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Case: An elderly widow who just lost her spouse. Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as […]
Adaptive Response in Advanced Pathophysiology Adaptive Response As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. […]
A 74-year-old African American woman, Ms. Richardson, was brought to the hospital emergency room by the police. She is unkempt, dirty, and foul-smelling. She does not look at the interviewer and is apparently confused and unresponsive to most of his questions. She knows her name and address, but not the day of the month. She […]
Crisis Intervention and Safety Planning for the Adult/Geriatric Patient Mr. Z, age 68, is a new resident of a long-term care facility in the Alzheimer Unit. He was recently taken by his family for evaluation in the Emergency Department after he was found to be confused, physically aggressive with family members, threatening to burn the […]
Module 11 Discussion – Reflection/Associate Degree In Nursing Capstone. Directions: Reflection Initial Post Areas for reflection: Describe how you achieved each course competency, including at least one example of new knowledge, gained related to that competency. Describe how you achieved the transferable skills (listed below), including at least one example of new knowledge, gained related […]
A 53-year-old male presents to you with a 4-week history of low back pain. He does not have an identified traumatic event. He requests something for pain. He has history of alcohol abuse but has abstained for 5 years. He has a 25-pack-year smoking history and is a current smoker. He takes fluoxetine 20 mg […]
Case Study: You are working in the emergency department when a 15-year-old female presents with obvious bruising of the face and upper extremities. She is crying and reports that her boyfriend punched her in the face and grabbed her by the arms last night during a fight they had. What are your priority actions? What […]
Week 2: Basic Pharmacotherapeutic Concepts In 2011, more than 3.7 billion drug prescriptions were filled at pharmacies in the United States (The Kaiser Family Foundation, 2011). With billions of drugs prescribed each year for the treatment and management of various disorders, it is essential for advanced practice nurses to familiarize themselves with common drug treatments […]
Week 6: Antipsychotic Therapy According to the National Alliance on Mental Illness, approximately 100,000 people experience psychosis in the United States each year (NAMI, 2016). In practice, clients may present with delusions, hallucinations, disorganized thinking, disorganized or abnormal motor behavior, as well as other negative symptoms that can be disabling for these individuals. Not only […]
Assignment: Assessing and Treating Adult and Geriatric Clients With Mood Disorders Advances in genetics and epigenetics have changed the traditional understanding of mood disorders, resulting in new evidence-based practices. In your role as a psychiatric mental health nurse practitioner, it is essential for you to continually educate yourself on new findings and best practices in […]
