Archive for month: July, 2018

structural therapy and strategic therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, as you compare structural and strategic family therapy, consider which therapeutic approach you might use with your own client families.

ORDER A PLAGIARISM-FREE PAPER NOW

Learning Objectives
Students will:
Compare structural family therapy to strategic family therapy
Create structural family maps
Justify recommendations for family therapy
To prepare:
Review this week’s Learning Resources and reflect on the insights they provide on structural and strategic family therapies. Structural Versus Strategic Family Therapies Essay Assignment Papers.
Refer to Gerlach (2015) in this week’s Learning Resources for guidance on creating a structural family map.

The Assignment
In a 4-page paper, address the following:

Summarize the key points of both structural family therapy and strategic family therapy.
Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each.
Provide an example of a family in your practicum using a structural family map. Note: Be sure to maintain HIPAA regulations. Structural Versus Strategic Family Therapies Essay Assignment Papers.
Recommend a specific therapy for the family, and justify your choice using the Learning Resources. Structural Versus Strategic Family Therapies Essay Assignment Papers

Get a 10 % discount on an order above $ 100
Use the following coupon code :
100DISC10
Order Now
Why We Are the Best
100% non-plagiarized Papers
Dedicated nursing and healthcare writers
24/7 /365 Service Available
Affordable Prices
Money-back and Privacy guarantees
Unlimited Amendments upon request
Satisfaction guarantee

Online Nursing Assignment Help
Nursing Assignment Help
Nursing Essay Writing Service
Nursing Dissertation Writing
Nursing Capstone Project Writing
Best Nursing Essay Writing Company
Best Online Nursing Assignment Help
Nursing Term Paper Writing
Nursing Report Writing
Nursing Annotated Bibliography
Nursing Essay Writing Service
Nursing Essay Assignments
Nursing Assignment Writing
Nursing Case Study Writing
Nursing Coursework Writing
Online Nursing Research Paper writing service
PICO Question Examples
Nursing Thesis Writing
Nursing Research Paper Writing
Nursing Presentation Writing
Home About Us Terms and Conditions
© 2000 – 2018 On

Psychotherapeutic Approaches to Group Therapy for Addiction Essay Assignment Papers

When selecting a psychotherapeutic approach for a client, you must consider the unique needs and characteristics of that particular client. The same is true when selecting a psychotherapeutic approach for groups. Not every approach is appropriate for every group, and the group’s unique needs and characteristics must be considered. For this Assignment, you examine psychotherapeutic approaches to group therapy for addiction.

ORDER A PLAGIARISM-FREE PAPER NOW

Learning Objectives

Students will:

Evaluate psychotherapeutic approaches to group therapy for addiction
To prepare:

Review this week’s Learning Resources and reflect on the insights they provide on group therapy for addiction.
View the media, Levy Family: Sessions 1-7,and consider the psychotherapeutic approaches being used.
The Assignment: Psychotherapeutic Approaches to Group Therapy for Addiction

In a 3-page Psychotherapeutic Approaches to Group Therapy for Addiction Essay Assignment Paper, address the following:

Identify the psychotherapeutic approach that the group facilitator is using, and explain why she might be using this approach.
Determine whether or not you would use the same psychotherapeutic approach if you were the counselor facilitating this group, and justify your decision.
Identify an alternative approach to group therapy for addiction, and explain why it is an appropriate option.
Support your position with evidence-based literature. Psychotherapeutic Approaches to Group Therapy for Addiction Essay Assignment Papers

Psychotherapy.net (Producer). (2015). Group therapy for addictions: An interpersonal relapse prevention approach [Video file]. Mill Valley, CA: Author. (use this video, transcript attached)
References should be most recent (2-3) years. Psychotherapeutic Approaches to Group Therapy for Addiction Essay Assignment Papers

