Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What does the PMHNP prescribe for Mrs. Rosen to improve this condition?

Question 1

1 out of 1 points

Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog. What does the PMHNP prescribe for Mrs. Rosen to improve this condition?

•             Question 2

0 out of 1 points

An elderly woman with a history of Alzheimer’s disease, coronary artery disease, and myocardial infarction had a fall at home 3 months ago that resulted in her receiving an open reduction internal fixation. While assessing this patient, the PMHNP is made aware that the patient continues to experience mild to moderate pain. What is the PMHNP most likely to do?

•             Question 3

1 out of 1 points

The PMHNP is caring for a patient who reports excessive arousal at nighttime. What could the PMHNP use for a time-limited duration to shift the patient’s brain from a hyperactive state to a sleep state?

•             Question 4

1 out of 1 points

A patient addicted to heroin is receiving treatment for detoxification. He begins to experience tachycardia, tremors, and diaphoresis. What medication will the PMHNP prescribe for this patient?

•             Question 5

1 out of 1 points

The PMHNP prescribes gabapentin (Neurontin) for a patient’s chronic pain. How does the PMHNP anticipate the drug to work?

•             Question 6

1 out of 1 points

A patient with hypersexual disorder is being assessed for possible pharmacologic treatment. Why does the PMHNP prescribe an antiandrogen for this patient?

•             Question 7

1 out of 1 points

Which statement best describes a pharmacological approach to treating patients for impulsive aggression?

•             Question 8

1 out of 1 points

A 26-year-old female patient with nicotine dependence and a history of anxiety presents with symptoms of attention deficit hyperactivity disorder (ADHD). Based on the assessment, what does the PMHNP consider?

•             Question 9

1 out of 1 points

A patient with irritable bowel syndrome reports chronic stomach pain. The PMHNP wants to prescribe the patient an agent that will cause irrelevant nociceptive inputs from the pain to be ignored and no longer perceived as painful. Which drug will the PMHNP prescribe?

•             Question 10

1 out of 1 points

Parents of a 12-year-old boy want to consider attention deficit hyperactivity disorder (ADHD) medication for their son. Which medication would the PMHNP start?

•             Question 11

1 out of 1 points

Which of the following is a true statement regarding the use of stimulants to treat attention deficit hyperactivity disorder (ADHD)?

•             Question 12

1 out of 1 points

Mr. Peterson is meeting with the PMHNP to discuss healthier dietary habits. With a BMI of 33, Mr. Peterson is obese and needs to modify his food intake. “Sometimes I think I’m addicted to food the way some people are addicted to drugs,” he says. Which statement best describes the neurobiological parallels between food and drug addiction?

•             Question 13

1 out of 1 points

A 72-year-old male patient is in the early stages of Alzheimer’s disease. The PMHNP determines that improving memory is a key consideration in selecting a medication. Which of the following would be an appropriate choice?

•             Question 14

1 out of 1 points

A patient is prescribed D-methylphenidate, 10-mg extended-release capsules. What should the PMHNP include when discussing the side effects with the patient?

•             Question 15

1 out of 1 points

The parents of a 7-year-old patient with ADHD are concerned about the effects of stimulants on their child. The parents prefer to start pharmacological treatment with a non-stimulant. Which medication will the PMHNP will most likely prescribe?

•             Question 16

1 out of 1 points

The PMHNP is assessing a patient who has expressed suicidal intent and is now stating that he is hearing voices and sees people chasing him. The PMHNP identifies these symptoms to be associated with which of the following?

•             Question 17

1 out of 1 points

An 80-year-old female patient diagnosed with Stage II Alzheimer’s has a history of irritable bowel syndrome. Which cholinergic drug may be the best choice for treatment given the patient’s gastrointestinal problems?

•             Question 18

1 out of 1 points

A 63-year-old patient presents with the following symptoms. The PMHNP determines which set of symptoms warrant prescribing a medication? Select the answer that is matched with an appropriate treatment.

•             Question 19

1 out of 1 points

The PMHNP is caring for a patient with chronic insomnia who is worried about pharmacological treatment because the patient does not want to experience dependence. Which pharmacological treatment approach will the PMHNP likely select for this patient for a limited duration, while searching and correcting the underlying pathology associated with the insomnia?

