NRS 434VN FNU Physical Assessments Among School Aged Children Paper

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NRS 434VN FNU Physical Assessments Among School Aged Children Paper

I’m trying to study for my Nursing course and I need some help to understand this question.

 

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

  1. Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
  2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age. NRS 434VN FNU Physical Assessments Among School Aged Children Paper
  3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

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Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. NRS 434VN FNU Physical Assessments Among School Aged Children Paper

NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam

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NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam

NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam

Question 1

A patient expresses concern that she is at risk for breast cancer. To best assess the risk for this patient, what is the best initial action?

a. Ask if there is a family history of breast cancer.
b. Gather and record a three-generation pedigree.
c. Order a genetic test for the breast cancer gene.
d. Recommend direct-to-consumer genetic testing.

 

 

 

Question 2

What is an important part of patient care that can minimize the risk of a formal patient complaint even when a mistake is made?

Ensuring informed consent for all procedures
Maintaining effective patient communication
Monitoring patient compliance and adherence
Providing complete documentation of visits

 

 

 

Question 3

A patient asks about direct-to-consumer (DTC) genetic testing. What will the provider tell the patient?

a. It is not useful for identifying genetic diseases.
b. Much of the information does not predict disease risk.
c. The results are shared with the patient’s insurance company.
d. The results must be interpreted by a provider.

 

 

Question 4

A previously healthy patient has an area of inflammation on one leg which has well-demarcated borders and the presence of lymphangitic streaking. Based on these symptoms, what is the initial treatment for this infection?

a. NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam
b.NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam
c. NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam
d. Sulfamethoxazole-trimethoprim

 

 

Question 5

A patient diagnosed with atopic dermatitis asks what can be done to minimize the recurrence of symptoms. What will the provider recommend?

a. Calcineurin inhibitors
b. Lubricants and emollients
c. Oral diphenhydramine
d. Prophylactic topical steroids

 

 

 

Question 6

Which is the primary symptom causing discomfort in patients with atopic dermatitis (AD)?

a. Dryness
b. Erythema
c. Lichenification
d. Pruritis

 

 

 

Question 7

A patient experiencing an inflamed pterygia lesion has been prescribed loteprednol topical steroid drops for 7 days. The patient shows no improvement in symptoms. What is the next course of action? NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam

a. Consult with an ophthalmologist.
b. Continue the medication for 7 more days.
c. Prescribe a systemic corticosteroid.
d. Refer the patient to the emergency department.

 

 

Question 8

A patient experiences a penetrating injury to one eye caused by scissors. The provider notes a single laceration away from the iris that involves the anterior but not the posterior segment. What is the prognosis for this injury?

a. Because the posterior segment is not involved, the prognosis is good.
b. Blindness is likely with this type of eye injury.
c. Massive hemorrhage and loss of intraocular contents is likely.
d. NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam

 

Question 9

A primary care provider notes painless, hard lesions on a patient’s external ears that expel a white crystalline substance when pressed. What diagnostic test is indicated?

a. Biopsy of the lesions
b. Endocrine studies
c. Rheumatoid factor
d. Uric acid chemical profile

 

 

 

Question 10

A patient experiencing heart failure with reduced ejection fraction will have which symptoms?

a. Dyspnea and fatigue without volume overload
b. Impairment of ventricular filling and relaxation
c. Mild, exertionally related dyspnea
d. Pump failure from left ventricular systolic dysfunction

 

 

 

Question 11

A 55-year-old patient has a blood pressure of 138/85 on three occasions. The patient denies headaches, palpitations, snoring, muscle weakness, and nocturia and does not take any medications. What will the provider do next to evaluate this patient?

a. Assess serum cortisol levels
b. Continue to monitor blood pressure at each health maintenance visit
c. Order urinalysis, CBC, BUN, and creatinine
d. Refer to a specialist for a sleep study

 

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Question 12

A patient who has been diagnosed with heart failure for over a year reports being comfortable while at rest but experiences palpitations and dyspnea when walking to the bathroom. Which classification of heart failure is appropriate based on these symptoms?

a. ClassI
b. Class
c. Class
d. Class

 

 

 

 

 

 

 

Question 13

A patient who has undergone surgical immobilization for a femur fracture reports dyspnea and chest pain associated with inspiration. The patient has a heart rate of 120 beats per minute. Which diagnostic test will confirm the presence of a pulmonary embolism (PE)?

a. Arterial blood gases (ABGs)
b. Computed tomography (CT) angiography
c. D-dimer
d. Electrocardiogram (ECG)

 

Question 14

Which method of treatment is used to manage a traumatic pneumothorax?

