Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

Health Assessment 2

Take on a role of a clinician who is building a health history for the following case:

Subjective

Chief Complaint: Annual physical exam

History of Present Illness (HPI): 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking “pot” and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle.

Past Medical History (PMH):

Past Surgical History (PSH):

Drug Hx: Denies any meds

Allergies: NKA

Family Hx: He has a family history of diabetes, hypertension and alcoholism

Review of Systems

General: No recent weight gains or loss, fatigue, fever, or chills

(HEENT):

Neck:

Respiratory:

CV: no chest discomfort or palpitations

GI:

GU:

Integument: hx of eczema – not active

MS/Neuro: no syncopal episodes or dizziness, no change in memory or thinking patterns: no twitches or abnormal movements

Objective Data

PE: B/P 158/90; Pulse 88; RR 18; Temp 99.2; Ht 5,7; wt 208; BMI 32.6

General: 23-year-old male appears well developed and well-nourished. He is anxious – pacing in the room and fidgeting, but in no acute distress.

HEENT: Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries. 

Lungs: CTA AP&L

Abd: benign, normoactive bowel sounds x 4; Hepatomegaly 2cm below the costal margin.

GU:

Ext: no cyanosis, clubbing or edema

Integument: intact without lesions masses or rashes.

MS:

Neuro: No obvious deficits and CN grossly intact II-XII

1.
Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.

2.
Utilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment.

3.
Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?

500 words, APA style, 2 academic resources

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Nursing Assignment

Level 2: Clinical Performance Evaluation- ADNG 2100 Clinical II · Student will complete a self-evaluation of each student learning outcome below using the criteria on the left found under each outcome. Briefly summarize, either in bullet point or paragraph form, your own evaluation of performance in each. Be specific, give

nursing judjement outcome

Mental Health Experience and Data Collection Objectives 1) Develop a relationship with an individual diagnosed with a mental health condition/problem and utilize therapeutic communication and document review to obtain a psychosocial history. (Human Flourishing) 2) Begin to develop connections between a primary mental health diagnosis and the etiologic factors and

W5 RUA

  Hospital Acquired Infection:  n hospitalized adult patients, does increased nursing compliance with hand hygiene protocols compared to low compliance affect the rate of C. Diff infections over a six month period”? 

Practicum Objectives

Practicum Objectives This course includes a 160-hour practicum as part of the required clinical hours for the DNP credential. The practicum experience enables you to explore key issues related to your specialty practice and to refine your leadership skills as you work with others at your practicum site. To guide

Genetic

Answer all questions  BIOL-2416 Baggett – Unit 04 – Study Tips Study Suggestions for Exam #4 over Chapters 14-16 & 18 General Exam Format and Information What to bring: knowledge and understanding, your signed 4×6 notecard, at least 2 sharpened pencils and a calculator if you have one (can borrow

part two

The learning resources this week serve as salient illustrations of the need for the nursing professional to bring their ‘A’ game to the practice environment.  Our professional responsibility, be it through our direct care or indirect care practices, is to be vigilant in our surveillance of quality and safety in

Health Maintenance

The purpose of this assignment is to develop a health maintenance plan for a selected Disease, such as asthma, hepatitis, hypo and hyperthyroidism, and coronary artery disease, in a selected Population. 1. Assess, develop, and recommend health maintenance plans for clients in all developmental stages of life within the primary

RUA Group

The topic is   Hospital Acquired Infection.  PICOT is as follows: “In hospitalized adult patients, does increased nursing compliance with hand hygiene protocols compared to low compliance affect the rate of C. Diff infections over a six month period”?  -Correlates research findings to identified clinical issue. 

lorem, ipsum

Instructions Select a practice problem from the list below.  · High volume of medication non-adherent patients  · Absent early childhood Autism screening in the primary care setting · High percentage of patients with poorly controlled Hypertension · Deficient interprofessional collaborative care planning for a Depressed patient · High volume of

Approach disc 1

Explain the difference between ion channels and G proteins as they relate to signal transduction and targets of medications. How would you answer the following patient question: My grandmother has a mental illness. I have the same genes as her. Will I also get the same mental illness? Note: Your

Cost benefit

See attached doc for instructions Week 3 discussion Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g.,

NRP 477

Homework Module 6- Foundation for Effective Leadership and Management in Ethics and the Law-2  Introduction:  Foundation for Effective Leadership and Management in Ethics and the Law (SLOs 1,2,3,4,5,6)   Exploring Ethics and Law in Leadership: The professional nurse has the American Nurses Association (ANA) Code of Ethics to guide our ethical

NUR514CLW6

DISCUSSION: Describe your clinical experience for this week. · Did you face any challenges, any success? If so, what were they? · Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales. (UTI SYMPTOMS) ·

NUR514W6

DISCUSSION: Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case: 1. An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach

Research in nursing: ethical dilemma

Ethical Reflection: Ethical reflection is the thoughtful evaluation of ethical questions and the development of a critical awareness regarding the values that inform the choices all people, including oneself, make when confronting such questions. How do you start a reflection in nursing? When reflecting there are a few key things