Answer each question in each paragraph Apply strategies for safe, effective multidimensional nursing practice when providing care for clients with neurological disorders. identify appropriate nursing care intervention for providing care to perioperative clients. Compare nursing interventions for clients with complex disorders. Identify nursing care strategies for safe nursing practice of the client with multi-system organ failure. Prioritize nursing interventions for clients with medical emergencies. Summarize the nurse’s role and care strategies for clients during disasters. Demonstrate principles of professional identity and professionalism for the nurse within the context of regulatory and practice standards. Analyze agencies that influence the provision of nursing care in the healthcare system Formulate decisions based on the legal and ethical underpinnings that improve healthcare. Assignment 2 Areas for reflection: Each answer in their own paragraph please Describe how you achieved each course competency, including at least one example of new knowledge, gained related to that competency. Describe how you achieved the transferable skills such as communication, critical thinking including at least one example of new knowledge, gained related to the transferable skill. Describe how this new knowledge will impact your nursing practice.- the one you picked btw communication and critical thinking Course Competencies Design relevant, multidimensional nursing care for optimal health inclusive of client preferences, values, and beliefs. Select approaches to client care which incorporate care and comfort, risk reduction, health promotion, and disease management. Prioritize evidence-based, client-centered nursing care as a foundation for emotional, mental, spiritual, and social well-being. Utilize data-driven nursing care strategies inclusive of continuous quality improvement. Synthesize components of clinical judgement, professional nursing identity, and reflective practice for lifelong learning. Determine effective responses to clinical problems integrating information technology, evidence-based practice, quality improvement, and interprofessional collaboration.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the Health History and Medical Information for Mr. M., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below. Health History and Medical Information Health History Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN. Case Scenario Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing. Objective Data Temperature: 37.1 degrees C BP 123/78 HR 93 RR 22 Pox 99% Denies pain Height: 69.5 inches; Weight 87 kg Laboratory Results WBC: 19.2 (1,000/uL) Lymphocytes 6700 (cells/uL) CT Head shows no changes since previous scan Urinalysis positive for moderate amount of leukocytes and cloudy Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L Critical Thinking Essay In 750-1,000 words, critically evaluate Mr. M.'s situation. Include the following: Describe the clinical manifestations present in Mr. M. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support. When performing your nursing assessment, discuss what abnormalities would you expect to find and why. Describe the physical, psychological, and emotional effects Mr. M.'s current health status may have on him. Discuss the impact it can have on his family. Discuss what interventions can be put into place to support Mr. M. and his family. Given Mr. M.'s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention. Discuss ways in which health care will continue this trend and explain the role of nursing in supporting and facilitating this shift. In replies to peers, provide an example of wellness and prevention initiatives your organization or specialty area has in place.