Please Follow Instructions. Must Have 3 References And Due Tonight At 6:30 Pm Must Be No Plagiarism. Minimum 200 Words – 2025 To Prepare Review the Resources for this module and reflect on differences

Nursing Assignment Help

Please Follow Instructions. Must Have 3 References And Due Tonight At 6:30 Pm Must Be No Plagiarism. Minimum 200 Words – 2025

 

To Prepare
  • Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
  • Select one type of diabetes to focus on for this Discussion.
  • Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
  • Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.

Wk6 Patho Knowledge Check 6501 – 2025 QUESTION 1 A 67 year old Caucasian woman was brought to the clinic by her son who stated that his

Nursing Assignment Help

Wk6 Patho Knowledge Check 6501 – 2025

QUESTION 1

  1. A 67-year-old Caucasian woman was brought to the clinic by her son who stated that his mother had become slightly confused over the past several days. She had been stumbling at home and had fallen once but was able to ambulate with some difficulty. She had no other obvious problems and had been eating and drinking. The son became concerned when she forgot her son’s name, so he thought he better bring her to the clinic.  
    PMH-Type II diabetes mellitus (DM) with peripheral neuropathy x 20 years. COPD. Depression after death of spouse several months ago 
    Social/family hx – non contributary except for 30 pack/year history tobacco use.  
    Meds: Metformin 500 mg po BID, ASA 81 mg po qam, escitalopram (Lexapro) 5 mg po q am started 2 months ago 
    Labs-CBC WNL; Chem 7- Glucose-92 mg/dl, BUN 18 mg/dl, Creatinine 1.1 mg/dl, Na+120 mmol/L, 
    K+4.2 mmol/L, CO237 m mol/L, Cl-97 mmol/L.  
    The APRN refers the patient to the ED and called endocrinology for a consult for diagnosis and management of syndrome of inappropriate antidiuretic hormone (SIADH). 

    Question:
    Define SIADH and identify any patient characteristics that may have contributed to the development of SIADH.

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1 points   

QUESTION 2

  1. A 43-year-old female presents to the clinic with a chief complaint of fever, chills, nausea and vomiting and weakness. She has been unable to keep any food, liquids or medications down. The symptoms began 3 days ago and have not responded to ibuprofen, acetaminophen, or Nyquil when she tried to take them. The temperature has reached as high as 102˚F.  

     Allergies: none known to drugs or food or environmental  

     Medications-20 mg prednisone po qd, omeprazole 10 po qam 

     PMH-significant for 20-year history of steroid dependent rheumatoid arthritis (RA). GERD. No other significant illnesses or surgeries. 

    Social-denies alcohol, illicit drugs, vaping, tobacco use 

    Physical exam 

    Thin, ill appearing woman who is sitting in exam room chair as she said she was too weak to climb on the exam table. VS Temp 101.2˚F, BP 98/64, pulse 110, Resp 16, PaO2 96% on room air.  

    ROS negative other than GI symptoms. 

    Based on the patient’s clinical presentation, the APRN diagnoses the patient as having secondary hypocortisolism due to the lack of prednisone the patient was taking for her RA secondary to vomiting.

    Question:

    Explain why the patient exhibited these symptoms? 

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1 points   

QUESTION 3

  1. A 64-year-old Caucasian female presents to the clinic with vague symptoms of non- specific abdominal pain, myalgias, constipation, polyuria, and says she feels “fuzzy headed” much of the time. She had about of kidney stones a few weeks ago and she fortunately was able to pass the small stones without requiring lithotripsy or other interventions. She was told by the urologist to follow up with her primary care provider after the kidney stones has resolved.  
    The APRN examining the patient orders a Chem 7 which revealed a serum Ca++ of 13.1 mg/dl. The APN believes the patient has primary hyperparathyroidism and refers the patient to an endocrinologist who does a complete work up and concurs with the APRN’s diagnosis. 
    Question:
    What is the role of parathyroid hormone in the development of primary hyperparathyroidism? 

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1 points   

QUESTION 4

  1. A 64-year-old Caucasian female presents to the clinic with vague symptoms of non- specific abdominal pain, myalgias, constipation, polyuria, and says she feels “fuzzy headed” much of the time. She had a fracture of her right metatarsal without trauma and currently is wearing a walking boot. She also had a bout of kidney stones a few weeks ago and she fortunately was able to pass the small stones without requiring lithotripsy or other interventions. She was told by the urologist to follow up with her primary care provider after the kidney stones has resolved.  

    The APRN examining the patient orders a Chem 12 which revealed a serum Ca++ of 13.1 mg/dl. The APRN believes the patient has primary hyperparathyroidism and refers the patient to an endocrinologist who does a complete work up and concurs with the APRN’s diagnosis. 

    Question 1 of 2:

    Explain the processes involved in the formation of renal stones in patients with hyperparathyroidism. 