•             Question 20

1 out of 1 points

The PMHNP is performing a quality assurance peer review of the chart of another PMHNP. Upon review, the PMHNP reviews the chart of an older adult patient in long-term care facility who has chronic insomnia. The chart indicates that the patient has been receiving hypnotics on a nightly basis. What does the PMHNP find problematic about this documentation?

•             Question 21

1 out of 1 points

The PMHNP is evaluating a 30-year-old female patient who states that she notices pain and a drastic change in mood before the start of her menstrual cycle. The patient states that she has tried diet and lifestyle changes but nothing has worked. What will the PMHNP most likely do?

•             Question 22

1 out of 1 points

The PMHNP is caring for a patient with fibromyalgia. Which second-line treatment does the PMHNP select that may be effective for managing this patient’s pain?

•             Question 23

1 out of 1 points

The PMHNP is assessing a patient she has been treating with the diagnosis of chronic pain. During the assessment, the patient states that he has recently been having trouble getting to sleep and staying asleep. Based on this information, what action is the PMHNP most likely to take?

•             Question 24

1 out of 1 points

The PMHNP is attempting to treat a patient’s chronic insomnia and wishes to start with an initial prescription that has a half-life of approximately 1–2 hours. What is the most appropriate prescription for the PMHNP to make?

•             Question 25

1 out of 1 points

A patient with gambling disorder and no other psychiatric comorbidities is being treated with pharmacological agents. Which drug is the PMHNP most likely to prescribe?

•             Question 26

1 out of 1 points

The PMHNP has been asked to provide an in-service training to include attention to the use of antipsychotics to treat Alzheimer’s. What does the PMHNP convey to staff?

•             Question 27

1 out of 1 points

A 14-year-old patient is prescribed Strattera and asks when the medicine should be taken. What does the PMHNP understand regarding the drug’s dosing profile?

•             Question 28

1 out of 1 points

Naltrexone (Revia), an opioid antagonist, is a medication that is used for which of the following conditions?

•             Question 29

1 out of 1 points

Kevin is an adolescent who has been diagnosed with kleptomania. His parents are interested in seeking pharmacological treatment. What does the PMHNP tell the parents regarding his treatment options?

•             Question 30

1 out of 1 points

The PMHNP is caring for a patient with chronic insomnia who would benefit from taking hypnotics. The PMHNP wants to prescribe the patient a drug with an ultra-short half-life (1–3 hours). Which drug will the PMHNP prescribe?

•             Question 31

1 out of 1 points

A patient recovering from shingles presents with tenderness and sensitivity to the upper back. He states it is bothersome to put a shirt on most days. This patient has end stage renal disease (ESRD) and is scheduled to have hemodialysis tomorrow but states that he does not know how he can lie in a recliner for 3 hours feeling this uncomfortable. What will be the PMHNP’s priority?

•             Question 32

1 out of 1 points

The PMHNP wants to use a symptom-based approach to treating a patient with fibromyalgia. How does the PMHNP go about treating this patient?

•             Question 33

1 out of 1 points

The PMHNP is caring for a patient who openly admitted to drinking a quart of vodka daily. Prior to prescribing this patient disulfiram (Antabuse), it is important for the PMHNP to:

•             Question 34

1 out of 1 points

A 9-year-old female patient presents with symptoms of both attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder. In evaluating her symptoms, the PMHNP determines that which of the following medications may be beneficial in augmenting stimulant medication?

•             Question 35

1 out of 1 points

An adult patient presents with a history of alcohol addiction and attention deficit hyperactivity disorder (ADHD). Given these comorbidities, the PMHNP determines which of the following medications may be the best treatment option?

•             Question 36

1 out of 1 points

The PMHNP prescribes an obese patient phentermine (Adipex-p)/topiramate ER (Topamax) (Qsymia), Why is topiramate (Topamax) often prescribed with phentermine (Adipex-P)?

•             Question 37

0 out of 1 points

The PMHNP evaluates a patient presenting with symptoms of dementia. Before the PMHNP considers treatment options, the patient must be assessed for other possible causes of dementia. Which of the following answers addresses both possible other causes of dementia and a rational treatment option for Dementia?

