Discussion Prompt 1

In weeks 17, you will be working toward developing a Leadership Portfolio

by completing a leadership questionnaire each week and then reflecting on
the results. Click here to complete the LMX7 Questionnaire. Fill out the
leadership form, score your results, and attach it to your discussion post.
Then, respond to the following: Compare your results as a leader and a
follower, and analyze your leadership style and how it can impact your work
in health care.
My score for the leader member exchange questionnaire was 26 for follower
and 28 for leader, which is consider high. As Northouse said, within an
organizational work unit, followers becomes a part of the in-group or the outgroup based on how well they work with the leader and how well the leader
works with them. My scores didnt surprised me at all I think I am
comfortable to be in both of the role of a leader and a follower from my
previous work experiences. But as a new grad I do definitely felt like I am
out-group than the rest of the staff on the unit. Sometimes because of years
of experience and knowledge some of the other staff and the management
has , I felt I am left out. I also feel like if I am able to educate myself and
become involved in their conversation I will be able to part of the in-group.
Everyone should felt like they are treated the same, regardless of their
position and title (Northouse, 2016).
Northouse, P.G. (2016). Leadership: Theory and practice (7th ed.). Thousand Oaks. CA:
Sage Publications

Discussion Prompt 2
Complete the simulation Anatomy of Care located in the assignments folder under
your week 4 materials. Reflect on the leadership qualities displayed by Janice
throughout her various experiences and relate them to the concepts learned thus far.
Did your choices affect her leadership style? What are some things she could have
done differently that could have affected the overall outcome of the simulation?
During the stimulation, I felt Janice as a charge nurse was being covering her bases as a charge
nurse and try to be as professional as she can . She is looked up upon as a leader for the new
graduate nurse and also a resources for the staff nurses. The leadership style Janice exhibits is
Path-goal theory , which consisted of being directive, supportive, participative and achievement
oriented leadership behavior. Janice has definitely show many of those leadership qualities.
However, there are some quality that is is lacking. For example, supportive leadership, instead of
chatting on her personal phone she should of assigned a preceptor to the new graduate nurse right
away. Also Janice was able to demonstrate directive and participated and achievement oriented
behavior through her various roles. For example, giving direction/guidance to the other nurse,
participates in committees, and responding properly to doctors .

Some of things she could done differently that could affect the overall outcome of the simulation
is know how to collaborate with a team and asks for help, avoid using personal devices while on
the job, and also referring to the patient instead of their procedures.
Northouse, P. G. (2015). Leadership: Theory and practice (7 th ed.). Thousand Oaks, CA:
Sage Publications

Discussion Prompt #1

In this weeks material on lung function, two diseases tend to emerge

as clinically important: COPD and lung cancer. Please go onto the CDC
website (www.CDC.gov) to look up facts and figures on one of these two
diseases. What is its burden on society? How can you, working on
the front lines of disease management, help to relieve the burden of
the disease on society?
Chronic Obstructive Pulmonary Disease(COPD) is defined as a group of
disease that cause airflow blockage and breathing-related problems. Some of
the contributing factors to COPD includes smoking, air pollutants , genetic
factors , respiratory infection. According to CDC, COPD is the third leading
cause of death in the US. Most thatn 50% of adults with low pulmonary
functions were not aware of that they had COPD. In order to relief the burden
on society I think primary preventative care should be implemented. For
example, patient teaching during community events, setting up smoke free
campus/designated area, encourage primary care visit if experiencing
respiratory symptoms. As CDC suggested Spirometry test can be use to
measure pulmonary or lung function follow up with someone who is
experiencing respiratory symtpoms. Teaching elderly/immunocoprised client
with COPD to stay vaccinated for flu season and also get their pneumovax
vaccine. Lastly if confirmed diagnosis of COPD aggressive treatment will
prevent from further progression and severe exacerbation.

Centers for Disease Control and Prevention (2016). Retrieved

from http://www.cdc.gov/dotw/copd/index.html

Discussion Prompt #2

Read the case study below. Answer and discuss the questions that
follow.
ND is a 82-year-old female who lives in a skilled nursing facility. She suffers
from rheumatoid arthritis, coronary artery disease, chronic bronchitis, and
hypertension. She is wheelchair bound and tends to spend most of her days
in bed. She smoked for 52 years but quit 14 years ago. She has lost 10
pounds in the last month and has had a productive cough for about 2 weeks
that has copious amounts of white to yellow mucous. Over the last 3 days,
she has refused to get out of bed and has been refusing to eat or drink. This
morning she is confused, has a fever, and is coughing continuously. Her
sputum now is rust-colored. Her lungs sounds are coarse rhonchi throughout
with crackles and diminished lung sounds in her right middle lobe area. Her
vital signs are BP 86/54, HR 98, RR 28, and temperature 102.4. She is being
admitted to the hospital.
Pneumonia can be classified many different ways. Which classification of
pneumonia best fits NDs situation? Explain. What is the most probable cause
of NDs pneumonia? Which diagnostic tests would you expect to be done to
diagnose NDs pneumonia?
Pneumonia can cause by aspiration, bacterial, or viral. Patient who are at risk for developing
pneumonia are those who are critically ill, elderly, young children, and immunocompromised.
According to NDs situation, based on her current presentation of symptoms and comorbidity,
her pneumonia can be classified as community acquired bacterial pneumonia. The most probable
cause for her pneumonia is her comorbidity and also her immobility. From her current vitals I
would also suspect she is developing sepsis. I would expect to do a full head to toe assessment
on her, then a focus assessment on the respiratory system. I would also obtain an order for labs
such as routine labs, blood cultures and lactic acid. I would also obtain a sputum sample as well
as chest x-ray. After the diagnostic studies, I would provide aggressive treatment such as fluids
and antibiotic therapy. I would use a broad-spectrum antibiotics until the cultures comes back.
Copstead-Kirkhorn, L., Banasik, J. L. (2014). Pathophysiology, 5th Edition. Retrieved from
https://bookshelf.vitalsource.com