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0.5 points   

QUESTION 5

  1. A 64-year-old Caucasian female presents to the clinic with vague symptoms of non- specific abdominal pain, myalgias, constipation, polyuria, and says she feels “fuzzy headed” much of the time. She had a fracture of her right metatarsal without trauma and currently is wearing a walking boot. She also had a bout of kidney stones a few weeks ago and she fortunately was able to pass the small stones without requiring lithotripsy or other interventions. She was told by the urologist to follow up with her primary care provider after the kidney stones has resolved.  
    The APRN examining the patient orders a Chem 12 which revealed a serum Ca++ of 13.1 mg/dl. The APRN believes the patient has primary hyperparathyroidism and refers the patient to an endocrinologist who does a complete work up and concurs with the APRN’s diagnosis. 
    Question 2 of 2:
    Explain how a patient with hyperparathyroidism is at risk for bone fractures.  

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0.5 points   

QUESTION 6

  1. A 64-year-old Caucasian female who is 4 weeks status post total parathyroidectomy with forearm gland insertion presents to the general surgeon for her post-operative checkup. She states that her mouth feels numb and she feels “tingly all over. The surgeon suspects the patient has hypoparathyroidism secondary to the parathyroidectomy with delayed vascularization of the implanted gland. She orders a Chem 20 to determine what electrolyte abnormalities may be present. The labs reveal a serum Ca++ of 7.1 mg/dl (normal 8.5 mg/dl-10.5 mg/dl) and phosphorous level of 5.6 mg/dl (normal 2.4-4.1 mg/dl).  

    Question:

    What serious consequences of hypoparathyroidism occur and why? — Font family —- Font size —- Format –HeadingSub Heading 1Sub Heading 2ParagraphFormatted Code– Font family –Andale MonoArialArial BlackBook AntiquaComic Sans MSCourier NewGeorgiaHelveticaImpactSymbolTahomaTerminalTimes New RomanTrebuchet MSVerdanaWebdingsWingdings– Font size –1 (8pt)2 (10pt)3 (12pt)4 (14pt)5 (18pt)6 (24pt)7 (36pt)Path: pWords:0

1 points   

QUESTION 7

  1. A 17-year-old boy is brought to the pediatrician’s office by his parents who are concerned about their son’s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with his school/work activities. He had been seemingly healthy until about 3 months ago when his parents started noticing these symptoms but put these symptoms down to his busy schedule including a part time job. He admits to sleeping more and tires very easily. He denies any other symptoms.  

    PMH-noncontributory. No surgeries or major medical problems. Usual colds and ear infections as a child  

    Allergies-none know  

    Family history- maternal uncle with “some kind of sugar diabetes problem” but parents unclear on the exact disease process 

    Social-denies alcohol, tobacco or illicit drug use. Not sexually active. Junior at local high school and works in a fast food store after school and on weekends. 

    Labs in office: random glucose 220 mg/dl.  

    Based on his symptoms and the glucose level, the pediatrician makes a tentative diagnosis of Diabetes Mellitus type 1 and refers the boy and his parents to an endocrinologist for further work up and management plan.  

    Question 1 of 6:

    The patient exhibited classic signs of Type 1 diabetes. Explain the pathophysiology of “polydipsia.”

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1 points   

QUESTION 8

  1. A 17-year-old boy is brought to the pediatrician’s office by his parents who are concerned about their son’s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with his school/work activities. He had been seemingly healthy until about 3 months ago when his parents started noticing these symptoms but put these symptoms down to his busy schedule including a part time job. He admits to sleeping more and tires very easily. He denies any other symptoms.  

    PMH-noncontributory. No surgeries or major medical problems. Usual colds and ear infections as a child  

    Allergies-none know  

    Family history- maternal uncle with “some kind of sugar diabetes problem” but parents unclear on the exact disease process 

    Social-denies alcohol, tobacco or illicit drug use. Not sexually active. Junior at local high school and works in a fast food store after school and on weekends. 

    Labs in office: random glucose 220 mg/dl.  

    Based on his symptoms and the glucose level, the pediatrician makes a tentative diagnosis of Diabetes Mellitus type 1 and refers the boy and his parents to an endocrinologist for further work up and management plan.  
    Question 2 of 6:

    The patient exhibited classic signs of Type 1 diabetes. Explain the pathophysiology of “polyuria.”

