Health Assessment 2025

The client in this scenario is a 68-year-old African American female who has some significant cardiovascular issues, as evidenced by her reported medications, and is reported not to be compliant with her medications. The purpose of this assignment is to identify cultural factors that relate to this client based on the provided information. In this assignment, I will identify factors of socioeconomic status, spirituality, lifestyle, and what would be a sensitive topic for this client. As a psychiatric nurse practitioner understanding a client’s cultural background is required to develop an understanding of a client’s belief system and attitudes towards healthcare (Ball, Dains, Flynn, Solomon, & Stewart, 2019). I believe the essential concept of this assignment is to recognize that there is a significant difference in physical appearance and cultural background (Ball et al., 2019). As this assignment does not include the socioeconomic, spiritual, and lifestyle information other than this client is a black female, lives alone, and she is 68-years-old, am I to make assumptions based on this client’s skin color, age, and sex? While certain cultural aspects of this client’s perceived cultural background may be statistically probable, assuming this client’s cultural background would be to stereotype her. As a healthcare professional, I should view each client as an individual and not as a statistical probability (Ball et al., 2019). While I do not believe that this client’s skin color, age, and sex should be used to make assumptions about her culture, these factors could have an impact on the probability of this client developing medical conditions. Socioeconomic The frequency of elderly individuals living alone is growing, particularly amongst females. This trend is particularly true for those 65 years of age and older (Refer & Requena, 2018). The rising trend of women living alone is related to the death of their spouses and the divorce rate (Refer & Requena, 2018). The Percentage of men and women aged 65 + living alone is approximately 40% of females and 22% of males (Refer & Requena, 2018). The socioeconomic status of these women is much dependent on the amount of money they were able to save, pension plans, and public assistance programs (Refer & Requena, 2018). Many of the elderly are not financially capable of seeking medical attention or have the ability to pay for their medications or refill their medications. Some elderly are forced to cut their medications in half, so their medications last longer or may not have the financial capability to purchase more medications when they run out of their medications. The client, in this scenario, may have extra medications and missing others due to the lack of resources to purchase more medications. Spirituality In the article “Medication adherence and spiritual perspectives among African American older women with hypertension,” spirituality among African Americans were identified as being beneficial to promoting adherence to antihypertensive medications (Lewis, 2011). This qualitative data obtained in this research project from African American women indicated that faith played a significant role in their compliance with taking their hypertensive medications (Lewis, 2011). The participants of this research project were comprised of 76% single, and 24% married African American older females (Lewis, 2011). The participants of this research project communicated that they have been given a chance by God to help themselves by taking their medications and that the prescribing physicians were put in their path by God to help them get better (Lewis, 2011). This concept could be beneficial for the client in this scenario if she had faith or a belief in God. Identifying if the client draws strength from her spirituality could be a crucial aspect tending to her needs and having her be compliant with her medications. Lifestyle Approximately 28 percent of older adults live alone in the United States; this equates to approximately 13.8 million (National Institute on Aging [NIA], n.d.). Those that live alone have an increased probability of poor aging outcomes, including a reduction in their cognitive ability, depression, obesity, Alzheimer’s disease, and cardiovascular disease (NIA, n.d.). The adverse effects of the elderly developing both mental and physical conditions are directly related to living a lifestyle that involves social isolation and loneliness (NIA, n.d.). The combination of living alone, being an older adult, and developing cognitive impairments places these individuals at an elevated risk of harm. The combination of worsening physical conditions with diminished cognitive ability is likely to lead to poor aging outcomes, noncompliance with medication regimens, and the inability to meet basic health needs. Sensitive Topic With this client not meeting her medical needs independently and being of advanced age, I believe the sensitive question to ask would be the possible necessity of this client needing to live in a long-term facility. In this scenario, this client clearly has not been taking her medications as ordered for at least a year. This may be due to financial reasons but most likely due to diminished cognitive abilities. This is a 68-year-old woman who has been living independently and is not likely to be easily persuaded that she needs to move into a long-term care facility. If this client was reluctant to move to a long-term care facility, other options include home health care that can assist her with her medications, meal preparations, fall alarms, and transportation to medical appointments. The level of care needed by this client would require testing to determine if she does have a cognitive deficit and or the severity of the cognitive deficit. A neuropsychological assessment would be appropriate for evaluating this client’s cognitive processing, encoding, storage, and retrieval of visual and auditory stimuli, cognitive function, motor control, and interpretation of visual information (Huang et al., 2019). The questions that I would ask this client would include questions that determine cognitive impairment. As a psychiatric nurse practitioner, I will routinely be monitoring my client’s mental health status, including cognitive impairment, which could be related to a mental health condition or possible adverse reactions to medications. A few of the questions I would ask would be • How are you feeling today? • Do you have trouble with maintaining conversation? • Do you leave the stove on, tap running, or forget to lock the house? • Do you have any difficulty with remembering the names of people? • Do you ever feel lost or unable to remember where you are at? • Can you tell me when you need to take your medications? Conclusion Understanding a client’s cultural background is an essential component of enabling healthcare professionals to provide optimal and sustainable treatment measures for his or her clients. A client’s cultural background should not be prejudged by determinates such as age, sex, skin color, or any other factor other than information gained by gathering a client’s history and physical. Determining a client’s socioeconomic status can identify barriers that can prevent a client from having his or her medical needs met appropriately. Research indicates that spirituality can improve an older African American female client’s medication compliance. The lifestyle of living alone for older clients can cause the development of poor aging outcomes such as cognitive deficits, depression, and cardiovascular issues. As a psychiatric nurse practitioner, one of the most challenging conversations with a client is the need for long term care after all alternatives have been exhausted. 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. Huang, Y. P., Singh, A., Chen, S., Sun, F. J., Huang, C. R., & Liu, S. I. (2019). Validity of a novel touch screen tablet-based assessment for mild cognitive impairment and probable AD in older adults. Assessment, 26(8), 1540-1553. http://dx.doi.org/110.1177/1073191117748395 Lewis, L. M. (2011). Medication adherence and spiritual perspectives among African American older women with hypertension. Journal of Gerontological Nursing, 37(6), 34-41. http://dx.doi.org/10.3928/00989134-20100201-02 National Institute on Aging. (n.d.). Social isolation, loneliness in older people pose health risks. Retrieved from https://www.nia.nih.gov/news/social-isolation-loneliness-older-people-pose-health-risks Refer, D., & Requena, M. (2018). Living alone in later life: A global perspective. Population & Development Review, 44(3), 427-454. http://dx.doi.org/10.1111/padr.12149 I NEED A RESPONSE TO THIS POST 1 PAGE TWO REFERENCES

