Discussion 2025

DQ1. Two registered professional nurses are attending a meeting where the focus is examining teaching methods that enable them to share information with newly diagnosed diabetic patients. One nurse initiates a discussion on the use of social media in teaching patients and the use of social media for all health care providers. 1. Discuss actions the nurse should take before using social media as a teaching tool. 2. What types of social media could benefit health care providers and patients? 3. What are the pitfalls to utilizing social media for both patients and health care providers? DQ2. Is a Six Sigma failure rate a reasonable goal for all health care organizations? Should the health care industry be willing to accept higher error rates than the banking or airline industries? Do you believe the majority of error rates are reported? DQ3. With the realization that pain is highly prevalent among older adults, please answer the following questions: What are some ways you as the nurse can utilize to determine pain in the older adult? What are some of the potential barriers related  to self-reporting of pain in the older adult? DQ4. With the realization that pain is highly prevalent among older adults, please answer the following questions: What is the prevalence of pain in older adults? How will you, as a nurse, be more aware of pain issues related to older adults and what will the nurse incorporate into practice?

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Week 4 Discussion: Culture In Different SocietieS 2025

Step 1 : Answer the following prompts: Some countries around the world have populations where most citizens subscribe to the same culture (monoculture) and some have citizens from varied cultures. Would you prefer to live in a monoculture or a multi-cultural society? Why? Give at least one example of a benefit of your choice. Based on your own experiences, discuss the various ways in which a dominant culture influences in a population can influence the values, attitudes and behavior of co-cultures. Please give at least one example. Cultural practices are not stagnant, but instead do shift over time. Imagine how the American home might change in the next twenty years and how those changes might affect the families who reside in them. Which of the customs we follow today do you think will look strange to the next generation?

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Ideal Health Care System 2025

Develop your vision of the ideal health care system. · List some of the characteristics that constitute such a system. What would be the goal or goals of your ideal system? · Think about how you would go about implementing your ideal system. · Consider some of the problems you are likely to encounter.

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Assessing And Treating Patients With ADHD 2025

Not only do children and adults have different presentations for ADHD, but males and females may also have vastly different clinical presentations. Different people may also respond to medication therapies differently. For example, some ADHD medications may cause children to experience stomach pain, while others can be highly addictive for adults. In your role, as a psychiatric nurse practitioner, you must perform careful assessments and weigh the risks and benefits of medication therapies for patients across the life span. For this Assignment, you consider how you might assess and treat patients presenting with ADHD. To prepare for this Assignment: Review this week’s Learning Resources, including the Medication Resources indicated for this week. Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with ADHD. The Assignment: 5 pages Examine Case Study: A Young Caucasian Girl with ADHD. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature. Introduction to the case (1 page) Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient. Decision #1 (1 page) Which decision did you select? Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision #2 (1 page) Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision #3 (1 page) Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Conclusion (1 page) Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature. Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature

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NUR 2092 Comprehensive Health History Form 2025