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1 points   

QUESTION 9

  1. A 17-year-old boy is brought to the pediatrician’s office by his parents who are concerned about their son’s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with his school/work activities. He had been seemingly healthy until about 3 months ago when his parents started noticing these symptoms but put these symptoms down to his busy schedule including a part time job. He admits to sleeping more and tires very easily. He denies any other symptoms.  
    PMH-noncontributory. No surgeries or major medical problems. Usual colds and ear infections as a child  
    Allergies-none know  
    Family history- maternal uncle with “some kind of sugar diabetes problem” but parents unclear on the exact disease process 
    Social-denies alcohol, tobacco or illicit drug use. Not sexually active. Junior at local high school and works in a fast food store after school and on weekends. 
    Labs in office: random glucose 220 mg/dl.  
    Based on his symptoms and the glucose level, the pediatrician makes a tentative diagnosis of Diabetes Mellitus type 1 and refers the boy and his parents to an endocrinologist for further work up and management plan.  
    Question 3 of 6:
    The patient exhibited classic signs of Type 1 diabetes. Explain the pathophysiology of “polyphagia.”

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1 points   

QUESTION 10

  1. A 17-year-old boy is brought to the pediatrician’s office by his parents who are concerned about their son’s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with his school/work activities. He had been seemingly healthy until about 3 months ago when his parents started noticing these symptoms but put these symptoms down to his busy schedule including a part time job. He admits to sleeping more and tires very easily. He denies any other symptoms.  

    PMH-noncontributory. No surgeries or major medical problems. Usual colds and ear infections as a child  

    Allergies-none know  

    Family history- maternal uncle with “some kind of sugar diabetes problem” but parents unclear on the exact disease process 

    Social-denies alcohol, tobacco or illicit drug use. Not sexually active. Junior at local high school and works in a fast food store after school and on weekends. 

    Labs in office: random glucose 220 mg/dl.  

    Based on his symptoms and the glucose level, the pediatrician makes a tentative diagnosis of Diabetes Mellitus type 1 and refers the boy and his parents to an endocrinologist for further work up and management plan.  
    Question 4 of 6:
    The patient exhibited classic signs of Type 1 diabetes. Explain the pathophysiology of “weight loss.”

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0.5 points   

QUESTION 11

  1. A 17-year-old boy is brought to the pediatrician’s office by his parents who are concerned about their son’s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with his school/work activities. He had been seemingly healthy until about 3 months ago when his parents started noticing these symptoms but put these symptoms down to his busy schedule including a part time job. He admits to sleeping more and tires very easily. He denies any other symptoms.  
    PMH-noncontributory. No surgeries or major medical problems. Usual colds and ear infections as a child  
    Allergies-none know  
    Family history- maternal uncle with “some kind of sugar diabetes problem” but parents unclear on the exact disease process 
    Social-denies alcohol, tobacco or illicit drug use. Not sexually active. Junior at local high school and works in a fast food store after school and on weekends. 
    Labs in office: random glucose 220 mg/dl.  
    Based on his symptoms and the glucose level, the pediatrician makes a tentative diagnosis of Diabetes Mellitus type 1 and refers the boy and his parents to an endocrinologist for further work up and management plan.  
    Question 5 of 6:
    The patient exhibited classic signs of Type 1 diabetes. Explain the pathophysiology of “fatigue.”

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0.5 points   

QUESTION 12

  1. A 17-year-old boy is brought to the pediatrician’s office by his parents who are concerned about their son’s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with his school/work activities. He had been seemingly healthy until about 3 months ago when his parents started noticing these symptoms but put these symptoms down to his busy schedule including a part time job. He admits to sleeping more and tires very easily. He denies any other symptoms.  
    PMH-noncontributory. No surgeries or major medical problems. Usual colds and ear infections as a child  
    Allergies-none know  
    Family history- maternal uncle with “some kind of sugar diabetes problem” but parents unclear on the exact disease process 
    Social-denies alcohol, tobacco or illicit drug use. Not sexually active. Junior at local high school and works in a fast food store after school and on weekends. 
    Labs in office: random glucose 220 mg/dl.  
    Based on his symptoms and the glucose level, the pediatrician makes a tentative diagnosis of Diabetes Mellitus type 1 and refers the boy and his parents to an endocrinologist for further work up and management plan.  
    Question 6 of 6:
    How do genetics and environmental factors contribute to the development of Type 1 diabetes?

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1 points   

QUESTION 13

  1. A 17-year-old boy recently diagnosed with Type I diabetes is brought to the pediatrician’s office by his parents with a chief complaint of “having the flu”. His symptoms began 2 days ago, and he has vomited several times and has not eaten very much. He can’t remember if he took his prescribed insulin for several days because he felt so sick. Random glucose in the office reveals glucose 560 mg/dl and the pediatrician made arrangements for the patient to be admitted to the hospitalist service with an endocrinology consult.  