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Physical Assessment DQ Week 10 2025

Musculoskeletal System Superficial muscles of the trunk, anterior view 1-A woman pregnant for the first time tells you that she is in excellent health and asks you why it is necessary to increase her calcium intake during her pregnancy. What should you tell this patient? 2-How is the true bone formed during fetal development? What can help slow the progression of musculoskeletal changes associated with aging? 3-You are observing an examiner take the history of a 70-year-old man as part of the musculoskeletal examination. You notice that the examiner asks the patient about exercise habits in his early years. Is this a relevant question to ask this patient? Why or why not? 4-A young woman is concerned about a 1-cm difference in the length of her legs. What is the best response to give this patient? Which test is used to detect a torn medial or lateral meniscus? 5-A 12-year-old boy has injured his right leg in an automobile accident. If the epiphysis is damaged, what can eventually occur? 6-What does the bulge sign look to detect? 7-A positive Tinel sign is suggestive of which disorder? 8-What are the symptoms of fibromyalgia? 9-What are the risk factors for sports injury? 10-JB is a 43-year-old patient who presents to the office with complaints of back pain. She states that the pain started a few months ago as a dull ache, and now she feels that it has progressed to her hands, feet, and hips. The patient is obese and has a family history of joint pain. You have diagnosed her with osteoarthritis. a)- Describe the etiology of osteoarthritis. b)- Differentiate between signs and symptoms of osteoarthritis and rheumatoid arthritis. c- Because JB is having pain in her back, describe an indicator of a weakened muscle group.

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Leadership Styles And Nursing 2025

This is a Collaborative Learning Community (CLC) assignment. The purpose of this assignment is to assess leadership styles, traits, and practices as a nursing professional, establish the importance of effective interprofessional communication as a leader in nursing, and to explore the role of servant leadership in nursing practice. Read the study materials on leadership and complete the topic quiz activities to better understand your leadership qualities. Upon completion, summarize and share with your group what you learned about your specific leadership qualities, so you can become familiar with how you are similar and different from your peers when it comes to being a leader. As a group, review the study materials related to servant leadership. Using what you have learned about the tenets of servant leadership and traits and practices of successful leaders, create a 10-12 slide PowerPoint presentation with speaker notes. Add an additional slide for references at the end of your presentation. Include the following in your presentation: Each group member: Create a slide that summarizes your leadership style, traits, and practices. Compare the personal leadership styles of your group members, including commonalities between group members’ strengths and weaknesses. Explain why it is important for nursing professionals to be aware of their personal leadership style, traits, and practices. Discuss what leadership traits and styles are necessary to be an effective communicator. Explain the importance of leaders adapting communication approaches when working interprofessionally (across ancillary departments, vendors, community members). Discuss how nursing professionals can benefit from integrating the tenets of servant leadership to empower and influence others as they lead. Discuss how leaders who practice servant leadership and have a strong understanding of their personal leadership traits can successfully lead others and navigate the unique challenges that are part of nursing and health care. Provide two examples that illustrate your main ideas. You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. 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. Refer to the LopesWrite Technical Support articles for assistance.

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Community Week 10 2025

Health in the Global Community. Women’s health Read chapters 15 and 17 of the class textbook and review the attached PowerPoint presentations. Once done, answer the following questions. 1. Describe globalization and international patterns of health and disease. 2. Identify international health care organizations and how they collaborate to improve global nursing and health care. 3. Identify and discuss the major indicators of women’s health. 4. Identify and discuss the barriers to adequate health care for women. As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 10 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard “Week 10 SafeAssign APA”. For you to receive the total points of the assignment it must be posted in both places. I will have DL monitoring, so we don’t have the same problem that happened in week 6. A minimum of 3 evidence-based references besides the class textbook no older than 5 years must be used . You must post two replies to any of your peers sustained with the proper references no older than 5 years as well and make sure the references are properly quoted in your assignment. A minimum of 800 words is required. Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

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