a. Needle aspiration of the pneumothorax
b. Observation for spontaneous resolution
c. Placement of a small-bore catheter
d. NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam

 

 

 

 

 

 

Question 15

A patient with a central line develops respiratory compromise. What is the initial intervention for this patient?

a. Lung ultrasonography (US) to determine the cause
b. Obtaining cultures and starting antibiotics
c. Prompt removal of the central line
d. Rapid assessment and resuscitation

 

 

 

 

 

 

 

 

Question 16

A patient reports lower abdominal cramping and occasional blood in stools. The provider suspects inflammatory bowel disease. Which test will the provider order to determine whether the patient has ulcerative colitis (UC) or Crohn’s disease (CD)? NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam

a.
b.
c.
d.

 

 

 

Question 17

A patient who is asymptomatic tests positive for the hepatitis C virus (HVC). What will the provider tell the patient about managing this illness?

a. A rapidly fulminant disease ending with cirrhosis is likely.
b. Administering immunoglobulins helps shorten the course.
c. Several medications are available based on the type of hepatitis C.
d. Treatment is supportive since the infection is self-limiting.

 

 

 

Question 18

A patient recovering from chronic alcohol abuse reports nausea, vomiting, diarrhea, and abdominal discomfort. A physical examination is negative for jaundice or ascites. What will the provider do initially?

a. NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam
b. NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam
c. NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam
d. NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam

 

 

 

 

 

 

Question 19

Paula is a 68 y/o female who presents to the clinic with the following symptoms: bloating and abdominal discomfort, low back pain, pelvic pain, frequency and constipation. The most likely cause of these symptoms is:

A. Ovarian Cancer
B. Uterine Cancer
C. Urethral Cancer
D. None of the above

 

 

 

 

 

Question 20

A 50-year-old man reports having erectile dysfunction (ED). What is an important response by the provider when developing a plan of care for this patient?

A. Considering testosterone hormone replacement therapy
B. Evaluating the patient for cardiovascular disease
C. Prescribing an oral phosphodiesterase type 5 inhibitor
D. Referring the patient for psychotherapy and counseling

 

 

 

 

 

Question 21

A primary care provider sees a new patient who reports having a diagnosis of chronic kidney disease for several years. The patient is taking one medication for hypertension which has been prescribed since the diagnosis was made. The provider orders laboratory tests to evaluate the status of this patient. Which laboratory finding indicates a need to refer the patient to a nephrologist?

A. Albumin/creatinine ratio (ACR) of 325 mg/g
B. Blood pressure of 145/85 mm H
C. Glomerular filtration rate (eGFR) of 35
D. Urine red blood cell (RBC) count of 15/hpf

 

 

 

Question 22

Elijah is a 72 y/o African American male who presents to the clinic with the following symptoms: low back pain, perineal pain, weak urinary stream and multiple trips to the bathroom during the night. Labs taken one week ago show a PSA of 6.0 ng/ml. The most likely diagnosis is:

A. Prostate Cancer
B. Testicular Cancer
C. Prostatitis
D. Epididymis

Question 88

A young male patient is reported to be more withdrawn from his peers than usual and has dropped out of college and quit his job within the last 5 months. The parent is concerned that the patient may have schizophrenia because a maternal uncle has the disease. What will the provider do next?

A. Ask about the patient’s speech and thinking patterns
B. Consider treatment with antipsychotic medications
C. Reassure that classic symptoms of schizophrenia are not present
D. Refer the patient for inpatient psychiatric treatment

 

 

 

 

Question 89

Michael is an 18 y/o male who has recently been suffering from insomnia. During your evaluation you learn that Michael lost his best friend in a roadside bomb in Afghanistan.

Michael’s insomnia could be treated with which of the following natural supplements:

A.
B.
C.
D. All the above

D

 

 

 

 

Question 90

A patient reports symptoms of restlessness, fatigue, and difficulty concentrating. The provider determines that these symptoms occur in relation to many events and concerns. What other things will the provider question this patient about?

A. Ability to manage social situations
B. Body image and eating habits
C. Headaches and bowel habits
D. Occupational performance

C

 

 

 

 

 

Question 91

A college student is brought to clinic by a parent who is concerned about increasingly bizarre behavior and poor school performance. The provider notes difficulty engaging the patient in an organized conversation. The patient denies any concerns about behavior. What will the provider do initially to manage this patient’s symptoms?

a.
b.
c. Counsel the parent to report any symptoms of depression
d. Schedule an appointment with a psychiatrist

 

 

 

 

 

Question 92

A college student is brought to the emergency department by a roommate who is concerned about symptoms of extreme restlessness, nausea, and vomiting. The provider notes elevations of the pulse and blood pressure and pupillary dilation, along with hyperactive bowel sounds. The provider suspects withdrawal from which substance?