    BP 124/80mmHg; HR 122bpm; Respirations 32 breaths/min; Temp 97.2˚F; PaO297% on RA 

    Admission labs: Hgb 14.6 g/dl; Hct 58% 

    CMP- Na+ 122mmol/L; K+ 5.3mmol/L; Glucose 560mg/dl; BUN 52mg/dl; Creatinine 4.9mg/dl;  

    Cl- 95mmol/L; Ca++ 8.8mmol/L; AST (SGOT) 248U/L; ALT 198U/L; CK 34/35 IU/L; Cholesterol 198mg/dl;  

    Phosphorus 6.8mg/dl; Acetone Moderate; LDH38U/L; Alkaline Phosphatase 132U/L. 

    Arterial blood gas values were as follows: pH 7.09; Paco220mm Hg; Po2100mm Hg; Sao2 98% (room air) 

    HCO3-7.5mmol/L; anion gap 19.4 

    A diagnosis of diabetic ketoacidosis was made, and the patient was transferred to the Intensive Care Unit (ICU) for close monitoring.  

    Question:

    The hormones involved in intermediary metabolism, exclusive of insulin, that can participate in the development of diabetic ketoacidosis (DKA) are epinephrine, glucagon, cortisol, growth hormone. Describe how they participate in the development of DKA.

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1 points   

QUESTION 14

  1. A 67-year-old African American male presents to the clinic with a chief complaint that he has to “go to the bathroom all the time and I feel really weak.” He states that this has been going on for about 3 days but couldn’t come to the clinic sooner as he went to the Wound Care clinic for a dressing change to his right great toe that has been chronically infected, and he now has osteomyelitis. Patient with known Type II diabetes with poor control. His last HgA1C was 10.2 %. He says he can’t afford the insulin he was prescribed and only takes half of the oral agent he was prescribed. Random glucose in the office revealed glucose of 890 mg/dl. He was immediately referred to the ED by the APRN for evaluation of suspected hyperosmolar hyperglycemic non ketotic syndrome (HHNKS). Also called hyperglycemic hyperosmolar state (HHS).  

    Question:

    Explain the underlying processes that lead to HHNKS or HHS.

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1 points   

QUESTION 15

  1. A 32-year-old woman presented to the clinic complaining of weight gain, swelling in her legs and ankles and a puffy face. She also recently developed hypertension and diabetes type 2. She noted poor short-term memory, irritability, excess hair growth (women), red-ruddy face, extra fat around her neck, fatigue, poor concentration, and menstrual irregularity in addition to muscle weakness. Given her physical appearance and history, a tentative diagnosis of hypercortical function was made. Diagnostics included serum and urinary cortisol and serum adrenocorticotropic hormone (ACTH). MRI revealed a pituitary adenoma.  

    Question:

    How would you differentiate Cushing’s disease from Cushing’s syndrome? 

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1 points   

QUESTION 16

  1. A 47-year-old female is referred to the endocrinologist for evaluation of her chronically elevated blood pressure, hypokalemia, and hypervolemia. The patient’s hypertension has been refractory to the usual medications such as beta blockers, diuretics, and angiotensin-converting enzyme (ACE) inhibitors. After a full work up including serum and urinary electrolyte levels, aldosterone suppression test, plasma aldosterone to renin ratio, and MRI which revealed an autonomous adenoma, the endocrinologist diagnoses the patient with primary hyper-aldosteronism.  

    Question:

    What is the pathogenesis of primary hyper-aldosteronism? 

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1 points   

QUESTION 17

  1. A 47-year-old African American male presents to the clinic with chief complaints of polyuria, polydipsia, polyphagia, and weight loss. He also said that his vison occasionally blurs and that his feet sometimes feel numb.  He has increased hunger despite weight loss and admits to feeling unusually tired. He also complains of “swelling” and enlargement of his abdomen.  

    Past Medical History (PMH) significant for HTN fairly well controlled with and ACE inhibitor; central obesity, and dyslipidemia treated with a statin, Review of systems negative except for chief complaint. Physical exam unremarkable except for decreased filament test both feet. Random glucose in office 290 mg/dl. The APRN diagnoses the patient with type II DM and prescribes oral medication to control the glucose level and also referred the patient to a dietician for dietary teaching. 

    Question:

    What is the basic underlying pathophysiology of Type II DM? 

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1 points   

QUESTION 18

  1. A 21-year-old male was involved in a motorcycle accident and sustained a closed head injury. He is waking up and interacting with his family and medical team. He complained of thirst that doesn’t seem to go away no matter how much water he drinks. The nurses note that he has had 3500 cc of pale-yellow urine in the last 24 hours. Urine was sent for osmolality which was reported as 122 mOsm/L. A diagnosis of probable neurogenic diabetes insipidus was made.  

    Question:

    What causes diabetes insipidus (DI)? 

