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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 PHH- none

PSH- none

Drug history – denies

Allergies -none

Family history-He has a family history of diabetes, hypertension, and alcoholism.

Review of symptoms

General-No recent weight gains of losses, fatigue, fever, or chills
.

Head, ears, eyes, nose, throat
none

Neck-none

Respiratoru-none

Cardiovascular-no chest discomfort or palpitations

Gi-none

GU-none

Integument-history 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

Vital signs-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

Cariac-S1S2, +II/VI holosystolic murmur; without rub or gallop

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

GU-none

Extremities-no cyanosis, clubbing or edema

Integument-intact without lesions masses or rashes

MS-none

Neuero-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?

Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

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