QUESTION This week’s readings center around African American families. With this family demographic, it is essential to consider the history as it has caused many barriers and stressors to these families. The African American family has the unique history of slavery and racism, which still impacts families to this day. Compared to other racial groups, African American families have lower rates of marriage, greater rates […]

QUESTION A 48-year-old woman presents with a five-month history of generalized joint pain, stiffness, and swelling, especially in her hands. She states that these symptoms have made it difficult to grasp objects and has made caring for her grandchildren problematic. She admits to increased fatigue, but she thought it was due to her stressful job. FH: Grandmothers had “crippling” arthritis. PE: remarkable for bilateral ulnar […]

QUESTION Betty is an 85-year-old African American woman who is in the outpatient office with severe hypertension. She does not consistently take her antihypertensive medications. Related question #1 Explain three reasons based on cultural care beliefs that Betty may not be adhering to her prescribed medication. The beliefs can be related to her own health, spiritual or cultural basis for beliefs, or attitude toward health […]

QUESTION Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health for inmate patient with Intermittent Explosive Disorder. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the […]

QUESTION Case: Eddie, age 9, was referred to a psychiatry at the request of his school because of the difficulties he creates in class. He has been suspended for a day twice this school year. His each complains that he is so restless that his classmates are unable to concentrate. He is hardly ever in his seat, but roams around the class, talking to other […]

QUESTION The patient, a young boy, has been experiencing poor behavior and academic performance. His grandmother reports that he has been impulsive and aggressive, with poor listening skills. The mother feels he is irritable and aggressive at home and school. The patient has been physically aggressive, hitting his grandfather and wetting the bed at night. The patient is considering bed alarms and medication to rule […]

QUESTION What is the pathophysiology of opioid addiction? Why is it so difficult to overcome the opioid addiction? What do opioids do to your brain? What is withdrawal? What is opioid tolerance?Explain in detail the use of naloxone (narcan) for reversal of respiratory distress thought to be overdose related and describe the Safety issues with use of personal protective equipment for healthcare professionals/first responders. How […]

QUESTION A predominant theme in research and practice today is obesity, which is increasing at an alarming rate worldwide in all ages. As a future nurse practitioner: How would you approach or discuss the topic of obesity and diet with your adult or geriatric patients? What are the possible health consequences of obesity and what factors need to be taken into consideration when treating the […]

QUESTION As you reflect on your learnings from this week, identify two different lab values related to cardiovascular health. For each, discuss their clinical significance, disease processes or conditions you may see because of their dysregulation, and the medical management of these conditions. Some examples included total cholesterol, troponin, brain natriuretic peptide, CT calcium score, high/low potassium, magnesium, etc. In your response to your peers, […]

QUESTION Patients with myocardial infarction (MI) are often affected by psychological disorders. Psychological disorders are disabling and negatively influence recovery, reduce the quality of life, and cause a high mortality rate in MI patients. 1. What are some psychological problems in patients following myocardial infarction? 2. How do they affect the MI patient? What are some treatments and /or barriers to treatment? ANSWER Psychological problems […]