A. Alcohol
B. Cocaine
C. LSD
D. Opioids

 

 

 

 

 

 

Question 93

Angela is a 28 y/o female who comes to the clinic with her partner. During the history taking her partner does not all Angela to answer any of the questions but instead answers all the questions for her.

In doing the physical exam on Angela the NP should do all the following except:

A. Have
B. Collect
C. Interview
D. When appropriate develop a plan of safety

 

 

 

 

Question 94

An 18-year-old male is brought to the clinic by a parent who is concerned that the patient has become more isolated and withdrawn. The patient has expressed suspicions that his teachers hate him and want him to fail. What will the provider tell this parent?

A. The adolescent should be evaluated by a psychiatrist.
B. The adolescent should be given a trial of antipsychotic medications.
C. These are common adolescent behaviors and will eventually go away.
D. These signs are diagnostic for schizophrenia.

 

 

 

 

 

 

Question 95

Jason a 46 y/o male has a smoking addition and has smoke 2 packs /day for the past 26 years. Given this information his pack years for smoking would be:

A. 26 pack years
B. 38 pack years
C. 52 pack years
D. 62 Pack years

 

 

 

question 96

Jason a 46 y/o male has a smoking addition and has smoke 2 packs /day for the past 26 years.

Laboratory findings related to Jason’s smoking addiction would include all the following except:

A. Decreased Hct
B. Increased WBC
C. Increased platelet count
D. Decreased Vitamin C levels

 

 

 

 

question 97

A patient is brought to the emergency department experiencing disorientation, confusion, and fever. The patient describes visual and auditory hallucinations. The patient’s spouse states that the patient had several drinks 12 hours prior to passing out. A blood alcohol level is 0.2%. What is the recommended treatment?

A. NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam
B. NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam
C. NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam
D. NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam

 

 

 

 

Question 98

In the elderly, depression often exists with dementia.

True

False

 

Question 99

A patient is seen in clinic 2 weeks after the death of a parent. The patient reports feelings of sadness and hopelessness and a feeling that the parent is still present, even to the point of hearing the parent’s voice at times. What will the provider determine from these findings?

A. There is a concern for hypermania.
B. There is a possibility of manic episodes.
C. These are concerning for depression.
D. These are normal grief responses.

 

Question 100

Michael is an 18 y/o male who has recently been suffering from insomnia. During your evaluation you learn that Michael lost his best friend in a roadside bomb in Afghanistan. Michaels insomnia can be classified as:

A. Primary Insomnia
B. Secondary Insomnia
C. Short term Insomnia
D. Chronic Insomnia

NRNP 6531: Advanced Practice Care of Adults across the Lifespan Final Exam

NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

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NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

Question 1

There are many different types of dementia. Which dementia is NOT a direct result of disrupted neurotransmitters, but a result of degeneration of different regions in the brain? Onset of the disease is typically before the age of 60, and very rare after the age of 75.

A. Alzheimer’s Disease
B. Dementia with Lewy Bodies
C. Creutzfeldt-Jakob Disease
D. Frontotemporal Dementias

 

Question 2

  1. J. is a 55-year-old male who attended a funeral and found himself laughing during the service, but later that evening he was irritated with himself for what he had done. His wife said this was abnormal behavior and took him to his doctor to be evaluated. After L. J.’s MRI was reviewed, he was diagnosed with frontotemporal dementia. Which medication is recommended to help L. J. with his emotional outbursts? NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam
A.
NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

 
B.
NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

 
C.
NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

 
D. NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

 

 

Results Displayed Feedback

·         Question 1

There are many different types of dementia. Which dementia is NOT a direct result of disrupted neurotransmitters, but a result of degeneration of different regions in the brain? Onset of the disease is typically before the age of 60, and very rare after the age of 75.

 

Response Feedback: under subtitle “Epidemiology and genetic risk factors”

·         Question 2

L. J. is a 55-year-old male who attended a funeral and found himself laughing during the service, but later that evening he was irritated with himself for what he had done. His wife said this was abnormal behavior and took him to his doctor to be evaluated. After L. J.’s MRI was reviewed, he was diagnosed with frontotemporal dementia. Which medication is recommended to help L. J. with his emotional outbursts?

 

Response Feedback: under Treatment subtitle: “The behavioral features are sometimes helped by SSRIs, and these are the best-studied treatments for these disorders.”

