S.H., age 47, reports difficulty falling asleep and staying asleep. These problems have been ongoing for many years, but she has never mentioned them to her health care provider. She has generally “lived with it” and selftreated the problem with OTC Tylenol PM. Currently, she is also experiencing perimenopausal symptoms of night sweats and mood swings. Current medical problems include hypertension controlled with medications. Past medical history includes childhood illnesses of measles, chickenpox, and mumps. Family history is positive for diabetes on the maternal side and hypertension on the paternal side. Her only medication is an angiotensinconverting enzyme inhibitor and diuretic combination for hypertension control. She generally does not like taking medication and does not take any other OTC products.

Diagnosis: InsomnIa

1. List specific goals of therapy for S.H.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What OTC and/or alternative medicines might be appropriate for this patient?

8. What dietary and lifestyle changes might you recommend?

9. Describe one or two drug–drug or drug–food interactions for the selected agent.

 Use APA 6th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers.  All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page. 

Directions: 

Please complete the 4 scenarios. Post it in the discussion board and briefly respond to 2 classmates. 

1. A nurse on a medical‑surgical unit is acquainting a group of nurses with the Quality and Safety Education for Nurses (QSEN) initiative. 

a. RELATED CONTENT: List the six QSEN competencies, along with a brief description of each.

2. A nurse is teaching a group of newly licensed nurses about the various nursing roles they can aspire to after they achieve mastery in basic nursing skills. 

a. RELATED CONTENT: Describe at least five types of advance practice nursing roles, including a brief description of their primary responsibilities.

3. A nurse is teaching a group of newly licensed nurses about the process of resolving ethical dilemmas. 

a. UNDERLYING PRINCIPLES: Define the ethical decision‑making process.

b.  NURSING INTERVENTIONS: List the steps of making an ethical decision

4. A nurse is teaching a group of newly licensed nurses about avoiding liability for negligence. Use the ATI Active Learning Template: Basic Concept to complete this item. 

a. UNDERLYING PRINCIPLES: List the five elements necessary to prove negligence.

b. NURSING INTERVENTIONS: List at least four ways nurses can avoid liability for negligence.