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NUR 505 530 DISCUSSION

Hello.. I really need your assistant with this week assignment.

Case Study: Kel

Purpose: Analyze and apply critical thinking skills in the psychopathology
of mental health patients and provide treatment and health
promotion while applying evidence-based research.

Scenario: Kel is a 42-year-old certified public accountant (CPA) who
dreams each year that she will board a cruise ship the day after
Tax Day and go somewhere, anywhere, except Portsmouth,
Virginia. Each year the dream, like the ocean, ebbs and flows,
but this year she is not even going to think about such a
“ridiculous idea.” In fact, she does not even have the energy to
dream; getting out of bed and preparing to go to work is simply
too labor intensive. 

Each evening Kel retires to bed with a lack of energy to
complete her normal tasks such as readying her clothes for
work and making a lunch. She lacks the energy to shop in the
evening; consequently, she eats mostly crackers and canned
soup. She is not hungry, and her scale reflects this. She has lost
15 pounds over the last 2 months. She does not attend to her
makeup or clothes; she finds both too taxing. The clothes she
selects are drab and not ironed. At work she makes no effort to
talk with her co-workers and does not initiate new contacts with
clients. The normal work of filing taxes and writing reports,
which she used to enjoy, are overwhelming, and she feels too
disorganized to complete them. Telephone calls and e-mail
messages from friends are ignored. Attendance at work is
spotty.

Sue, her sister, becomes alarmed with Kel’s unanswered
telephone calls and e-mails. Worried, she decides to visit her
sister at home. She finds the apartment unclean and in disarray.
Kel is unkempt, disheveled, and looks sad. Her voice is
monotone and flat. Kel tells Sue that she feels “sad and
hopeless. Nothing is ever going to change. I am a bad person
and I can’t even do my work right. Although I sleep for many
hours, I am still tired all the time.” Sue is alarmed at the
changes in her sister and arranges for Kel to visit a health care
worker at the medical clinic.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.

• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)

• All replies must be constructive and use literature where

Caring for Chinese, Filipino, & Vietnamese Populations

After studying Module 4: Lecture Materials & Resources, discuss the following:

A. Describe health and illness practices that may augment problems associated with the
treatment of hypertension for Chinese-American clients.

B. Describe the locus-of-control variable that some Filipino Americans have that may
influence health-seeking behavior.

C. Describe the importance of folk medicine and folk healers to Vietnamese Americans.

Submission Instructions:

• Your initial post should be at least 500 words, formatted, and cited in current APA style
with support from at least 2 academic sources. Your initial post is worth 8 points.

Questions: Remember to answer these questions from your textbooks and
NP guidelines. At all times, explain your answers. 

1. Describe the presenting problems.

2. Generate a primary and differential diagnosis using the

DSM5 and ICD 10 codes.

3. Formulate and prioritize a treatment plan. 

4. Identify and discuss appropriate screening instruments

for a patient who has suicidal ideation.

• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)

• Incorporate a minimum of 2 current (published within the last five years) scholarly
journal articles or primary legal sources (statutes, court opinions) within your work.
Journal articles should be referenced according to the current APA style (the online
library has an abbreviated version of the APA Manual).

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