·         Question 3

E. B., a 55-year-old female, is a patient at your clinic today who has a past medical history significant for breast cancer, hypertension, hepatic cirrhosis, type 2 diabetes, and a recent diagnosis of alcohol use disorder. She has no known drug allergies. She states she is ready to quit drinking but fears the cravings that it may bring. Which medication would you recommend for E. B. to begin?

 

Response Feedback: “It is preferred for patients with liver damage since acamprosate is metabolized through the kidneys and not the liver” & Table 15-3 shows it reduces alcohol cravings; benzodiazepines are used in the acute setting if a patient is experiencing severe alcohol withdrawal that leads to seizures; thiamine is if a patient is admitted for alcohol intoxication.
 

 

 

Question 3

  1. B., a 55-year-old female, is a patient at your clinic today who has a past medical history significant for breast cancer, hypertension, hepatic cirrhosis, type 2 diabetes, and a recent diagnosis of alcohol use disorder. She has no known drug allergies. She states she is ready to quit drinking but fears the cravings that it may bring. Which medication would you recommend for E. B. to begin?
A. Naltrexone
B. Acamprosate
C. Any benzodiazepine
D. Thiamine

 

Question 4

What should our treatment goal be with our patients when it comes to managing chronic pain?

A. The goal is to make the pain go completely away.
B. The goal is to make the patient feel numb so that the pain cannot be thought about.
C. There are no specific treatment goals that we should discuss with our patients, just so they don’t get their expectations too high.
D. The goal is to improve their function and to drop their pain scale to less than 5 out of 10.

 

 

Choose the correct statement regarding medications used for alcoholism

A. Disulfiram: NMDA receptor antagonist & GABAA agonist
B. Naltrexone: µ-opioid receptor antagonist that reduces the reinforcement/euphoria produced by alcohol
C. Acamprosate: enhances the effect of the inhibitory neurotransmitter gamma-aminobutyric acid on the GABA receptors by binding to a site that is distinct from the GABA binding site in the central nervous system.
D. Lorazepam: inhibits alcohol dehydrogenase, leading to a buildup of acetaldehyde

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Question 6

Which medication below would you use in addition to benzodiazepine treatment if the patient is experiencing psychosis during alcohol withdrawal delirium?

A.
NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

 
B.
NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

 
C. 

NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

 
D. 

NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

 

 

Question 7

Of the following neurotransmitters, which ones play a critical role in modulating attention in ADHD?

  1. Dopamine
  2. Epinephrine
  • GABA
  1. Norepinephrine
  2. Glutamate
A. II, III, and V
B. II and IV
C. I and IV
D. III only

 

Question 8

Which of the following is the only Black Box Warning associated with the medication atomoxetine?

A. Increased risk for cardiovascular events
B. Suicidal ideation
C. Substance abuse potential
D. Slight growth inhibition

 

Question 9

Which of the following drugs is structurally similar to tramadol; thus, its opioid-mediated analgesia can be reversed by naloxone in mice? NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

A.
B.
C.
NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

 
D. Gabapentin

 

Question 10

Which medication is a selective alpha-adrenergic agonist that works by mimicking norepinephrine binding in the pre-frontal cortex, which makes it particularly useful in the treatment of ADHD?

A. 

NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

 
B.
C.
D.

 

 

Question 11

Daytrana is the MPH transdermal system of methylphenidate approved for the treatment of ADHD in children aged 6 years and older. What is the difference in terms of the metabolism compared to the other formulations in this class?

A. It is mainly metabolized by the enzyme carboxylesterase once absorbed.
B. It does not undergo first-pass metabolism by the enzyme carboxylesterase in the liver.
C. It can be cut up and sprinkled onto food so it can bypass first-pass metabolism in the liver.
D. It uses an osmotic releasing oral system technology to slowly deliver the drug to the enzyme carboxylesterase in order to make the drug last longer.

 

Question 12

A 59-year-old male has been admitted to the E. D. due to a methamphetamine overdose. The patient’s friend reported he ingested up to 2 grams because “he thought cops were coming to get him.” The patient’s vitals are all within normal limits, except his blood pressure is 180/110. What is the best recommendation to make at this time?

A. Administer a beta-blocker like labetalol to help bring his blood pressure down
B. Patient’s blood pressure is considered a hypertension urgency, but it is probably due to the drug overdose. No action is needed at this time until the drug has cleared his system.
C. Blood pressure is not a concern right now, but supportive therapy should be provided in the incidence of respiratory depression.
D. Administer an alpha-blocker like phentolamine to help bring his blood pressure down.

