenario

Group members: Kelly Savage, Rosemary Orumwense, Twinkle Twinkle, Jasmeen Jasmeen, Bhumika Katuwal

Assigned chronic health condition:

Grave’s Disease

Client Narrative/Story:

Helen Hill, a 35-year-old graphic designer of Irish Canadian heritage, has navigated the challenges of Graves’

Disease for one year. During her last visit, which was 6 weeks ago, Helen weighed approximately 58 kg. Despite

maintaining a stable diet, she has experienced unintentional weight loss, a common symptom of her condition,

bringing her current weight down to 48 kg. Standing at 1.68 meters tall, her Body Mass Index (BMI) has shifted

from a healthier range to a lower one, indicating this significant weight loss.

Helen is a graphic designer and her career as a graphic designer demands precision and creativity. Yet her hand

tremors and fluctuating vision have introduced barriers she continuously strives to overcome.

Recently, high blood pressure has emerged as another significant concern, further complicating her condition.

This addition underscores the necessity of a comprehensive approach to her healthcare, integrating cardiovascular

management with her ongoing thyroid disorder treatment. Socially, Helen has felt isolated due to her condition.

The physical changes, particularly the noticeable swelling in her neck and the protrusion of her eyes have led to

self-consciousness and withdrawal from social gatherings. Additionally, the unpredictable nature of her

symptoms, including severe fatigue and night sweats, has strained her relationships and ability to engage in

activities she once loved. Helen has a history of smoking, and does not drink or use recreational drugs, Helen has

also recently taken pregnancy tests due to irregular menstrual cycle, which were negative.

Despite these challenges, Helen is determined to remain independent and continue her career. She has sought

support through online communities, finding solace and understanding among others with similar experiences.

She also plays a significant role in her community, volunteering her graphic design skills to local non-profit

organizations, which not only allows her to give back but also provides a sense of purpose and belonging. Her

interest in alternative medicine has led her to explore various supplements and dietary changes to complement

her conventional treatment, seeking a more holistic approach to manage her symptoms. Helen’s resilience is

evident in her commitment to managing her condition, from adhering to a strict medication regimen to

experimenting with dietary changes and stress reduction techniques.

Issues client is experiencing related to their chronic health condition:

·Significant Weight Loss and Altered BMI: Helen’s unintentional weight/muscle loss from 58 kg to 48 kg,

despite a stable diet, significantly affects her physical health and well-being. This change has not only altered her

BMI from a healthier range to a lower one but also indicates the severity of her condition.

·High Blood Pressure (152/90 mmHg): Exacerbated by Graves’ Disease, posing additional risks to her

cardiovascular health and necessitating careful monitoring and management.

·Dizziness: The dizziness introduced by Graves’ Disease created barriers to her ability to perform better in both

her personal and professional life.

Chart Data:

Biographical Data Name: Helen Hill, Age: 35, Gender: Female, Heritage: Irish Canadian, Marital Status:

Single, Occupation: Graphic Designer.

Health History Graves’ Disease diagnosed one year ago; Anxiety; hypertension (Health history

evidence client’s BP range from 128/90 – 135/95)

Family History Mother with hyperthyroidism

Allergies NKA

Risk factors High-stress career, genetic predisposition to thyroid disorders

Physical assessment Objective Data: HR 110 bpm; BP 152/90; Visible goiter; Exophthalmos.

·Height: 5’5” inches (1.68 m)

·Past Weight: 58 kg (Before significant weight loss).

·Current Weight: 48 kg (After weight loss).

·Past BMI: Approx. 21.3

·Current BMI: Approx 17.6 (Indicative of weight loss).

Subjective Data: Client reports hand tremors, increased appetite, heat intolerance,

night sweats, excessive sweating, and sleep disturbances



Appears anxious and fatigued; expresses feelings of isolation and frustration.



Active community volunteer; challenges in social interactions; strong online support


Diagnostics and lab


TSH: 0.009 mIU/L; Free T4: 3.4 ng/dL; Free T3: 6.8 pg/mL; TSI: 5.2 IU/L; TPOAb:

277 IU/mL

Current medications Methimazole – 20 mg, Propranolol – 80 mg, Lisinopril – 5 mg, SSRI – 2 tabs for

anxiety (Tyerman et al., 2022).

Current treatment


·Medical Intervention: Focuses on managing thyroid hormone production and

symptoms through medications, regularly monitoring thyroid function to adjust


·Nursing Intervention: Emphasizes education, medication adherence, symptom

tracking, and lifestyle adjustments for stress and symptoms management.

·Alternative Intervention: Incorporates supplements, dietary changes, and practices

like yoga and meditation, guided by consultations with experts in thyroid disorders and

alternative medicine.

Complications The potential for thyroid storm and other complications such as osteoporosis and atrial

fibrillation underscores the critical nature of consistent treatment and monitoring.



Helen’s heritage and holistic health approach could be integrated into her care plan, if

requested, which enhances the therapeutic relationship and treatment adherence. Her

active community involvement and online support highlight the role of social support

in managing chronic conditions, contributing to her psychosocial well-being and



Tyerman, J., Cobbett, S., Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2022). Lewis’s

Medical-Surgical Nursing in Canada – E-Book: Assessment and Management of Clinical Problems.

Elsevier Health Sciences.

Website, N. (2023, September 25). Propranolol.

Website, N. (2022b, February 2). How and when to take lisinopril.

Website, N. (2021, December 17). Dosage – Selective serotonin reuptake inhibitors (SSRIs).


Role transition to advanced practitioner nurse

Research the role of the Nurse Practitioner.

  1. Select and describe an Advanced Nurse Practitioner role. 
  2. Why are you becoming a Nurse Practitioner?
  3. Find one research article, expert opinion about the Nurse Practitioner role and summarize the article. 
  4. What does the Institute Of Medicine (IOM) say about the need of Nurse Practitioners?
  5. Identify and describe the effects that you will have as an advanced practice nurse in terms of healthcare industry and patient outcomes.

Submission Instructions:

  • The assignment needs to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • The assignment is to be no shorter than 4 pages; nor longer than 5 pages in length, excluding the title, abstract and references page.
  • Incorporate a minimum of 5 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA styl

Ob nursing | Nursing homework help


OB Complication Pre-Sim Assignment

1. What assessments are vital for the nurse to perform on the postpartum patient?

2. What factors increase a woman’s risk for postpartum hemorrhage?

3. What are the differences between early and late postpartum hemorrhage?

4. What is uterine atony, (what would you feel and see on assessment) and how does it cause postpartum hemorrhage? List other causes of excessive postpartum bleeding and nursing interventions?

5. What are the indications and contraindications of common medications used to treat

postpartum hemorrhage?



6. Describe care of the healthy newborn during the first 24-72 hours of life. Normal assessments, procedures, and testing.

7. What should you be on alert for in the newborn during the first 24-72 hours of life? What potential things can go wrong?

8. How do we ensure we are delivering care to incorporate diversity, equity, and inclusion? What are some strategies that can be utilized to support and promote the inclusion of families of sexual and/or gender minorities?

9. Name some health care risks factors and health inequities associated with members of sexual and/or gender minorities?

10. List 3 Social Determinants of Health Questions to ask during Simulation.

11. Collaborate as a team to create an SBAR for handoff to the next nursing shift and/or provider report. You all will give the SBAR prior to the start of the Simulation.


Chronic cardiorespiratory issues | Nursing homework help

Discuss discharge resources that are available for chronic cardiorespiratory issues to support patient independence and prevent readmission. Explain how readmission affects reimbursement. What implications does readmission have on the hospital and on the patient?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competency 2.9.