Get a 10 % discount on an o

The AGACNP is caring for a patient who is quite ill and has developed, among other things, a large right sided pleural effusion. Thoracentesis is sent for pleural fluid analysis. While evaluating the fluid analysis, the AGACNP knows that a fluid identified as a(n) __________ is the least worrisome type.
Mrs. Miller is transported to the emergency department by paramedics. She is having profound, unremitting chest pain, is diaphoretic and pale. She has jugular venous distention and a widened pulse pressure. Suspecting ascending aortic aneurysm, the AGACNP order which test to confirm the diagnosis?
Certain subgroups of the elderly population are at an increased risk for rapid deterioration and long-term care placement. Which of the following is not considered a high risk factor for long term care placement?
A patient with anterior epistaxis has been treated with 20 minutes of direct pressure to the cartilaginous portion of the nose. Following pressure the patient is instructed to gently blow the nose. Expected findings in the patient who has been successfully treated include all of the following except a:
Kevin is a 14-year-old male who presents for evaluation of a fever of 102.5° F and significant right ear pain. He appears quite ill and says he feels nauseous. Otoscopic evaluation reveals pain to palpation, a very erythematous and bulging tympanic membrane with bullous myringitis. The AGACNP knows that antibiotic therapy must be selected to cover:
P.M. is a 71-year-old gay male patient who presents as an outpatient for evaluation of increasing shortness of breath. The diagnostic evaluation ultimately supports a diagnosis of community acquired pneumonia. The AGACNP appreciates right middle lobe consolidation on chest radiography. Pending sputum cultures, empiric antibiotic therapy must be initiated to cover which organism? NURS 6550 Midterm Exam Walden – Questions and Answers
Which of the following is the greatest risk factor for vascular dementia?
J.R. is a 55-year-old male who presents for a commercial driver’s license physical examination with a blood pressure of 170/102 mm Hg. He has no medical history and is without complaint. Which of the following findings constitutes hypertensive urgency? NURS 6550 Midterm Exam Walden – Questions and Answers
Because of the commonly recognized adverse effects of atypical antipsychotics, annual laboratory assessment for patients taking these medications should include a:
K.R. presents for an evaluation of eye discomfort. He works in a fabricating shop for a custom automobile restoration company and while working he felt like something flew into his eye. He was wearing eye protection at the time but still has the sensation that something is there. Physical examination is significant for some tearing and he reports a persistent sense of something in his eye. Which of the following is not indicated in the diagnostic evaluation? NURS 6550 Midterm Exam Walden – Questions and Answers
D.E. is a 41-year-old female who had lumbar surgery two days ago to repair a ruptured nucleus pulposus. She has been doing well postoperatively but today is complaining of resting fatigue and some shortness of breath at rest. In ruling out a pulmonary embolus the AGACNP first orders a:
Mr. Nixon is being treated with unfractionated heparin infusion for acute pulmonary embolus. In order to avoid a potentially fatal complication of heparin infusion, the AGACNP monitors:
Differentiating vertigo from near-syncope and ataxia is one of the goals of history-taking when a patient presents as “dizzy.” The AGACP knows that vertigo is the problem when the patient reports the primary symptom as:
Mr. Banks has been admitted for surgical resection of a metastatic tumor, during surgery it is discovered that he has widespread, diffuse metastasis throughout the abdomen. Surgery is no longer an option, and his oncologist says that chemotherapy is unlikely to produce any meaningful benefit. Mr. Banks is concerned that his sons will not support a transfer to comfort care. The AGACNP advises that he:
Mr. Wilkerson is a 77-year-old male who is being evaluated and treated for his cardiogenic pain. His vital signs are as follows: Temperature of 99.1° F, pulse of 100 bpm, respirations of 22 bpm, and blood pressure of 168/100 mm Hg. A 12-lead ECG reveals deep ST segment depression in leads V3-V6. The AGACNP recognizes which of the following as a contraindication to rTPA therapy? NURS 6550 Midterm Exam Walden – Questions and Answers
A 71-year-old patient is recovering from a particularly severe exacerbation of chronic obstructive pulmonary disease. He has been in the hospital for almost two weeks and was on mechanical ventilation for 7 days. While discussing his discharge plan he tells you that he is really going to quit smoking this time. He acknowledges that he has been “sneaking” cigarettes in the hospital for two days, but he has established a timeline to decrease the number of cigarettes daily. According to his plan his last cigarette will be the last day of the month. This patient’s behavior is consistent with which stage of the Transtheoretical Model of Change?