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0.5 points   

QUESTION 19

  1. A 43-year-old female patient presents to the clinic with complaints of nervousness, racing heartbeat, anxiety, increased perspiration, heat intolerance, hyperactivity and palpitations. She states she had had the symptoms for several months but attributed the symptoms to beginning to care for her elderly mother who has Alzheimer’s Disease. She has lost 15 pounds in the last 3 months without dieting. Her past medical history is significant for rheumatoid arthritis that she has had for the last 10 years well controlled with methotrexate and prednisone. Physical exam is remarkable for periorbital edema, warm silky feeling skin, and palpable thyroid nodules in both lobes of the thyroid. Pending laboratory diagnostics, the APRN diagnoses the patient as having hyperthyroidism, also called Graves’ Disease.

    Question:

    Explain how the negative feedback loop controls thyroid levels.

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1 points   

QUESTION 20

  1. A 43-year-old female patient with known Graves’ Disease presents to the clinic with complaints of nervousness, racing heartbeat, anxiety, increased perspiration, heat intolerance, hyperactivity and severe palpitations. She states she had been given a prescription for propylthiouracil, an antithyroid medication but she did not fill the prescription as she claims she lost it. She had been given the option of thyroidectomy which she declined. She also notes that she is having trouble with her vision and often has blurry eyes. She states that her eyes seem “to bug out of her face”. She has had recurrent outs of nausea and vomiting. She was recently hospitalized for pneumonia.  Physical exam is significant for obvious exophthalmos and pretibial myxedema. Vital signs are temp 101.2˚F, HR 138 and irregular, BP 160/60 mmHg. Respirations 24. Electrocardiogram revealed atrial fibrillation with rapid ventricular response. The APRN recognizes the patient is experiencing symptoms of thyrotoxic crisis, also called thyroid storm. The patient was immediately transported to a hospital for critical care management. 

    Question:

    How did the patient develop thyroid storm? What were the patient factors that lead to the development of thyroid storm? 

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1 points   

QUESTION 21

  1. A 44-year-old woman presents to the clinic with complaints of extreme fatigue, weight gain, decreased appetite, cold intolerance, dry skin, hair loss, and sleepiness. She also admits that she often bursts into tears without any reason and has been exceptionally forgetful. Her vision is occasionally blurry, and she admits to being depressed without any social or occupational triggers. Past medical history noncontributory. Physicalexam Temp 96.2˚F, pulse 62 and regular, BP 108/90, respirations. Dull facial expression with coarse facial features. Periorbital puffiness noted. Based on the clinical history and physical exam, and pending laboratory data, the ARNP diagnoses the patient with hypothyroidism.  

    Question:

    What causes hypothyroidism? 

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0.5 points   

QUESTION 22

  1. A 44-year-old woman is brought to the clinic by her husband who says his wife has had some mental status changes over the past few days. The patient had been previously diagnosed with hypothyroidism and had been placed on thyroid replacement therapy but had been lost to follow-up due to moving to another city for the husband’s work approximately 4 months ago. The patient states she lost the prescription bottle during the move and didn’t bother to have the prescription filled since she was feeling better. Physical exam revealed non-pitting, boggy edema around her eyes, hands and feet as well as the supraclavicular area. The APRN recognizes this patient had severe myxedema and referred the patient to the hospital for medical management.  

    Question:

    What causes myxedema coma? 

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0.5 points   

QUESTION 23

  1. A 53-year-old woman presents to the primary care clinic with complaints of severe headaches, palpitations, highblood pressure and diaphoresis. She relates that these symptoms come in clusters and when she has these “spells”, she also experiences, tremor, nausea, weakness, anxiety, and a sense of doom and dread, epigastric pain, and flank pain. She had one of these spells when she was at the pharmacy and the pharmacist took her blood pressure which was recorded as 200/118. The pharmacist recommended that she immediately be evaluated for these symptoms. Past medical history significant for a family history of neurofibromatosis type 1 (NF1). Based on the presenting symptoms and family history of NF1, the APRN suspects the patient has a pheochromocytoma. Laboratory data and computerized tomography of the abdomen confirms the diagnosis. 
    Question 1 of 2:

    What is a pheochromocytoma and how does it cause the classic symptoms the patient presented with? 

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0.5 points   

QUESTION 24

  1. A 53-year-old woman presents to the primary care clinic with complaints of severe headaches, palpitations, highblood pressure and diaphoresis. She relates that these symptoms come in clusters and when she has these “spells”, she also experiences, tremor, nausea, weakness, anxiety, and a sense of doom and dread, epigastric pain, and flank pain. She had one of these spells when she was at the pharmacy and the pharmacist took her blood pressure which was recorded as 200/118. The pharmacist recommended that she immediately be evaluated for these symptoms. Past medical history significant for a family history of neurofibromatosis type 1 (NF1). Based on the presenting symptoms and family history of NF1, the APRN suspects the patient has a pheochromocytoma. Laboratory data and computerized tomography of the abdomen confirms the diagnosis. 
    Question 2 of 2:
    What are the treatment goals for managing pheochromocytoma? 