 

Question 40

SSRIs can be used in alcohol use disorder and offer modest drinking reduction through an anti-craving effect.

A. True
B. False

 

 

Question 41

  1. K. is a 72-year-old female who has suffered many strokes in the past, likely due to uncontrolled hypertension and hyperlipidemia. She has now been diagnosed with vascular dementia due to memory loss and motor system slowing. What is the recommended treatment for T. K.?
A. T. K. needs the drug donepezil to help with her memory loss only.
B. T. K. needs the drug donepezil to help with her memory loss, but also needs her hypertension and hyperlipidemia controlled.
C. T. K. needs the drug donepezil to help with her memory loss, but also needs her hypertension controlled.
D. T. K. needs her hypertension controlled only.

 

 

 

Question 42

The patient is a 16-year-old girl with a past history of substance use disorder. She has been known to abuse prescription opioids and smokes one pack of cigarettes every day. She has been in and out of recovery for the past year. During her last admission into a recovery center, she was diagnosed with ADHD, which may have contributed to her addictive personality. She presents to your clinic today to initiate pharmacotherapy for her new diagnosis. What would you recommend in this patient? Her current weight is 55 kg. NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

A. Ritalin 10 mg twice daily
B. Focalin 10 mg twice daily
C. Daytrana 30 mg patch worn for 12 hours daily
D. Atomoxetine 60 mg once daily

 

Question 43

A new patient presents to your clinic today. The patient is a 13-year-old boy who complains that he has no interest in anything. The patient states, “I just want to sleep more than I normally do, and I don’t care much for playing my video games anymore.” His mother states he cannot focus on anything for more than a few minutes at a time, and that he often gets in trouble at school because he cannot sit still. What would you recommend at this time?

A. Recommend doing a full evaluation to distinguish if this patient is presenting with ADHD symptoms or depressive symptoms
B. Begin a stimulant at appropriate dose once patient’s weight is known
C. Refer to a behavioral counselor
D. Begin an SSRI at lowest initial dose and provide counseling on the increased risk of suicide during the first few months of therapy

 

 

 

Question 44

Disulfiram has been proven effective in the treatment of alcoholism, but recently it has been trialed in the management of cocaine addiction. What is the mechanism of action that likely helps produce these aversive effects?

A. Inhibition on dopamine beta-hydroxylase
B. Inhibition on aldehyde dehydrogenase
C. Inhibition on alcohol dehydrogenase
D. Inhibition on aldehyde reductase

 

Question 45

Which medication below should be routine for all suspected cases of alcohol intoxication and dependence?

A. B vitamin thiamine 100 mg
B. Haloperidol 5 mg
C. Lorazepam 2 mg
D. Acamprosate 666 mg

 

Question 46

FILL IN THE BLANK: ___________ is the main neurotransmitter behind reward systems in the brain, which usually leads to addiction when altered in any way.

A.
NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

 
B.
NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

 
C.
NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

 
D.
NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

 

 

Question 47

If a patient suffers from a multitude of small strokes and later begins experiencing mood disturbances in an acute fashion that sometimes resolve, from what type of dementia would you think that patient may suffer?

A. Vascular Dementia
B. Frontotemporal Dementias
C. Alzheimer’s Disease
D. Dementia with Lewy Bodies

 

 

Question 48

Drug addiction includes many prescription medications and illegal substances. Of the drugs listed, which ones can be withdrawn abruptly WITHOUT medical intervention to prevent withdraw seizures?

A. Alcohol
B. Adderall
C. Lorazepam
D. Butalbital

 

Question 49

The experience of pain is ALWAYS subjective

A. True
B. False

 

Question 50

  1. B. is a 55-year-old male who has diagnosed with type 2 diabetes 10+ years ago. He has since had complications from the disease and is suffering from severe neuropathy. On top of that, T. B. is struggling with his mental health and was recently told he could be depressed but he had refused treatment at that time. Besides getting his blood sugar under control, what medication(s) can we use that may be useful in helping T. B.?
  2. Nortriptyline
  3. Venlafaxine
  • Duloxetine
  1. Fluoxetine
A. I, II, and III
B. I and II
C. II and III
D. IV only
NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Final Exam

NRS 428 VN Epidemiology Paper Assignment

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NRS 428 VN Epidemiology Paper Assignment

NRS 428 VN Epidemiology Paper Assignment

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.