While assessing a patient with a known psychiatric history, the AGACNP knows that the primary difference between a psychotic and neurotic disorders is: NURS 6550 Midterm Exam Walden – Questions and Answers
L.T. is an 85-year-old male who is admitted for evaluation of profound diarrhea that has produced significant dehydration. He also complains of being very tired lately, and feeling like he is going to vomit all of the time. His vital signs are significant for a pulse of 41 b.p.m. and a blood pressure of 90/60 mm Hg. A gastrointestinal evaluation including stool for blood, white blood cells, and ova and parasites is negative. He insists that he has not started any new medications or made any diet changes; the only thing new is that he got new eye drops for his glaucoma. The AGACNP correctly assumes that his new eye drops are:
Janice is a 19-year-old female who presents to the emergency department via ambulance. She is pale, diaphoretic, agitated, and convinced she is having a stroke. Her vital signs include a temperature of 98.9° F, pulse of 114 beats per minute, respirations of 32 breaths per minute, and a blood pressure of 110/74 mm Hg. Diagnostic evaluation is negative and Janice is diagnosed with an acute panic attack. The initial treatment of choice is:
Lorraine is a 41-year-old female who presents for an asthma follow-up visit. She says she feels very well, has almost no daytime symptoms, and is using her inhaled corticosteroid medication daily as prescribed. Her PEFR is 85% of her personal best. The best approach to this patient is to:
Mr. Owen is a 37-year-old patient who has been admitted for surgical resection of a malignant tumor in his lung. His physical recovery has been uneventful and he is being prepared for discharge. While discussing his ongoing cancer therapy with Mr. Owen, the AGACNP determines that he has experienced persistent, excessive anxiety and worry almost every day for more than one year. What other aspect of Mr. Owen’s psychosocial history would be required to made a diagnosis of generalized anxiety disorder?
Kevin T. is a 49-year-old male who is being discharged after hospitalization for an acute inferior wall myocardial infarction. This is his first hospitalization and his first chronic medical diagnosis. Aside from his elevated cardiac isoenzymes and troponins, his laboratory profile was essentially within normal limits. The only apparent cardiac risk factor is an LDL cholesterol of 200 mg/dL. Initiating an HMG-CoA reductase inhibitor is an example of which level of prevention for Kevin?
You are evaluating a patient who has been admitted to the emergency room after being arrested for starting a fight in a local sports’ bar. The patient is now being cooperative, but reports that he has been in treatment for PTSD for months. He has been prescribed fluoxetine but has not noticed any improvement in symptoms, and now has been arrested for violence. The AGACNP knows that the next step in medication management is likely to include:
Mrs. Salter is an 81-year-old lady who presents for evaluation of near-syncopal episodes. Her 12-lead ECG, complete blood count, and comprehensive metabolic panel are all essentially normal. A urinalysis shows some trace protein but is otherwise normal. A 24-hour rhythm monitor demonstrates rare premature ventricular contractions. Mrs. Salter has been in good health and had her first episode at her aerobics class. She only gets lightheaded when she exerts herself. Her heart auscultates for a grade III/VI systolic crescendo-decrescendo murmur at the second intercostal space, right sternal border. The AGACP considers that the likely cause of the syncope is:
Who among the following patients is at greatest risk for a pulmonary embolus?
Mrs. Birdsong is an 85-year-old female who has been admitted for surgical repair of a hip fracture. She is in remarkably good spirits and is quite talkative. She readily answers all of the questions on her intake assessment, and readily acknowledges information provided during her room orientation. Later while talking with the patient’s son the AGACNP learns that the patient has had significant cognitive impairment for a few years. She has virtually no short term memory, but compensates by confabulating. Her son says she is generally very happy as long as there is no change in her day to day routine. This history is most consistent with which form of dementia?