Comprehensive Health Assessment Form (50 points) Health History (5 pts total) Biographical data : (1 pts) No name or initial required Age: ________ Marital status: ____M _____ S _____Sep. ____Cohab. Birth date: _____________________ Number of dependents: ___________________ Educational level: ________________________ Gender: _____F _____ M _____Other Occupation (current or, if retired, past): ___________________________________­­­­___ Ethnicity/nationality: _____________________ Source of history (who gave you the information and how reliable is that person): _______________________________________________________________________ Present health history : (4 pts) Current medical conditions/chronic illnesses: Current medications: Medication/food/environmental allergies: Past health history : (10 pts total ) Childhood illnesses : Ask about history of mumps, chickenpox, rubella, ear infections, throat infections, pertussis, and asthma. Hospitalizations/Surgeries: Include reason for hospitalization, year, and surgical procedures. Accidents/injuries : Include head injuries with loss of consciousness, fractures, motor vehicle accidents, burns, and severe lacerations. Major diseases or illnesses : Include heart problems, cancer, seizures, and any significant adult illnesses. Immunizations ( dates if known): Tetanus _______ Diphtheria ________ Pertussis ________ Mumps ________ Rubella _______ Polio _____________ Hepatitis B ______ Influenza _______ Varicella ______ Other ____________________________________________ Recent travel/military services : Include travel within past year and recent and past military service. Date of last examinations: Physical examination _________ Vision ___________ Dental ___________ Family History (Genogram) ( 10 points) Mother/Father/Siblings/Grandparents: include age (date of birth, if known), any major health issues, and, if indicated, cause and age at death Present as a genogram. Review of Systems ( 12 points total) Be sure to ask about symptoms specifically. General health status (1 pt) : Ask about fatigue, pain, unexplained fever, night sweats, weakness, problems sleeping, and unexplained changes in weight. Integumentary (1 pt): Skin: Ask about change in skin color/texture, excessive bruising, itching, skin lesions, sores that do not heal, change in mole. Do you use sun screen? How much sun exposure do you experience? Hair : Ask about changes in hair texture and recent hair loss. Nails : Ask about changes in nail color and texture, splitting, and cracking. HEENT (2 pts) : Head: Ask about headaches, recent head trauma, injury or surgery, history of concussion, dizziness, and loss of consciousness. Neck : Ask about neck stiffness, neck pain, lymph node enlargement, and swelling or mass in the neck. Eyes : Ask about change in vision, eye injury, itching, excessive tearing, discharge, pain, floaters, halos around lights, flashing lights, light sensitivity, and difficulty reading. Do you use corrective lenses (glasses or contact lenses)? Ears : Ask about last hearing test, changes in hearing, ear pain, drainage, vertigo, recurrent ear infections, ringing in ears, excessive wax problems, use of hearing aids. Nose, Nasopharynx, Sinuses : Ask about nasal discharge, frequent nosebleeds, nasal obstruction, snoring, postnasal drip, sneezing, allergies, use of recreational drugs, change in smell, sinus pain, sinus infections. Mouth/Oropharynx : Ask about sore throats, mouth sores, bleeding gums, hoarseness, change voice quality, difficulty chewing or swallowing, change in taste, dentures and bridges. Respiratory (1 pt) : Ask about frequent colds, pain with breathing, cough, coughing up blood, shortness of breath, wheezing, night sweats, last chest x-ray, PPD and results, and history of smoking. Cardiovascular (1 pt.): Ask about chest pain, palpitations, shortness of breath, edema, coldness of extremities, color changes in hands and feet, hair loss on legs, leg pain with activity, paresthesia, sores that do not heal, and EKG and results. Breasts (1 pt.): (Remember men have breasts too) Ask about breast masses or lumps, pain, nipple discharge, swelling, changes in appearance, cystic breast disease, breast cancer, breast surgery, and reduction/enlargement. Do you perform BSE (when and how)? Date of last clinical breast examination, and mammograms and results. Gastrointestinal (1 pt.) : Ask about changes in appetite, heartburn, gastroesophageal reflux disease, pain, nausea/vomiting, vomiting blood, jaundice, change in bowel habits, diarrhea, constipation, flatus, last fecal occult blood test and colonoscopy and results. Genitourinary (1 pt.): Ask about pain on urination, burning, frequency, urgency, incontinence, hesitancy, changes in urine stream, flank pain, excessive urinary volume, decreased urinary volume, nocturia, and blood in urine. Female/male reproductive (1 pt.) : Both: Ask about lesions, discharge, pain or masses, change in sex drive, infertility problems, history of STDs, knowledge of STD prevention, safe sex practices, and painful intercourse. Are you current involved in a sexual relationship? If yes, heterosexual, homosexual,, bisexual? Number of sexual partners in the last 3 months. Do you use birth control? If yes, method(s) used. Female : Ask about menarche, description of cycle, LMP, painful menses, excessive bleeding, irregular menses, bleeding between periods, last Pap test and results, painful intercourse, pregnancies, live births, miscarriages, and abortions. Male : Ask about prostate or scrotal problems, impotence or sterility, satisfaction with sexual performance, frequency and technique for TSE, and last prostate examination and results. Musculoskeletal (1 pt.): Ask about fractures, muscle pain, weakness, joint swelling, joint pain, stiffness, limitations in mobility, back pain, loss of height, and bone density scan and results. Neurological (1 pt.): Ask about pain, fainting, seizures, changes in cognition, changes in memory, sensory deficits such as numbness, tingling and loss of sensation, problems with gait, balance, and coordination, tremor, and spasm. Psychosocial Profile ( 10 pts ) Health practices and beliefs/self-care activities: Ask about type and frequency of exercise, type and frequency of self examination, oral hygiene practice (frequency of brushing/flossing), screening examinations (blood pressure, prostate, breast, glucose, etc.) Nutritional patterns: Ask about daily intake (24 hour recall) and appetite. Functional Ability : Ask if able to perform activities of daily living such as dressing, bathing, eating, toileting and instrumental activities of daily living like shopping, driving, cooking. Sleep/rest patterns: Ask about number of hours of sleep per night, whether sleep is restful, naps, and use of sleep aids. Personal habits (tobacco, alcohol, caffeine, and drugs): Ask about type, amount, and years used. Environmental history: Identify environment as urban/rural, type of home (apartment, own home, condo) Family/social relationships: Ask about significant others, individuals in home Cultural/religious influences: Identify any cultural and religious influences on health. Mental Health: Ask about anxiety, depression, irritability, stressful events, and personal coping strategies. Now answer the question below: ( 3 pts ) Using the instructions below, identify 1 physical strength, 1 psychosocial/cognitive strength, and 1 weakness in either category. State why you think this to be true. With the information you collected, you can begin developing an idea of a client’s weakness and strengths. What is a strength? This might be that a person’s nutritional status appears to be excellent. It may be that there is no impairment of mobility. They may have lots of friends with them so be socially active. What is a weakness? This might be that a person does have impaired mobility or perhaps imbalanced nutrition – more than or less than body requirements. It might be that they have a communication issue that you note or perhaps seem to have a depressed mood, seem alone/isolated.

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