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2025 Post a summary of the psychotherapy that you selected and explain why it resonates with you the most at this
by adminComparing Existential-Humanistic Therapy to Other Types of Therapy 2025
Post a summary of the psychotherapy that you selected and explain why it resonates with you the most at this time. Then compare the psychotherapy you selected with existential-humanistic therapy. What are the strengths and challenges of each type of psychotherapy? Describe a fictional client that you think would be best suited for the therapy you selected and one fictional client you think would be best suited for existential-humanistic therapy. Explain why.
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2025 Case Study 1 Patient AO has a history of obesity and has recently gained 9
by adminCase Study 1:
Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed… 2025
Case Study 1: Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following: Atenolol 12.5 mg daily Doxazosin 8 mg daily Hydralazine 10 mg qid Sertraline 25 mg daily Simvastatin 80 mg daily Case Study 2: Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following: Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun Aspirin 81 mg daily Metformin 1000 mg po bid Glyburide 10 mg bid Atenolol 100 mg po daily Motrin 200 mg 1–3 tablets every 6 hours as needed for pain Case Study 3: Patient CB has a history of strokes. The patient has been diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs currently prescribed include the following: Glipizide 10 mg po daily HCTZ 25 mg daily Atenolol 25 mg po daily Hydralazine 25 mg qid Simvastatin 80 mg daily Verapamil 180 mg CD daily To prepare: Review this week’s media presentation on hypertension and hyperlipidemia, as well as Chapters 19 and 20 of the Arcangelo and Peterson text. Select one of the three case studies, as well as one the following factors: genetics, gender, ethnicity, age, or behavior factors. Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes. Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy. Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient. With these thoughts in mind: By Day 3 Post an explanation of how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you selected. Then, describe how changes in the processes might impact the patient’s recommended drug therapy. Finally, explain how you might improve the patient’s drug therapy plan.
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2025 1 Anesthesia administered to a normal healthy patient undergoing an esophageal procedure is
by adminAdvanced Coding: E/M, Medicine, and Anesthesia 2025
1. Anesthesia administered to a normal, healthy patient undergoing an esophageal procedure is coded as A. 00500-P1. B. 00502-P1. C. 00500-P2. D. 00506-P1. 2. A new patient comes into the doctor’s office for her annual gynecological exam. During the course of the exam, she undergoes a screening cervical cytopathology smear, which is performed by an automated system under the supervision of a physician. What HCPCS code is assigned? A. G0185 B. G7869 C. G7452 D. G0147 3. A new patient is seen for a home visit that involves a comprehensive history, examination, and medical decision making of high complexity. What code should be assigned? A. 99349 B. 99345 C. 99342 D. 99350 4. A prolonged evaluation and management service before and/or after direct patient care for one hour is coded as A. 99359. B. 99358. C. 99361. D. 99360. 5. A 57-year-old patient is admitted to the hospital for a hip arthroscopy procedure. The patient is a normal healthy patient with no systemic disease. What anesthesia CPT code should be assigned? A. 01242-P2 B. 01202-P1 C. 01202-P3 D. 01202-P5 6. Anesthesia for procedures performed on the larynx and trachea in an 11-month-old child would be assigned to code A. 00620. B. 00625. C. 00326. D. 00532. 7. A patient returns for a follow-up office visit regarding the repair of her fractured knee. The office visit consists of a detailed history, detailed examination, and medical decision making of moderate complexity. What CPT code is assigned? A. 99213 B. 99212 C. 99211 D. 99214 8. Intramuscular nonhormonal antineoplastic chemotherapy administration would be assigned to code A. 96402. B. 96405. C. 96406. D. 96401. 9. Home infusion with specialty drug administration during a 6-hour visit would be assigned what codes? A. 99606, 99607 ×3 B. 99601, 99602 ×4 C. 99604, 99605 ×2 D. 99603, 99604 ×2 10. A patient is seen for a psychiatric diagnostic evaluation. The physician obtains a complete history of the patient’s mental status and does a complete biological and psychosocial assessment along with a complete physical examination. The physician’s final diagnosis is recurrent episode of severe major depressive disorder, without any psychotic behavior involved. The patient also has a history of psychological trauma. What codes are assigned? A. F33.2, Z91.49 B. F33.1, Z91.47 C. F34.2, Z91.49 D. F36.2, Z91.46 11. A 17-year-old patient is diagnosed with a severe form of nutritional anemia. What ICD-10-CM code should be assigned? A. D45.9 B. D53.9 C. D74.9 D. D65.9 12. A 32-year-old patient receives anesthesia for spinal surgery. The anesthesia is complicated by utilization of controlled hypotension. What add-on anesthesia code would be assigned? A. 99174 B. 92117 C. 99100 D. 99135 13. Nursing facility discharge day management of 19.5 minutes would be assigned to code A. 99317. B. 99319. C. 99316. D. 99315. 14. A patient is admitted to the hospital for leukemia. She has a comprehensive history, comprehensive examination, and medical decision making of high complexity. What CPT code should be assigned? A. 99202 B. 99223 C. 99213 D. 99251 15. A service that is rarely provided, unusual, variable, or new may require a A. physician’s authorization. B. patient’s authorization. C. staged or related procedure. D. special report. 16. A new patient is seen for a prescription refill. During the visit, the physician obtains a problem focused history, problem focused examination, and medical decision making is straightforward. What CPT code should be assigned for this service? A. 99214 B. 99215 C. 99213 D. 99201 17. A 7-year-old child is brought to the clinic due to recurrent ear infections. The physician performs a bilateral tympanostomy under general anesthesia. What CPT code should be assigned? A. 69436-50 B. 69536-50 C. 69426-50 D. 69736-50 18. Code 00906 is assigned for A. an angioscopy. B. anesthesia for surgery performed on the bony pelvis. C. an osteotomy. D. anesthesia provided for a vulvectomy. 19. A 25-year-old patient receives a Hepatitis A vaccination. The vaccine is administered intramuscularly in the clinic. What CPT codes should be assigned? A. 90632, 90471 B. 90541, 90489 C. 90637, 90472 D. 90672, 90451 20. A dark adaptation examination with interpretation and report is assigned to code A. 92326. B. 92284. C. 92287. D. 92325.
