Reference no: EM133623629

Part A.

Quality, Safety, Malpractice,

1. What can a provider (Nurse Practitioner) do to reduce the incidence of making a medication error?

2. What is the PDSA process? Use an example?

3. Describe a resource for Quality/Safety that that you found on the web site for AHRQ. Why did you choose this resource? How can it help you as a primary care nurse practitioner? Include the link.

Part B.

Culture, Health Care, and the Use of Interpreters Short-Answer Essay Discussion.

Consider this composite patient:

Mr. Rodriguez is a 39-yr-old man who come in to clinic today complaining "blurry vision". He is monolingual Spanish speaking and has lived in Richmond, Ca. for about 8 years. He works as an undocumented laborer and has no health insurance and cannot buy any insurance using the Affordable Care Act. He is married with 4 school age children. His vital signs are: 98.6 149/96 88 14 Ht 5' 8" Wt 190 lbs. He drinks a couple six packs of beer on the weekends. He does not smoke. When you check his random blood sugar (RBS) the result is 202.
Write a response based on the readings and your experience to the following discussion questions in the discussion forum:

1. What else do you need to consider in order to provide cultural informed care for Mr. Rodriguez?

2. Based on your reading for this module write 3 tips you will use to work with a medical interpreter when providing care for Mr. Rodriguez.

Part C.

Case Study - Language Delay

You are seeing Ethan Scott for his 2-year-old well child visit. His mother, Anne, who brought him in today reports, he has been well since his last check-up. He is not taking any medications, nor is he allergic to any medications. He is up-to-date on all previous immunizations. Ethan has been in pre-school since six months old as both parents work. His only sister is 4-years-old and is also healthy. His birth weight was 7 pounds 5 ounces, vaginal birth- no complications at 40 weeks gestation. He was breast fed for six months. His father is a computer engineer. His mother is a chemist and teaches at the local junior college in the biology department. She appears anxious. She tells you that Ethan does not seem to have as many words as his sister did at his age. He cries intensely when getting his haircut and often cannot be consoled. He only eats cheese noodles or toast. He has never been a good sleeper and she is at her wits end with these new issues.

1. What is normal speech development for a 2 year old?

Anne asks you, "Are these things related?" How do you respond?

2. What is expressive language?

3. What is Pragmatic language delay?

4. What are some red flags that indicate a need for referral?

5. What are some online screening tools for assessing language delay?

6. What should be included in the history?

7. What should the focused physical examination include?