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Cognitive Behavioral Therapy: Family Settings Versus Individual Settings Gr – 2025 PLEASE FOLLOW THE INSTRUCTION BELOW 4 REFERENCES ZERO PLAGIARISM Whether used with

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Cognitive Behavioral Therapy: Family Settings Versus Individual Settings Gr – 2025

PLEASE FOLLOW THE INSTRUCTION BELOW

4 REFERENCES

ZERO PLAGIARISM

Whether used with individuals or families, the goal of cognitive behavioral therapy (CBT) is to modify client behavior. Although CBT for families is similar to CBT for individuals, there are significant differences in their applications. As you develop treatment plans, it is important that you recognize these differences and how they may impact your therapeutic approach with families. For this Discussion, as you compare the use of CBT for families and individuals, consider challenges of applying this therapeutic approach to your own client families.

Learning Objectives

Students will:
  • Compare the use of cognitive behavioral therapy for families to cognitive behavioral therapy for individuals
  • Analyze challenges of using cognitive behavioral therapy for families
  • Recommend effective cognitive behavioral therapy strategies for families
To prepare:
  • Review the media, Johnson Family Session 3, in this week’s Learning Resources and consider the insights provided on CBT in family therapy.
  • Reflect on your practicum experiences with CBT in family and individual settings.

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 3

Post an explanation of how the use of CBT in families compares to CBT in individual settings. Provide specific examples from your own practicum experiences. Then, explain challenges counselors might encounter when using CBT in the family setting. Support your position with specific examples from this week’s media.

Assessing Client Families – 2025 PLEASE FOLLOW THE INSTRUCTION BELOW FIVE REFERENCES ZERO PLAGIARISM Students will Assess client families presenting for psychotherapy Develop genograms for

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Assessing Client Families – 2025

PLEASE FOLLOW THE INSTRUCTION BELOW 

FIVE REFERENCES

ZERO PLAGIARISM

Students will:
  • Assess client families presenting for psychotherapy
  • Develop genograms for client families presenting for psychotherapy
To prepare:
  • Select a client family that you have observed or counseled at your practicum site.
  • Review pages 137–142 of Wheeler (2014) and the Hernandez Family Genogram video in this week’s Learning Resources.
  • Reflect on elements of writing a comprehensive client assessment and creating a genogram for the client you selected.

Assignment

Part 1: Comprehensive Client Family Assessment

Create a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) the following:

  • Demographic information
  • Presenting problem
  • History or present illness
  • Past psychiatric history
  • Medical history
  • Substance use history
  • Developmental history
  • Family psychiatric history
  • Psychosocial history
  • History of abuse and/or trauma
  • Review of systems
  • Physical assessment
  • Mental status exam
  • Differential diagnosis
  • Case formulation
  • Treatment plan

Part 2: Family Genogram

Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

Discussion Post Healthcare Implications For Amish Population. – 2025 Click on the link https www youtube com watch v NLCSOZuhdJk feature youtu be and watch the short video on Maintaining Cultural Humility Discuss healthcare

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Discussion Post Healthcare Implications For Amish Population. – 2025

Click on the link https://www.youtube.com/watch?v=NLCSOZuhdJk&feature=youtu.be and watch the short video on Maintaining Cultural Humility. 

Discuss healthcare implications for the following group Amish. Use the following link for the resources to read and obtain the information needed Please use the reference from the link provided. You may copy and paste the link and if it doesn’t work use the information attached.

https://proxy.lirn.net/MuseProxyID=mp03/MuseSessionID=7120202mm/MuseProtocol=https/MuseHost=www.crculturevision.com/MusePath/subscribers/groups.aspx?gid=64&cid=79

Word count: 300-500
References in APA 7th Edition and plagiarism free.

The Value Of The Humanities – 2025 following the below posting instruction initial posting one page with two reference and

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The Value Of The Humanities – 2025

 following the below posting instruction initial posting one page with two reference and incitation one reference text book and other scholarly not older than 5 years. 

Required Resources
Read/review the following resources for this activity:

  • Textbook: Chapter 1 tenth edition the Humanity through the arts. author Lee A Jacobs/David Martin
  • Minimum of 1 scholarly source (in addition to the textbook)

Initial Post Instructions
For the initial post, address the following:

  • What is the value of studying the humanities in the field of health professions?
  • How might a topic such as art, literature, music, dance, etc. from other time periods enhance your career and personal life in the present?
  • Select one aspect of the humanities that is meaningful to your personal life and one for career. Explain how is each meaningful.
  • In addition, include a specific example of a work (a specific work of art, literature, theater, or music) that you feel is meaningful to your personal life and/or career. Explain the connection.