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2025 Respond to at least two of your colleagues who were assigned a different patient
by adminPost- Chrismene 2025
Respond to at least two of your colleagues who were assigned a different patient than you. Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why. Main Post CASE STUDY 2 AG is a 54-year-old Caucasian male who was referred to the clinic to establish care after a recent hospitalization after having a seizure related to alcohol withdrawal. He has hypertension and a history of alcohol and cocaine abuse. He is homeless and is currently living at a local homeless shelter. He reports that he is out of his amlodipine 10 mg which he takes for hypertension. He reports he is abstaining from alcohol and cocaine but needs to smoke cigarettes to calm down since he is not drinking anymore. The Communication Techniques A nurse practitioner chooses to use the RESPECT Modell to communicate with the patient to stay productive and patient-centered in all her communication with the patient. RESPECTS stand for (Rapport, Empathy, Support, Partnership, Explanation, Cultural Competence, and Trust) (Ball, Dains, Flynn, Solomon, & Stewart, 2019). The nurse practitioner establishes rapport by seeking the patient’s point of view to avoid being judgmental. She asked the question of how the patient wanted to be addressed. The nurse practitioner shows empathy by asking the patient how he becomes homeless to understand how she can help him get his life back in order. The nurse practitioner supports the patient by asking him about his financial situation to direct him to the proper agency. The patient is at risk for cardiac diseases, lung cancer, and stroke, so the nurse practitioner partnered with the patient to help him stop smoking (Ball et al., 2019).The nurse practitioner needs to explain to the patient to know what cigarette smoking does to the body. Nicotine is a sympathomimetic medicine that releases catecholamines, increases heart rate and cardiac contractility, constricts cutaneous, and coronary blood vessels, and rapidly increases blood pressure (Benowitz, 2009). It is crucial to present the patient with evidence-based practice to address health risks across cultures, and it is essential to assure the patient that what he said will be kept confidential to establish trust (Ball et al., 2019). The Risk Assessment Instrument The CAGE questionnaire is a precise tool that has been used for many years to screen patients for addictive behaviors. The GAGE questions have been modified to apply to smoke behavior. The CAGE questions are as following: 1) Have you ever felt the necessity to cut down or control your smoking, but had trouble doing so? 2) Do you ever get angry or annoyed with people who criticize your smoking or demanding you quit smoking? 3) Do you feel guilty regarding your smoking or about something you did while smoking? And 4) Do you ever smoke within half an hour of waking up (Eye-opened)? The patient is screen positive to two yes responses. The CAGE instrument is used because it is nonthreatening. A study showed that the CAGE questionnaire was used in a medical outpatient embedded in a self-administered questionnaire regarding health habits. Most of the patients did not know that they were filling out an assessment for addictions. The patient must be willing to stop smoking for treatment to be effective (American Family Physician, 2000). Targeted Questions 1) How do you want to be addressed? 2) How are you feeling? 3) How may we help you? 4) How do you become homeless and tell us about your financial situation? 5) Do you need help getting your prescription refill? 6) When was the last time you drink alcohol or use cocaine? 7) When was the last time you check your blood pressure and take your amlodipine medication? 8) When was the last time you had a seizure episode? 9) When do you start smoking and how many packs do you smoke a day? 10) How can we help you to stop smoking? References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.Benowitz, N. L. (2009). Pharmacology of nicotine: addiction, smoking-induced disease, and therapeutics. Annual review of pharmacology and toxicology , 49 , 57–71. doi:10.1146/annurev.pharmtox.48.113006.094742American Family Physician. (2000). Assessing Nicotine Dependence. Retrieved from https://www.aafp.org/afp/2000/0801/p579.html
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