•             Question 38

1 out of 1 points

The PMHNP is assessing a patient who presents with elevated levels of brain amyloid as noted by positron emission tomography (PET). What other factors will the PMHNP consider before prescribing medication for this patient, and what medication would the PMHNP want to avoid given these other factors?

•             Question 39

1 out of 1 points

The PMHNP is discussing dopamine D2 receptor occupancy and its association with aggressive behaviors in patients with the student. Why does the PMHNP prescribe a standard dose of atypical antipsychotics?

 

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Legal and Ethical implications of counseling children and adolescent clients with psychiatric disorders. 

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide.

· Read the case study I am Feeling Like I’m Going Crazy

· For guidance on assessing the client, refer to pages 137-142 of the Wheeler text in this week’s Learning Resources.

·

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit!

By Day

1-Post an Explanation of the most likely DSM-5 diagnosis for the client in the case study.

2- Be sure to link those behaviors to the criteria in the DSM-5. Then,

3- Explain Group Therapeutic Approaches you might use with this patient.

4-Explain expected Outcomes for the client based on these therapeutic approaches.

5-Finally consider Legal and Ethical implications of counseling children and adolescent clients with psychiatric disorders.

6-Support your approach with evidence-based literature.

 

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Describe a child and adolescent group you are counseling.

To prepare:

· Review this week’s media and consider the insights provided on group therapy with children and adolescents.

· Reflect on a child and adolescent group that you are currently counseling at your practicum site.

·

By Day

1-Describe a child and adolescent group you are counseling.

2-Describe a patient from the group WHO you do not think is adequately progressing according to expected clinical outcomes. Note: Do not use the client’s actual name.

3-Explain your Therapeutic Approach with the group, including your perceived effectiveness of your approach with the client you identified.

4-Identify Any Additional information about this Group and/or Client that may potentially impact Expected Outcomes.

 

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The Metaparadigm of Nursing.

Link the theory you developed in Weeks 2 and 5 with the Metaparadigm of Nursing.  Each of the elements of the Metaparadigm should be represented in your theory. Revise your theory if necessary to include each of the components of the Metaparadigm.

Length: A minimum of 250 words, not including references

Citations: At least two scholarly reference in APA form from within the last 5 years

 

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Daily Holistic Assessment Tool (DHAT)

Please Complete the Attached Daily Holistic Assessment Tool (DHAT) form using the patient profile below:-

Report from day shift nurse:

Situation: Christopher Parrish is an 18-year-old male who was admitted at 1900 today. His mother visited him at his college dormitory and was very concerned with his health; he seemed weak and had lost weight since she last saw him. She took him to see his primary care provider, and the provider admitted him and has ordered a tube feeding. I placed an 8-Fr, 42-inch feeding tube in his right nares about an hour ago, and x-ray just called and confirmed placement in the stomach. The pump is in his room. He is up to the bathroom prn; otherwise bed rest.

Background: Christopher was diagnosed with cystic fibrosis as a child and has had frequent hospitalizations previously. He reports fatigue and has recently lost 6 kg (13.2 lb) after he registered at the local college and moved to live in a dormitory. Chris’s mom was here earlier, but she is a single parent and has two younger boys, so she had to go home.

Assessment: Christopher is awake and alert. His heart rate and rhythm are regular at 80-85/min. Breath sounds are fine with a respiratory rate at 18/min. His color is a bit pale. Blood pressure is 118/78 mm Hg. He reports no pain and states he’s not had much appetite the past few weeks. His belly is flat and nontender. Bowel sounds are normoactive.

Recommendation: Christopher is due for vital signs and assessment. The tube feeding just arrived, and you will need to start it on the pump. He needs 720 kilocalories over 8 hours overnight. His regular diet is high calorie, high fat, but he wasn’t too hungry this evening; just had a bit of his chocolate shake. You will need to give his pancreatic enzymes orally before you start the tube feeding. You should also assess his diet and reinforce patient education on nutrition.

 

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Healthcare associate Infections

This is a Collaborative Learning Community (CLC) assignment.

An important role of nursing is to provide health promotion and disease prevention. Review the 2020 Topics and Objectives on the Healthy People website. Choose a topic of interest that you would like to address, in conjunction with a population at-risk for the associated topic. Submit the topic and associated group to your instructor for approval.

