elivery models and practice settings. Reflect on how nursing practice is
transforming in response to the current demands of the healthcare system
and answer the following questions:
1. What differentiates
the practice of a master’s-prepared nurse compared to that of a
2. What is the value
of a master’s degree in nursing?
3. What do you
consider to be the most essential professional competency for a
master’s-prepared nurse practicing in the 21st century?
Refer to AACN
Essentials, NLN competencies, and CCN Nursing Conceptual Framework. Use at
least one outside scholarly article to support your position. Provide an
example to illustrate an application to professional practice.
This assignment enables the student to meet the following
Explain the pathophysiologic processes of select health
Predict clinical manifestations and complications of
select disease processes. (PO 1, 8)
Correlate lifestyle, environmental, and other
influences with changes in levels of wellness. (PO 1, 7)
DUEDATE:See course calendar. The college’s Late
Assignment Policy applies to this activity.
Please select a disease process
from any of the body systems that are
covered in this course or the hematologic or reproductive systems. You cannot
choose a disease process that is already
covered in NR282 or in NR 281. Research the risk factors for the disease. Feel
free to consult with your faculty member as you have questions about the
Describe lifestyle, genetic,
environmental, cultural, age, gender and other risk factors for the selected
disease. Identify if these risk factors are modifiable or non-modifiable.
Discuss health promotion/disease prevention activities to alter the modifiable
risk factors. Discuss ways that nurses or other health providers would use this
information. Use literature to support your statements. This paper should be
3-5 pages in length and follow APA writing style.
Finally, prepare a short summary of your paper that would
fit on a 3X5 note card to share with your classmates. This should be uploaded
into the discussion tab found in Module 6.
the lifestyle, genetic, environmental, cultural, age, gender or other risk
factors for the selected disease. Use information from resources that are
current and relevant to the specified disease topic.
Determine if these
are modifiable or
the risk factors identified, determine which risk factors are modifiable or
non-modifiable. Provide a brief description of the rationale(s) for your
1. Describe how prevention and nonacute services differ from acute care? Why is the acute care model not appropriate in these areas? What are the implications of differences in patient needs? Of differences in social attitudes?
2. Explain the funding process for prevention services and non acute care. How do these funding sources differ from those used in acute care? What are the implications of the differences?
3. Explain why the Quality measures in nursing home care often show substantial room for improvement (www.cms.gov/NursingHomeQualityInits). If your hospital had a referral contract with a very poorly performing nursing home, what would you do about it?
Part I: Mendelian Genetics
In this assignment, you will use a useful tool, the Punnett square, to predict the probabilities of offspring gender and genotypes and phenotypes of different matings based on parental genetic makeup. Please answer all of the bulleted questions and tasks as you read through this assignment and submit them as a Word document to the assignment drop box titled “Punnett Squares Assignment.”
Each person has two copies of each chromosome, one from each parent. Your genome is exactly one-half your father’s genome and one-half your mother’s genome. After sperm and egg meet, the baby carries both copies of each gene in every cell for the rest of his or her life…except when eggs or sperm are produced. The eggs or sperm receive only one copy of each chromosome and the cycle starts all over again. Exactly which half will the baby get? That is the random part.
Sexual reproduction relies on chance to determine what type of offspring will result. A couple anxiously awaits a boy or girl and a dog breeder anxiously awaits the colors and markings of the puppies to be born. Although there is a random element involved, offspring from a mating will follow mathematical laws of probability based on the genetic makeup of the mother and father.
Watch this video to learn about Punnett squares. Please recall that dominant alleles mask recessive alleles and each baby has two copies of each gene, one from each parent.
Complete a Punnett square for the cross Bb x bb, where B is brown eyes and b is blue eyes.
What percentage of offpring will be BB? Bb? bb?
What percentage will have blue eyes and what percentage will have brown eyes?
Part II: Sex Determination
A male carries an X chromosome and a Y chromosome. A female carries two X chromosomes.
After meiosis, sperm and egg are produced. Sperm have a 50% chance of carrying and X chromosome and a 50% chance of carrying a Y chromosome. Eggs have a 100% chance of carrying an X chromosome, because females ONLY carry X chromosomes.
(X) (X) (Y) (X) (X) (X)
(Y) (Y) (X) (X) (X) (X)
We can represent four potential scenarios if these two parents produce offspring neatly in a Punnett square. The possible sperm are placed above the top of the Punnett Square (circled in blue) and the possible eggs are placed along the left side beside the Punnett Square (circled in red). Each box is then filled in with the letter of each column and row.
punnett square gender
From the Punnett Square above, what is the % chance that offspring will be male? What is the percent chance that offspring will be female?
Part III: Codominance, Multiple Alleles and Blood typing
Review the embedded Amoeba Sisters video before completing the following questions.
Multiple alleles means that there are more than 2 alleles which can be inherited in a population. Remember though, each individual only receives 2 alleles, one from each parent.
ABO blood typing uses 3 alleles. From your course notes answer the following two questions:
Which two are dominant? _________ Write the two dominant allele genotypes, using the capital letter I, and then a superscript for each of them. ______________________
Which allele is recessive? __________ Write the genotype (letters) for the recessive trait, beginning with the lower case i. ____________.
Complete a Punnett square for the following scenario:
Mom is heterozygous for blood type B and Dad is blood type AB. (make sure to put the parent alleles in the correct places outside of the square, and fill in each of the boxes within the square)
Place the Punnett square in your word document and answer the following questions:
What are all the possible blood types of their offspring? __________________________
What is the probability of their child having blood type AB? ________ Blood type O? _____________
Part IV: Deleterious Recessive Traits
A recessive trait is one where the individual must have two recessive alleles for the phenotype of the trait to be visible. The recessive trait can be carried from generation to generation through heterozygous individuals. A person who is heterozygous for a harmful or deleterious trait is said to be a “carrier” of the trait.
If an individual receives 2 recessive alleles for a harmful or deleterious trait, let us say for our problem below, they will have the “illness”.
Solve the problem of the parents provided below. Perform the Punnett Square and answer the questions below. Only the answers are required in the answer sheet that you upload.
Mom and Dad are both heterozygous for the harmful or deleterious recessive trait.
What is the probability of their offspring having the illness? ____________%
What is the probability of their offspring being a “carrier”? _____________%