Mrs. Radovich is an 80-year-old female with a variety of chronic medical conditions which are reasonably well controlled. She generally enjoys a good quality of life and is active with her family. Today her only concern is that she is having problems with her vision. She notices that while trying to look at pictures of her great grandchildren she can’t seem to focus on their faces. She also reports increased trouble reading—she cannot seem to see the words that she is looking at, and her reading glasses do not help. Further evaluation of Mrs. Radovich should include assessment with:
R.J. is a 55-year-old female who presents with acute onset left sided facial pain and an inability to move the left side of her face. She cannot smile, raise her eyebrow or even close her left eye, The immediate approach to this patient should include:
A 78-year-old male present for a physical examination. He has no discomfort or complaints other than a general decrease in vision, but it helps when he puts things under a bright light to read. He admits that while driving at night the streetlights appear to be a bit distorted and his night vision is pretty poor. Given the likely diagnosis, the AGACNP expects which of the following physical findings?
Jason is a 46-year-old male who is being managed for sepsis. He has HIV/AIDS and has had a prolonged hospitalization characterized by a variety of complications. He was extubated 3 days ago but continues gastric decompression with a nasogastric tube(NGT), total parenteral nutrition and antibiotic therapy via a central venous catheter, and urinary drainage via a Foley catheter. He continues to demonstrate consistent low grade fevers but all points of insertion of his tubes are normal to inspection, a chest radiograph demonstrates improvement of his pneumonia, and his urinalysis shows no bacteria, leukocytes, or nitrites. The AGACNP should next order: NURS 6550 Midterm Exam Walden – Questions and Answers
The interpretation of a chest radiography should follow a systematic approach to ensure that all vital structures are evaluated and important clinical findings are not missed. The last thing to be assessed when looking at chest radiography should be the _____________:
The Short Confusion Assessment Method (Short-CAM) is a widely used four item tool that assesses delirium in the hospitalized patient. It includes observation of all of the following except: NURS 6550 Midterm Exam Walden – Questions and Answers
Ms. Yang has been hospitalized for 5 days for the management of a gastrointestinal bleeding. She appears to have stabilized hemodynamically, but today she had a temperature of 101.9° F and chest radiography demonstrates a diagnosis of pneumonia. The AGACNP knows that the diagnostic evaluation for hospital acquired pneumonia for all patients must include:
Most psychosocial theories of aging center around the core concept that successful aging requires acceptance of a series of changes or losses that predictably occur later in the life span. The theory that specifically addresses coming to terms with the inevitability of death is known as:
All of the following conditions are risk factors for pulmonary embolus except:
A patient is diagnosed with acute descending aortic aneurysm and hypertension should be immediately started on which medication pending surgical evaluation?
Jason is a 27-year-old with a long history of intermittently controlled asthma. He is currently prescribed Advair daily with albuterol as needed for symptoms. Today he presents to the emergency department with cough and wheezing and difficulty catching his breath. His FEV1is 51% at the time of presentation. He is given alternating albuterol and ipratropium nebulizer treatments along with oral prednisone. After one hour his FEV1 has increased 65%. The appropriate disposition for Jason at this point is:
A patient in the intensive care unit suddenly becomes tachypneic and dyspneic. The physical examination reveals pale, cool, clammy skin and an arterial blood gas demonstrates hypocapnea and hypoxia. Pulmonary artery pressure demonstrates a pattern consistent with obstructive shock. The AGACNP knows that which of the following causes of this presentation is most likely? NURS 6550 Midterm Exam Walden – Questions and Answers
Mr. Bowers is an 81-year-old male who is being terminally extubated at the request of his family due to the presence of a large subdural hematoma with a shift; the patient is not initiating respirations on his own and the prognosis is very poor. After he is extubated he begins to initiate his own respirations and 24 hours later has not expired yet. The decision is made to leave him in the hospital on a general medical floor rather than transfer to another facility for hospice. Which of the following is the best indicator that the patient’s death is imminent?
A patient is newly admitted to your service for open reduction and internal fixation of the left hip. She seems very down, and as you talk with her you realize that her mood is not just related to her hip fracture. Which of the following symptoms would not be consistent with major depressive disorder?