Planning For Change—A Leader’s Vision – 2025 Develop a presentation augmented by 12 15 slides for administrative leaders and stakeholders that

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Planning For Change—A Leader’s Vision – 2025

 

Develop a presentation, augmented by 12–15 slides, for administrative leaders and stakeholders that outlines your plan to develop or enhance a culture of quality and safety within your organization or practice setting.

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

As a nurse leader, you will be expected to communicate effectively with leaders and stakeholders at all levels in an organization in a variety of ways, depending on your purpose and your audience. Being able to deliver effective presentations is one important skill you will likely be called upon to use often.

This assessment provides an opportunity to hone your presentation skills and enlist the support of stakeholder groups who will be key to achieving desired changes in the organization and developing or enhancing a culture of quality and safety.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Analyze quality and safety outcomes from an administrative and systems perspective.
    • Summarize the key aspects of a plan to develop or enhance a culture of safety.
  • Competency 2: Determine how outcome measures promote quality and safety processes within an organization.
    • Identify current outcome measures related to quality and safety.
  • Competency 3: Determine how specific organizational functions, policies, processes, procedures, norms, and behaviors can be used to build reliability and high-performing organizations.
    • Identify existing organizational functions, processes, and behaviors affecting quality and safety.
  • Competency 4: Synthesize the various aspects of the nurse leader’s role in developing, promoting, and sustaining a culture of quality and safety.
    • Explain the steps needed to achieve improved outcomes.
    • Create a future vision of an organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential.
  • Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
    • Argue persuasively to obtain agreement with, and support from, administrative leaders and stakeholders in an organization for a plan to develop or enhance a culture of safety.
    • Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

 

Questions to Consider

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

  • How might you engage stakeholders to help develop, implement, and sustain a vision to actually change and improve patient outcomes?
  • What arguments might be most effective in obtaining agreement and support?
  • What recommendations would you make to implement a proposed plan for change?

 

Assessment Instructions

This assessment is based on the work you have completed in the previous three assessments.

Preparation

The report you completed in the previous assessment has convinced the executive leadership team of the benefits to the organization of taking the next step toward changes aimed at improving outcomes and cultivating a culture of quality and safety. You have been asked to follow up your report with a presentation to administrative leaders and stakeholders that outlines your plan to develop or enhance the organization’s culture of quality and safety. A number of key stakeholders will be unable to attend your presentation for a variety of reasons, so you have decided to provide those individuals with a video recording of the presentation.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the Planning for Change—A Leader’s Vision Scoring Guide. Be sure that your written analysis addresses each point, at a minimum. You may also want to read the Planning for Change—A Leader’s Vision Scoring Guide and Guiding Questions: Planning for Change—A Leader’s Vision (linked in the Resources) to better understand how each criterion will be assessed.

Developing the Presentation
  • Summarize the key aspects of a plan to develop or enhance a culture of safety.
  • Identify existing organizational functions, processes, and behaviors affecting quality and safety.
  • Identify current outcome measures related to quality and safety.
  • Explain the steps needed to achieve improved outcomes.
  • Create a future vision of your organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role in developing that potential.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.

Communication and Supporting Evidence
  • Argue persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety.
  • Support your main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Additional Requirements

  • Your slide deck should consist of 12–15 slides, including a title slide and a references slide.
    • List your sources on the references slide at the end of your presentation.
    • Use of a small font is permitted to fit all 8 references on a single slide.

Grading Rubric: 

1-  Summarize the key aspects of a plan to develop or enhance a culture of safety. 

Passing Grade:  Summarizes the key aspects of a plan to develop or enhance a culture of safety. 

2-  Identify existing organizational functions, processes, and behaviors affecting quality and safety. 

Passing Grade:  Identifies existing organizational functions, processes, and behaviors affecting quality and safety, and identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty. 

3-  Identify current outcome measures related to quality and safety. 

Passing Grade:  Identifies current outcome measures related to quality and safety, and reflects on the strengths and weaknesses of these outcome measures. 

4-  Explain the steps needed to achieve improved outcomes. 

Passing Grade:  Explains the steps needed to achieve improved outcomes, and identifies assumptions on which the plan is based. 

5-  Create a future vision of an organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential. 

Passing Grade:  Creates a future vision of an organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential, and highlights opportunities for interprofessional collaboration. 

6-  Argue persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety. 

Passing Grade:  Argues persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety. Establishes the importance of key issues. Anticipates and responds to possible objections. 

7-  Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style. 

Passing Grade:   Supports main points, arguments, and conclusions with relevant, credible, and convincing evidence. Sources are current, and citations and references are error-free. 