Create a 15-20-slide PowerPoint presentation for your topic and focus group.

Include speaker notes and citations for each slide, and create a slide at the end for References.

5.  Identify interdisciplinary health professionals important to include in the health promotion. What is their role? Why is their involvement significant?

Topic: Healthcare associate Infections

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

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.

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.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

https://www.healthypeople.gov/2020/topics-objectives

 

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Healthcare Coverage Gap

Assignment:

Healthcare Coverage Gap

The  ACA was meant to provide quality health care coverage for all yet a  coverage gap for some populations especially in states that oppose  Medicaid expansion. Based on what you have learned so far in this  course, create a PowerPoint presentation that addresses the coverage gap  problem, who is impacted by the coverage gap, the role the ACA plays in  the coverage gap, why the coverage gap should be closed, and solutions/  recommendations for closing the gap. Address the following in your  PowerPoint:

  • Select  one state opposed to Medicaid expansion and describe why. Then,  consider your own state. What are the benefits and drawbacks to Medicaid  expansion in your state?
  • Define what the coverage gap is (problem/issue)
  • Discuss how the coverage gap impact low income healthcare consumers population.
  • What role does the ACA have in widening or closing the coverage gap?
  • Why is it important to close the gap (implications for positive social change)?
  • What  are some solutions to closing the coverage gap and how can healthcare  equity help close the gap? Include recommendations and/or solutions.

Your PowerPoint presentation should include/address:

  • Title Slide (1 slide)
  • Objectives Slide (1 slide)
  • Medicaid expansion (1-2 slides)
  • Coverage gap – define/problem/issue (1-2 slides)
  • Coverage gap impact on low income healthcare consumers (2-3 slides)
  • Role ACA has in widening or closing the coverage gap (1-2 slides)
  • Close the gap (1-2 slides)
  • Solutions to closing the coverage gap and how can healthcare equity help close the gap? (2-3 slides)
  • Reference slide (1-2 slides).

Assignment Expectations

Length: 9-14 slides (in addition to the title slide and reference slides)

Structure:  Include a title slide and reference slide in APA format.  These do not  count towards the minimum slide count for this assignment.  Your  presentation must include an objectives slide.  Be sure to fully explain  all slides in the Speaker Notes.

References:  Use the appropriate APA style in-text citations and references for all  resources utilized to answer the questions. A minimum of three (3)  scholarly sources are required for this assignment.

Format: Save your assignment as a Microsoft PowerPoint document (.pptx) or a PDF document (.pdf).

 

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Describe the clinical manifestations a nurse might observe in an infant compensating for increased intracranial pressure

Topic: Cerebral

Please answer the 5 questions below for attendance credit.  Please do not share work. USE ONLY THE TEXTBOOK FOR YOUR PAPER, ESSENTIALS OF PEDIATRIC NURSING FOUTH EDITION, TERRI KYLE . SUSAN CARMAN

1. Describe the clinical manifestations a nurse might observe in an infant compensating for increased intracranial pressure

2. Describe the six levels of consciousness in the pediatric patient

3. Describe a coup and contra coup head injury

4.  Differentiate between a generalized seizure and a partial (focal) seizure. List the priority interventions for a pediatric patient having a seizure

5. What is hydrocephalus and how is it managed?

Topic: Integument

Please answer the 5 questions below for attendance credit. Please do not share work. USE ONLY THE TEXTBOOK FOR YOUR PAPER, ESSENTIALS OF PEDIATRIC NURSING FOUTH EDITION, TERRI KYLE . SUSAN CARMAN

List 3 types of dermatitis and describe them.

1.

2.

3.

List 5 examples of tinea infections (fungal infections of the skin) and describe them

1.

2.

3.

4.

5.

Describe characteristics (appearance, sensations patient may feel) of a superficial burn, partial thickness burn, and full thickness burn. Do not discuss first degree, second degree, or third degree burns (they are not medical terms)

Describe 4 signs of an inhalation injury in a burn victim

1.

2.

3.

4.

Why would a moist environment be more desirable in wound healing?