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Communicable Disease Selection

  1. Chickenpox
  2. Tuberculosis
  3. Influenza
  4. Mononucleosis
  5. Hepatitis B
  6. HIV
  7. Ebola
  8. Measles
  9. Polio
  10. Influenza
  11. NRS 428 VN Epidemiology Paper Assignment

Epidemiology Paper Requirements

  1. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
  2. Describe the social determinants of health and explain how those factors contribute to the development of this disease. NRS 428 VN Epidemiology Paper Assignment
  3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?
  4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community. NRS 428 VN Epidemiology Paper Assignment
  5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.
  6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example. NRS 428 VN Epidemiology Paper Assignment

A minimum of three peer-reviewed or professional references is required. NRS 428 VN Epidemiology Paper Assignment

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. NRS 428 VN Epidemiology Paper Assignment

NRS 428 Benchmark – Community Teaching Plan: Community Presentation

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NRS 428 Benchmark – Community Teaching Plan: Community Presentation

The benchmark assesses the following competencies:

3.3 Provide individualized education to diverse patient populations in a variety of health care settings.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities. NRS 428 Benchmark – Community Teaching Plan: Community Presentation

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Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community. NRS 428 Benchmark – Community Teaching Plan: Community Presentation

Options for Delivery

Select one of the following options for delivery and prepare the applicable presentation:

  1. PowerPoint presentation – no more than 30 minutes
  2. Pamphlet presentation – 1 to 2 pages
  3. Audio presentation
  4. Poster presentation

Selection of Community Setting

These are considered appropriate community settings. Choose one of the following:

  1. Public health clinic
  2. Community health center
  3. Long-term care facility
  4. Transitional care facility
  5. Home health center
  6. University/School health center
  7. Church community
  8. Adult/Child care center
  9. NRS 428 Benchmark – Community Teaching Plan: Community Presentation

Community Teaching Experience Approval Form

Before presenting information to the community, seek approval from an agency administrator or representative using the “Community Teaching Experience Approval Form.” Submit this NRS-428VN-RS5-CommunityTeachingExperienceForm as directed in the Community Teaching Experience Approval assignment drop box.

General Requirements

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. NRS 428 Benchmark – Community Teaching Plan: Community Presentation

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite. NRS 428 Benchmark – Community Teaching Plan: Community Presentation

NURS 6512 Week 4: Assessment of the Skin, Hair, and Nails,

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NURS 6512 Week 4: Assessment of the Skin, Hair, and Nails,

NURS 6512 Week 4: Assessment of the Skin, Hair, and Nails NURS 6512 Week 4: Assessment of the Skin, Hair, and Nails, NURS 6512: Advanced Health Assessment and Diagnostic Reasoning | Week 4 NURS 6512: Advanced Health Assessment and Diagnostic Reasoning | Week 4 Something as small and simple as a mole or a discolored toenail can offer meaningful clues about a patient’s health. Abnormalities in skin, hair, and nails can provide non-invasive external clues to internal disorders or even prove to be disorders themselves. Being able to evaluate such abnormalities of the skin, hair, and nails is a diagnostic benefit for any nurse conducting health assessments. This week, you will explore how to assess the skin, hair, and nails, as well as how to evaluate abnormal skin findings. Permalink: https://nursingpaperessays.com/ nurs-6512-week-4…reasoning-week-4 / Learning Objectives – NURS 6512: Advanced Health Assessment and Diagnostic Reasoning | Week 4 Students will: Apply assessment skills to diagnose skin conditions Apply concepts, theories, and principles relating to health assessment techniques and diagnoses for the skin, hair, and nails Apply assessment skills to collect patient health histories Assignment 1: Differential Diagnosis for Skin Conditions Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause. In this Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.

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To prepare: Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Assignment. Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies? Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected. Consider which of the conditions is most likely to be the correct diagnosis, and why.

Download the SOAP Template found in this week’s Learning Resources. To complete: Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format, rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least 3 different references from current evidence based literature. Assignment 2: Health History Assessment Video IMPORTANT INSTRUCTIONS: Adjust your camera to show a full view of both you and your patient volunteer, show your government issued photo ID/passport for verification of who you are, scan the room that you are using for verification that notes are not being used or posted, then begin the video. You may NOT take notes during the examination. You must show an interview with a patient who presents with a specific complaint/problem. The video must show you interviewing a patient and the patient must answer the questions. Omitting these instructions or obtaining a score of less than 69.5% will result in a failure of the video assignment and the course. Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

NRS 428VN Topic 1: Community/Public Health Nursing

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NRS 428VN Topic 1: Community/Public Health Nursing

NRS 428VN Topic 1: Community/Public Health Nursing

Objectives:

  1. Examine the role of the community/public health nurse.
  2. Evaluate the role of community stakeholders as client and community partners.
  3. Discuss the aspects of health promotion in nursing care of populations.
  4. Explain the importance of community resources to planning an intervention.

