ADVANCED PATHOPHYSIOLOGY ASSIGNMENT QUESTIONS

NURS-6003N-18-Transition to Graduate Study

Erika Harris

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I am pursuing an MSN to become a Psychiatric Mental Health Nurse Practitioner. A PMHNP should be able to care for the primary psychiatric needs across the lifespan and in a myriad of settings(Population-Focused Competencies Task Force, 2013). I did not have difficulty in making this choice. As a Junior while getting my Bachelors of Arts in Psychology, I took a class entitled Survey of Psychology. This class outlined the many different careers in psychology. Upon reading the description for Psychiatric Mental Health Nurse Practitioner, I was immediatedly intrigued. Up until that point, I did not know that there was a field within psychology where the practitioner takes a holistic approach. While it has become more popular among Psychologists and Psychiatrists to take a holistic approach, when I took this class in 2007, these disciplines were much more narrow in their discipline’s approach. With this information, I decided to do some research and realised that once I achieved my Bachelor’s in Psychology, I could get a MSN to become a PMHNP. I found that this helped me focus during nursing school. I was surprised at the limited amount of information about working in psychiatry in the nursing program. However, I have only worked in psychiatry since receiving my ADN. It has been eight years since my graduation from the ADN program in 2014, and I still have the passion and desire to become a PMHNP. ADVANCED PATHOPHYSIOLOGY ASSIGNMENT QUESTIONS

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The American Psychiatric Nurses Association is an organization that provides resources, continuing education and networking opportunities for nurses working in psychiatry(American Psychiatric Nurses Association, 2022). This organization has several different types of memberships that cover a wide range of lifestyles. For instance, there is a student membership which is the most restrictive membership, and the regular membership, that affords individuals the opportunity to vote within the organization, participate in committees and can pursue election to their board of directors(American Psychiatric Nurses Association, 2022). In order to become a member, one has to input their information and pay dues.

References

American Psychiatric Nurses Association. (2022). About APNA. Retrived from https://www.apna.org/about-apna/

American Psychiatric Nurses Association. (2022). Membership in APNA. Retrieved from https://www.apna.org/membership/

Population-Focused Competencies Task Force. (2013). Population-Focused Nurse Practitioner Competencies. Retrieved from https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/Competencies/CompilationPopFocusComps2013.pdf

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Ginger Shrader

My choice for continuing my education is Psychiatric Mental Health Nurse Practitioner. This was not an easy decision for me as I knew I wanted to pursue a master’s degree after finishing my bachelor’s degree. I was also busy working full-time and raising a family. I graduated with my bachelor’s degree when I was five months pregnant with our last baby. My original plan was to keep going to school to pursue my master’s degree, I thought I would become a Certified Nurse Midwife, I mean why not I was currently a Labor and Delivery nurse. However, after I had my son, who is now four years old, I decided to put school off to enjoy my family more. As my kids were getting older and my youngest was starting school full-time, I decided it was time for me to also start back to school.

I no longer wanted to become a Certified Nurse Midwife, so I started looking into all the master’s programs. Reading over what each program had to offer and then looking into what I really wanted to do as a grown-up was a difficult task. At first, I thought that I would become a Family Nurse Practitioner, that way I could have many options as to what field I really wanted to work in. I could teach, I could still work in women’s health or I could work with children. However, during Covid-19 when I saw how badly many of my family and friends were suffering from mental health issues, I made my decision to find a master’s program in Psychiatric Mental Health Nurse Practitioner. I had finally made my decision to return to school to continue my education to help others who suffer from mental health. I looked into many different schools but decided on Walden University for its online ability and they were willing to work around my work-life balance (Walden, n.d.).

A professional group that I will be a member of is the American Psychiatric Nurses Association. To become a member, I will pay needed dues and input my information for verification of educational achievements (American Psychiatric Nurses Association, 2022). However, this will provide me with the resources that I will need to better serve my patients. Being a member of this professional group will keep me well informed and up to date with all the new and improved studies and technology. It is important to stay on top of my continued learning to give my patients the best evidence-based care (Cherry et al., 2019).