Topic: Endocrine

Please answer the 5 questions below for attendance credit. Please do not share work. USE ONLY THE TEXTBOOK FOR YOUR PAPER, ESSENTIALS OF PEDIATRIC NURSING FOUTH EDITION, TERRI KYLE . SUSAN CARMAN

1. What is hypopituitarism and how is it managed?

2. Compare and contrast the pathophysiology of Syndrome of Inappropriate Antidiuretic Hormone (SIADH) and Diabetes Insipidus (DI)

3. Discuss the pathophysiology of Graves disease and include signs and symptoms associated with this disorder.

4. Discuss the pathophysiology of congenital hypothyroidism and the therapeutic management

5. Discuss the therapeutic management of diabetic ketoacidosis (DKA).

 

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Mr. and Mrs. Lahud have come to the clinic to initiate family therapy.

Mr. and Mrs. Lahud have come to the clinic to initiate family therapy. The whole family is under stress because their youngest daughter, 10-year-old Elia, loses her temper “almost constantly,” the parents say.
“In fact, she seems to be always seething under the surface, even when she’s laughing and seeming to have a good time, just waiting to explode. She argues about the simplest things you can try to give her choices, like, instead of saying, ‘time to get dressed for school,’ you might say, ‘Elia, do you want your green sweater or your yellow one today?’ She just starts screaming and says, ‘You can’t tell me to get dressed!’ And she’s ten.”
Jaival, their new therapist, asks, “Can you tell me how often, on average, you’d say Elia loses her temper? Can you make an average guess at, say, how many times a week?”
Elia’s mother says, “It would be easier to estimate how many times per day.”
Mr. Lahud nods, “Yes, I’d say about 18 times a day, at least once for every hour that she’s awake.”
“And that’s on a daily basis?” says Jaival.
Both parents nod without hesitation.
“How long has it been like this?”
“Well,” Mrs. Lahud tilts her head. “She was always kind of a fussy baby. She’s never slept much and has just kind of always thrown tantrums and never stopped.”
Jaival takes some notes and then asks, “Is there anything else about her behavior that fits a pattern that’s fairly long-standing?”
Mr. Lahud sighs. “It just feels like she wants a big fight, then blames everyone else for something that she started-even when it’s clear no one else is even participating in the fight. It’s getting to be really hard on the other two kids because she just never lets up from the time she wakes up until late into the night; she tries to annoy us and them pretty equally, and now they’re having trouble with her at school too. She’s not getting along with other kids there either.
“We’ve tried positive reinforcement, like a sticker chart for good behavior—”
“-but after a while,” Mrs. Lahud adds, “We just took it down. The other two kids would have rows of stickers, but she defies even the simplest of rules, so she’d have maybe one or two stars to their eight or ten. It started to feel like the sticker chart was just making her feel worse about herself. Her teachers say the same thing.”
Mrs. Lahud’s eyes fill with tears. “We don’t know what to do any more. I feel sorry for her. We can’t help feel that this is not the ‘real’ her, if you know what I mean.”
She looks at her husband, who nods and squeezes her hand.
“She does some pretty mean, spiteful things to ‘get even with everyone.'” Mrs. Lahud continues, “but then the other night, she was quiet and thoughtful when I cuddled with her at bedtime, and while we were alone, she whispered, ‘Mom, why does it have to be so hard to be good? It’s really hard.'”
She breaks down and cries, and her husband hugs her.

1. Jaival meets with Elia subsequently, and though she is very charming and intelligent at first, she does make an effort to annoy him, but he doesn’t take the bait. The next day, with her parents’ permission, the school counselor also calls Jaival, asking if she can share some concerns of her own, which confirm for Jaival that Elia’s parents have pretty accurately described her behavior. Subsequent testing does not      reveal a psychotic or mood disorder, and Jaival initially makes a      tentative diagnosis of “oppositional defiant disorder.” Do you agree or disagree? What criteria would you cite to support your opinion?

2. What can cause oppositional defiant disorder?

3. Over a period of years, Elia continues to see therapists; and as adolescent hormones are added into the mix, times get a little rougher for her and her family. What kinds of comorbidity might she be at risk for?

 

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Climate Change Policy Brief-Benchmark

Benchmark   – Policy Brief

Research public health issues on the “Climate Change” or Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.

2. Create a problem statement.

3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.

4. Discuss the impact on the health care delivery system.

Include three peer-reviewed sources and two other sources to support the policy brief.

 

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