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Topic 1 DQ 1

  NRS 428VN Topic 1: Community/Public Health Nursing

Explain the role of the community health nurse in partnership with community stakeholders for population health promotion. Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.) as part of a community assessment and why these resources are important in population health promotion. NRS 428VN Topic 1: Community/Public Health Nursing

Topic 1 DQ 2

  

Discuss how geopolitical and phenomenological place influence the context of a population or community assessment and intervention. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings and referrals, for the community or population. NRS 428VN Topic 1: Community/Public Health Nursing

NRS-434VN Topic 1 DQ 2 infant developmental markers

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NRS-434VN Topic 1 DQ 2 infant developmental markers

Consider the following patient scenario:

A mother comes in with 9-month-old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart). NRS-434VN Topic 1 DQ 2 infant developmental markers

Describe the developmental markers a nurse should assess for a 9-month-old female infant. Discuss the recommendations you would give the mother. Explain why these recommendations are based on evidence-based practice. NRS-434VN Topic 1 DQ 2 infant developmental markers

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Topic 1 DQ 2

During the first year, the infant’s growth can directly affect the development of the child.

The health professional should assess the infant’s physical, psychomotor, and psychosocial components (Green 2018). A thorough assessment must be done so delays in growth or development milestones are not missed and can be addressed quickly. Health promotion of the infant is vital so that complications can be avoided and or corrected. Infants’ psychomotor development is implemented by observing and responding to their situation/environment. The use of Erikson’s theory made of eight stages helps us understand the infant’s psychosocial development. The stage of trust versus mistrust is developed between infants to 18 months. The infant must learn to trust others who are caring essentially for their basic needs. This feeling of security is felt when basic needs, such as food and shelter, are provided. NRS-434VN Topic 1 DQ 2 infant developmental markers

If the infant’s basic needs are not met, the infant can develop a sense of mistrust (Waziri, Alexandra, Shereen, Grace, & Foibos, 2019). Piaget’s Cognitive developmental stages look at the cognitive function that is processed by the environment the infant has witnesses and maturity. (Green, 2018). The sensorimotor stage is developed between newborn and age 2. During this stage, sensory is developed, including seeing, tasting, hearing, and touching. The sensory stimulation is put together with voluntary motor responses. For example, the infant can grasp an object in front of them and bring it directly to the sensory areas to taste and smell (Green 2018).

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The infant’s milestones are determinant on the age of months and are spread between two categories: fine motor skills and gross motor skills. A nine-month-old infant should be doing the following fine motor skills: banging objects, transferring objects from one hand to another, and feeding self-finger foods. The nine-month-old infant should be doing the following gross motor skills: crawling, sitting without support, get into a sitting position, pull to a standing position, stand while holding to support, and make stepping movements (Green 2018) NRS-434VN Topic 1 DQ 2 infant developmental markers.

Because the infant is in the chart’s 25th percentile, some of these milestones may not have been reached yet. The infant should be able to do milestones between 4-6 months. The health professional may see these milestones such as not being able to roll from back to front and front to back, sit without support, and so on more of concern. Yet, the idea of the infant being smaller will set the infant back to the milestone track. NRS-434VN Topic 1 DQ 2 infant developmental markers

 

Green, S. Z. (2018). Health Assessment of the Infant. Retrieved from

https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective

practice/v1.1/#/chapter/1

Waziri, Alexandra, Shereen, Grace, & Foibos. (2019, July 27). Erik Erikson’s Theory of Psychosocial Development. Retrieved from https://www.psychologynoteshq.com/erikerikson/. NRS-434VN Topic 1 DQ 2 infant developmental markers

NRS-434VN Health Assessment

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NRS-434VN Health Assessment

NRS-434VN Health Assessment Objectives:

  1. Apply evidence-based practice to health promotion for infants.
  2. Examine environmental factors that increase risk to infant health.
  3. Propose health promotion strategies for the infant.
  4. NRS-434VN Health Assessment

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NRS-434VN Topic 1 DQ 1

Describe the effect of extremely low birth weight babies on the family and community. Consider short-term and long-term impacts, socioeconomic implications, the need for ongoing care, and comorbidities associated with prematurity. Explain how disparities relative to ethnic and cultural groups may contribute to low birth weight babies. Identify one support service within your community to assist with preterm infants and their families and explain how the service adequately addresses the needs of the community, or a population in your community. Provide the link to the resource in your post. NRS-434VN Health Assessment