References

American Psychiatric Nurses Association. (2022). Membership in APNA. Retrieved from https://www.apna.org/membership/

Cherry, B., Caramanica, L., Everett, L. Q., Fennimore, L., & Scott, E. (2019). Leveraging the power of board leadership in Professional Nursing Organizations. JONA: The Journal of Nursing Administration, Publish Ahead of Print. https://doi.org/10.1097/nna.0000000000000805

Walden University. (n.d.). Master of Science in Nursing (MSN). Retrieved November 14, 2018, from https://www.waldenu.edu/masters/master-of-science-in-nursing

NURS-6501N-21-Advanced Pathophysiology

Question 1

Scenario 1: Polycystic Ovarian Syndrome (PCOS)

A 29-year-old female presents to the clinic with a complaint of hirsutism and irregular menses. She describes irregular and infrequent menses (five or six per year) since menarche at 11 years of age. She began to develop dark, coarse facial hair when she was 13 years of age, but her parents did not seek treatment or medical opinion at that time. The symptoms worsened after she gained weight in college. She got married 3 years ago and has been trying to get pregnant for the last 2 years without success. Height 66 inches and weight 198. BMI 32 kg.m². Moderate hirsutism without virilization noted.  Laboratory data reveal CMP within normal limits (WNL), CBC with manual differential (WNL), TSH 0.9 IU/L SI units (normal 0.4-4.0 IU/L SI units), a total testosterone of 65 ng/dl (normal 2.4-47 ng/dl), and glycated hemoglobin level of 6.1% (normal value ≤5.6%). Based on this information, the APRN diagnoses the patient with polycystic ovarian syndrome (PCOS) and refers her to the Women’s Health APRN for further workup and management.  ADVANCED PATHOPHYSIOLOGY ASSIGNMENT QUESTIONS

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Question: What is the pathogenesis of PCOS? 

ANSWER

 

Question 2

Scenario 1: Polycystic Ovarian Syndrome (PCOS)

A 29-year-old female presents to the clinic with a complaint of hirsutism and irregular menses. She describes irregular and infrequent menses (five or six per year) since menarche at 11 years of age. She began to develop dark, coarse facial hair when she was 13 years of age, but her parents did not seek treatment or medical opinion at that time. The symptoms worsened after she gained weight in college. She got married 3 years ago and has been trying to get pregnant for the last 2 years without success. Height 66 inches and weight 198. BMI 32 kg.m². Moderate hirsutism without virilization noted.  Laboratory data reveal CMP within normal limits (WNL), CBC with manual differential (WNL), TSH 0.9 IU/L SI units (normal 0.4-4.0 IU/L SI units), a total testosterone of 65 ng/dl (normal 2.4-47 ng/dl), and glycated hemoglobin level of 6.1% (normal value ≤5.6%). Based on this information, the APRN diagnoses the patient with polycystic ovarian syndrome (PCOS) and refers her to the Women’s Health APRN for further workup and management.

Question: How does PCOS affect a woman’s fertility or infertility? 

ANSWER

 

Question 3

Scenario 2: Pelvic Inflammatory Disease (PID)

A 30-year-old female comes to the clinic with a complaint of abdominal pain, foul smelling vaginal discharge, and fever and chills for the past 5 days. She denies nausea, vomiting, or difficulties with bowels. Last bowel movement this morning and was normal for her. Nothing has helped with the pain despite taking ibuprofen 200 mg orally several times a day. She describes the pain as sharp and localizes the pain to her lower abdomen. Past medical history noncontributory. GYN/Social history + for having had unprotected sex while at a fraternity party. Physical exam: thin, Ill appearing anxious looking white female who is moving around on the exam table and unable to find a comfortable position. Temperature 101.6F orally, pulse 120, respirations 22 and regular. Review of systems negative except for chief complaint. Focused assessment of abdomen demonstrated moderate pain to palpation left and right lower quadrants. Upper quadrants soft and non-tender. Bowel sounds diminished in bilateral lower quadrants. Pelvic exam demonstrated + adnexal tenderness, + cervical motion tenderness and copious amounts of greenish thick secretions. The APRN diagnoses the patient as having pelvic inflammatory disease (PID).

Question: What is the pathophysiology of PID?

ANSWER

 

 

Question 4

Scenario 3: Syphilis

A 37-year-old male comes to the clinic with a complaint of a “sore on my penis” that has been there for 5 days. He says it burns and leaked a little fluid. He denies any other symptoms. Past medical history noncontributory.

SH: Bartender and he states he often “hooks up” with some of the patrons, both male and female after work. He does not always use condoms.

PE: WNL except for a lesion on the lateral side of the penis adjacent to the glans. The area is indurated with a small round raised lesion. The APRN orders laboratory tests, but feels the patient has syphilis.    ADVANCED PATHOPHYSIOLOGY ASSIGNMENT QUESTIONS

Question: What are the 4 stages of syphilis?

ANSWER