CASE STUDY 3: Focused Ear Exam – 2025 CASE STUDY 3 Focused Ear Exam Martha brings her 11 year old grandson James to your clinic to have his right

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CASE STUDY 3: Focused Ear Exam – 2025

 

CASE STUDY 3: Focused Ear Exam 

Martha brings her 11-year old grandson, James, to your clinic to have his right ear checked. He has complained to her about a mild earache for the past 2 days. His grandmother believes that he feels warm but did not verify this with a thermometer. James states that the pain was worse while he was falling asleep and that it was harder for him to hear. When you begin basic assessments, you notice that James has a prominent tan. When you ask him how he’s been spending his summer, James responds that he’s been spending a lot of time in the pool.

Assignment 1: Case Study Assignment: Assessing the Head, Eyes, Ears, Nose, and Throat

Photo Credit: Getty Images/Blend Images

Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment.

Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes but would probably perform a simple strep test.

In this Case Study Assignment, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.

To Prepare
  • By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
  • Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case.

With regard to the case study you were assigned:

  • Review this week’s Learning Resources and consider the insights they provide.
  • Consider what history would be necessary to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
The Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

 

Rubric

ExcellentGoodFairPoorUsing the Episodic/Focused SOAP Template:
· Create documentation or an episodic/focused note in SOAP format about the patient in the case study to which you were assigned.

·  Provide evidence from the literature to support diagnostic tests that would be appropriate for your case.45 (45%) – 50 (50%)The response clearly, accurately, and thoroughly follows the SOAP format to document the patient in the assigned case study. The response thoroughly and accurately provides detailed evidence from the literature to support diagnostic tests that would be appropriate for the patient in the assigned case study.39 (39%) – 44 (44%)The response accurately follows the SOAP format to document the patient in the assigned case study. The response accurately provides detailed evidence from the literature to support diagnostic tests that would be appropriate for the patient in the assigned case study.33 (33%) – 38 (38%)The response follows the SOAP format to document the patient in the assigned case study, with some vagueness and inaccuracy. The response provides evidence from the literature to support diagnostic tests that would be appropriate for the patient in the assigned case study, with some vagueness or inaccuracy in the evidence selected.0 (0%) – 32 (32%)The response incompletely and inaccurately follows the SOAP format to document the patient in the assigned case study. The response provides incomplete, inaccurate, and/or missing evidence from the literature to support diagnostic tests that would be appropriate for the patient in the assigned case study.·   List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.30 (30%) – 35 (35%)The response lists five distinctly different and detailed possible conditions for a differential diagnosis of the patient in the assigned case study, and provides a thorough, accurate, and detailed justification for each of the five conditions selected.24 (24%) – 29 (29%)The response lists four or five different possible conditions for a differential diagnosis of the patient in the assigned case study and provides an accurate justification for each of the five conditions selected.18 (18%) – 23 (23%)The response lists three to five possible conditions for a differential diagnosis of the patient in the assigned case study, with some vagueness and/or inaccuracy in the conditions and/or justification for each.0 (0%) – 17 (17%)The response lists two or fewer, or is missing, possible conditions for a differential diagnosis of the patient in the assigned case study, with inaccurate or missing justification for each condition selected.Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.3 (3%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.0 (0%) – 2 (2%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.4 (4%) – 4 (4%)Contains a few (1 or 2) grammar, spelling, and punctuation errors.3 (3%) – 3 (3%)Contains several (3 or 4) grammar, spelling, and punctuation errors.0 (0%) – 2 (2%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.5 (5%) – 5 (5%)Uses correct APA format with no errors.4 (4%) – 4 (4%)Contains a few (1 or 2) APA format errors.3 (3%) – 3 (3%)Contains several (3 or 4) APA format errors.0 (0%) – 2 (2%)Contains many (≥ 5) APA format errors.Total Points: 100ReplyForward
 

ReplyForward 

Clinical Supervision – 2025 PLEASE FOLLOW THE INSTRUCTIONS BELOW 4 REFERENCES Zero plagiarism Clinical Supervision is

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Clinical Supervision – 2025

 PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES

Zero plagiarism

Clinical Supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this Clinical Supervision, consider a client whom you do not think is adequately progressing according to expected clinical outcomes.

Learning Objectives

Students will:
  • Analyze clients presenting for treatment of anxiety disorders
  • Evaluate effectiveness of therapeutic approaches for clients diagnosed with an anxiety disorder

To Prepare:

  • Review this week’s Learning Resources concerning treating patients with anxiety disorders.
  • Reflect on a child or adolescent client you are currently counseling or have previously counseled at your practicum site who has been diagnosed with an anxiety disorder.

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 cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post a 3- to 5-minute Kaltura video in which you do the following:

  • Describe the client. Note: Do not use the client’s actual name.
  • Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
  • Identify any additional information about this client that may potentially impact expected outcomes.

PICOT Project – 2025 Part 2 Advanced Levels of Clinical Inquiry and Systematic Reviews Create a 6 to 7 slide PowerPoint presentation

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PICOT Project – 2025

 

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
  • Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.