Low birth weight babies are often born premature, and face increased risks during early life. Low birth weight can result from a variety of factors, some preventable and some nonpreventable. Preventable risk factors include smoking cigarettes and abusing drugs or alcohol while pregnant. Other preventable risk factors include poor prenatal care, inadequate nutrition throughout pregnancy, physical abuse, and lack of available resources while pregnant. I find it interesting that every single one of the aforementioned preventable risk factors are greatly exacerbated by poverty. Following that train of thought, it is simple to understand how weight disparities have a higher prevalence in poor communities with higher than average incidences of drugs and violence. In addition, certain ethnic and cultural groups are likelier to give birth to low birth weight babies. According to Sims et al., low-income African-American and Hispanic women who smoke are likelier to give birth to low birth weight babies in relation to affluent mothers who do not smoke. Moreover, culture and ethnicity influence diet, which can be a major contributing factor to low birth weight if the mother is not eating healthy enough. In addition, babies born to teenage mothers and being pregnant with multiples increases the risk of premature birth. NRS-434VN Health Assessment

Regardless of the reason for pre-term birth, low birth weights have a profound impact on the family. Mothers with smoking habits or drug addictions can be crippled by extreme guilt once the baby is born. Even if the mother did not contribute to the pre-term birth, many women still experience profound guilt. Low birth weights are concerning because babies are frail, especially as newborns. When born prematurely, babies can have difficulty with temperature regulation because they do not have as much body fat to generate heat with. Depending on how premature the baby is, it might be born before its lungs are fully developed or not have enough surfactant produced yet for adequate ventilation. Premature babies also have issues fighting off infection because their immune systems may not be fully developed. Finally, low birth weight babies may have difficulty feeding due to fatigue and impaired rooting reflexes. Issues with prematurity can resolve in the short term with adequate treatment, but there can be long term consequences. Depending on how preterm the baby was born or if there were any sustained difficulties with oxygenation at birth, the baby may face neurological impairment for the rest of its life.

Furthermore, low birth weight babies require ongoing care even if their issues are resolved successfully. These babies are usually at higher risk of being neglected or falling victim to physical abuse. Additionally, their nutritional status needs to be closely monitored to ensure sufficient growth, especially with babies born into poverty whose parents may not have access to food or formula. There is also a huge need for continued education in such populations. There are assistance programs available, but they place a financial burden on the community and need special funding to stay in operation. Many of you have probably heard of the Special Supplemental Nutrition Program for Women Infants, and Children (WIC) program. This program is available in every state, and provides primary and secondary prevention services to at-risk and low-income families. For example, WIC improves birth outcomes by offering services to pregnant women to ensure that they receive prenatal care and have adequate nutrition (“About WIC”, 2013). Moreover, WIC provides parental education, monitors at-risk children, and provides free vouchers so that families can afford to purchase formula and nutritious age-appropriate food.

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References

About WIC- how WIC helps. (2013). Special supplemental nutrition program for women, infants, and children. U.S. Department of Agriculture. https://www.fns.usda.gov/wic/about-wic-how-wic-helps

Sims, M., Sims, T., & Bruce, M. (2016). Community income, smoking, and birth weight disparities in Wisconsin. J Natl Black Nurses Association. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5014333/

Environmental Factors and Health Promotion Presentation: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants

  NRS-434VN Health Assessment

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored. NRS-434VN Health Assessment

Include the following in your presentation:

  1. Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
  2. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
  3. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants. NRS-434VN Health Assessment
  4. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
  5. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. NRS-434VN Health Assessment

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Topic 1 DQ 1

  

Describe the effect of extremely low birth weight babies on the family and community. Consider short-term and long-term impacts, socioeconomic implications, the need for ongoing care, and comorbidities associated with prematurity. Explain how disparities relative to ethnic and cultural groups may contribute to low birth weight babies. Identify one support service within your community to assist with preterm infants and their families and explain how the service adequately addresses the needs of the community, or a population in your community. Provide the link to the resource in your post. NRS-434VN Health Assessment

NRS 434VN Grand Canyon University Health Assessment of Infants Presentation

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NRS 434VN Grand Canyon University Health Assessment of Infants Presentation

Description

 

 

The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. Include an additional slide for the Loom link at the beginning (Loom link (https://www.loom.com/),and an additional slide for references at the end.

In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored. NRS 434VN Grand Canyon University Health Assessment of Infants Presentation

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Include the following in your presentation:

1.Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.

2.Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.

3.Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.

4.Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.

  • Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. NRS 434VN Grand Canyon University Health Assessment of Infants Presentation