“C” is the correct answer. Alzheimer’s dementia is statistically the most common form of dementia and is characterized by a long trajectory that progresses to include confabulation. Additionally, patients with this form of dementia are very reliant upon routine and may be distressed when it is disrupted. “A” is not correct; Lewy body dementia characteristically progresses much more quickly and produces an angry demeanor. “B” is incorrect because vascular dementia typically produces a more depressive affect and is not characterized by confabulation; additionally, patients with vascular dementia often have a medical history consistent with vascular risk factors. “D” is not correct as there is no apparent history of Parkinson’s disease.
What is the primary purpose of using eye ointments or lubricants to patients under general anesthesia, on paralytics, or in long-term comatose states? NURS 6550 Midterm Exam Walden – Questions and Answers
When reading a 12-lead electrocardiogram, the AGACNP knows that all 12 leads are required to provide:
A 49-year-old male presents for evaluation of chest tightness. It has happened before, but he just ignored it and it went away. Today he just could not ignore it anymore. He has always enjoyed good health and says he has never been told that he has any chronic medical conditions like high blood pressure or diabetes. A 12-lead ECG demonstrates changes consistent with inferior wall ischemia. Both his symptoms and inferior wall changes improve with the administration of sublingual nitroglycerin. Consistent with ACS protocol, this patient’s assessment is consistent with:
Mr. Rosen is a 49-year-old male who is being managed for an acute myocardial infarction. He develops significant shortness of breath at rest and coarse rales 2/3 up bilaterally. The AGACNP suspects acute pulmonary edema due to papillary muscle rupture and acute mitral valve regurgitation. Which physical finding would support this finding?
A patient with minor head trauma presents for evaluation. Which of the following findings should be followed up with a CT scan to rule out orbital fracture? NURS 6550 Midterm Exam Walden – Questions and Answers
Mrs. Forbes is a 69-year-old lady being discharged from the hospital after complications following a cosmetic surgical procedure. She is basically in good health. She has a history of hypothyroidism for which she takes levothyroxine daily, and mild osteoarthritis which is controlled with only prn nonsteroidal use. Her blood pressure is 148/90 mm Hg. The AGACNP knows that in accordance with the most current guidelines published in JNC 8 the appropriate action is to:
When assessing driver safety in the older adult, the AGACNP considers that:
The nursing staff calls to tell you that your 81-year-old male patient is having an acute change in mental status. He is a basically healthy man who was admitted three days ago for inpatient antibiotic management of community acquired pneumonia. His daughter is at the bedside and she is very distraught because she has never seen him like this. She is asking for medication to make him stop acting disoriented. Upon examination the patient is lying in bed, appears calm and happy, but does not recognize his daughter as anyone he knows. He is talking as if he is at home and has company. The AGACNP instructs the daughter that: NURS 6550 Midterm Exam Walden – Questions and Answers
While discharging a patient following her myocardial infarction, you offer some patient education about medically supervised cardiac rehabilitation. The patient expresses fear of rehab because she was on her treadmill when she had her infarction and now she is afraid of making it happen again. She doesn’t understand how the rehab can force her to exercise her heart but not make her have another cardiac event. The AGACNP explains that the patient will be monitored and that her goal heart rate will be:
During physical examination of a 51-year-old African-American female you appreciate a decrease in her peripheral vision. The rest of her eye examination is within normal limits and she is symptom free. This presentation is consistent with:
Mr. Moffett is a 66-year-old male with a long history of lower extremity edema. All other causes of lower extremity edema have been ruled out and his overall symptom presentation and history are strongly supportive of chronic venous insufficiency. Today he presents with increased itching of both lower legs. Physical exam reveals 2-3+ pitting edema and trophic hyperpigmentation. The AGACNP know that treatment should include:
L.R. is an 84-year-old female patient being treated for pneumonia. Her condition is deteriorating despite aggressive broad spectrum antipseudomonal cephalosporin antibiotic therapy. Induced sputum culture reveals heavy growth of Legionella pneumophilia. The AGACNP knows that antibiotic therapy must be adjusted to include coverage with:
The AGACNP is treating a patient with a corneal abrasion. The patient has a clear recollection of the mechanism of injury—she was scratched in the eye earlier today with her 18-month-old daughter’s fingernail. Which of the following is contraindicated in the management of this patient’s abrasion?
M.T. is a 41-year-old male patient in the intensive care unit. He was admitted to the hospital in septic shock and has been aggressively managed with broad spectrum antibiotics. He has become progressively hypoxemic and the last arterial blood gas revealed a paO2of 58 mm Hg. Chest radiography reveals a “white out” pattern bilaterally. The patient is intubated and ventilated. The AGACNP knows that appropriate management must include:
Teenagers and adults with acute otitis media can often be treated with “watchful waiting” given the high incidence of spontaneous resolution and low risk of poor outcomes. Which of the following is an absolute indication to begin antibiotic therapy at the time of diagnosis?
Mr. Bowers is on mechanical ventilation for respiratory support through an episode of septic pneumonia. Due the extensive lobar consolidation it was very difficult to keep Mr. Bowers oxygenated and he required very high FIO2s and PEEP. The AGACNP knows that the primary concern with FIO2s > 60% is:
Acute respiratory distress syndrome (ARDS) occurs when an overwhelming systemic insult results in which maladaptive physiologic response? NURS 6550 Midterm Exam Walden – Questions and Answers
Acute respiratory distress syndrome is characterized by which abnormality of ventilation and perfusion?
George Schulz is a 69-year-old male who presents for evaluation of acute foot pain. It is so painful that he cannot walk on it without assistance. At first he denies any significant medical history, but then reveals that he has been diagnosed with dyslipidemia and hypertension but stopped taking his medications because he couldn’t afford it. Pulses are not palpable but are audible by Doppler. The extremity is pale and shiny with decreased hair growth, suspecting peripheral arterial disease, the AGACNP expects which additional finding?
G.T. is a 40-year-old male who is under your case for long term management of secondary osteoarthritis. Today he asks if he can take a medication for anxiety. Further assessment reveals that he is in a relationship that has been very stressful; his girlfriend wants very much to get married and start a family, and he does not. He admits that he no longer feels they are compatible and acknowledges that he needs to end this relationship. He is sure that this is the source of his anxiety. The best approach would be to:
During the physical examination of a 31-year-old female, the AGACNP appreciates a bifurcate uvula. The most appropriate action would be to:
During routine immigration screening a 29-year-old male patient from Mexico has a positive purified protein derivative (PPD) test at 17 mm induration. He reports no known history of tuberculosis (TB) infection or exposure, or vaccination with the BCG vaccine. Chest x-ray is negative for any evidence of TB exposure. The AGACNP knows that the appropriate next step is to:
Clinical diagnostic criteria for acute respiratory distress syndrome (ARDS) include all of the following except:
While managing a patient in acute pulmonary edema, the AGACNP monitors the pulmonary capillary wedge pressure. When this pressure falls below 12 mm Hg it suggests that:
All of the following are important elements of the immediate management of penetrating eye injury except:
While evaluating a patient with diastolic failure due to a long history of uncontrolled hemochromatosis, the AGACNP appreciates an extra heart sound just before the S1heart sound. This sound is most likely a(n):
Secondary hypertension occurs in approximately 10% of all patients with hypertension, and requires management of the underlying problem in order to eliminate the cause. Which of the following is not a secondary cause of hypertension?
L.M, is a 26-year-old male who presents to the emergency department complaining of acute onset vertigo this morning. He describes a strong sense of the room spinning and can barely walk without feeling nauseous. The vertigo is reproducible when his neck is rotated suddenly left or right. The AGACNP knows that which of the following is not indicated? NURS 6550 Midterm Exam Walden – Questions and Answers
A 36-year-old female presents complaining of left leg swelling. She describes the onset as acute over the last day or two, and says it feels “tight and throbbing.” She denies any significant medical history and says the only medication she takes is oral contraception, which she has taken since she was 15 years old. The AGACNP first orders:
The primary neurotransmitter implicated in post-traumatic stress disorder (PTSD) is:
Mr. Avila is an 82-year-old male being counseled about the risks and benefits of his upcoming abdominal surgery. While considering risk factors for atelectasis, pneumonia and other pulmonary complications, the AGACNP advises that the greatest risk comes from:
The female AGACNP is practicing with a cardiology group and sees patients one day a week in the outpatient office. A 49-year-old female presents for follow-up after her admission for infective endocarditis. She is recovering well, and says that she is going to be more proactive about her health. She admits to not having had any of her regular health screenings for years, and asks if she can have her Pap performed at this office. The AGACNP:
The AGACNP is seeing a patient who was transferred from the correctional facility for evaluation. He has a profound purulent discharge from his right eye. The conjunctive is erythematous and there is mild photosensitivity. The inmate denies any real eye pain, just says that it is extremely uncomfortable. Treatment for this patient is likely to include:
Ms. Ewing is a 78-year-old female who lives in a long term care facility because her dementia has progressed to the point at which her family cannot provide the necessary safety measures at home. In addition to her absent short term memory she has developed some affective changes and most recently is demonstrating sexual disinhibition. While considering management options, the AGACNP knows that all of the following are medications are options for the management of disinhibition except:
A patient recently had a nasal packing inserted for management of refractory epistaxis. One week later he presents with fatigue, a headache “inside of his nose” and a feeling generally unwell. The AGACNP considers:
A 55-year-old female patient presents with a fever of 103.4° F. She was treated approximately 10 days ago at urgent care for a sinus infection, but two days ago the right side of her fact started to hurt, and today she has significant swelling of the right orbit and eyelid. The eyelid is very edematous and there is purulent drainage noted. The priority of care for this patient begins with:
Which of the following is the best indicator that pulmonary rehabilitation has been successful in a patient with chronic obstructive pulmonary disease? NURS 6550 Midterm Exam Walden – Questions and Answers
Mrs. Marriott is being discharged to home after being managed for an exacerbation of congestive heart failure. She is currently feeling well but her ejection fraction after optimal diuresis and fluid management is 29%. The AGACNP knows that her discharge medications must include:
Which of the following is an accurate statement with respect to the assessment of delirium in the geriatric patient?
Mrs. Warner is a 57-year-old female who presents with unplanned weight loss. Chest radiography reveals diffuse hyperlucency of the left lung and in the lower half of the right lung. The AGACNP knows that the differential diagnosis for hyperlucency include all of the following except:
When evaluating a patient with epistaxis, which of the following signs or symptoms is suggestive of a more serious etiology and posterior packing?
R.M. is a 15-year-old male who presents to the emergency department with his mother. Mom says he has been complaining that his throat hurts so badly he cannot even swallow saliva. According to Mom R.M. is not the type to complain, but he is in so much pain with his throat he is almost crying. He has no significant medical history and takes no daily medications. He has no allergies of which his mother is aware. Upon physical examination he is febrile with a temperature of 102.4° F and he is a bit tachycardic, but other vital signs or normal. Inspection of the throat is basically unremarkable—the AGACNP does not appreciate any abscesses, edema, or exudate; there may be some slight erythema. The AGACNP becomes suspicious that the patient:
Mr. Stossel is a 66-year-old male patient who was admitted for management of acute anterior wall myocardial infarction. Over a period of hours he has developed acute shortness of breath, coarse rales to auscultation, and Kerley B lines on chest radiography. Arterial blood gas reveals a pH of 7.34, pCO2of 30 mm Hg, and paO2 of 59 mm Hg. The AGACNP anticipates which of the following findings on physical examination?
According to the revised criteria in DSM-V, the primary difference between panic attacks and panic disorder is that: NURS 6550 Midterm Exam Walden – Questions and Answers
Mr. Wilson is a 71-year-old male who has been treated with prn short acting anticholinergics for his COPD. Last week he developed an exacerbation that required a 4 day hospitalization for support and stabilization. He was discharged on a five day course of prednisone and now presents for follow-up. The AGACNP knows that his outpatient medication regimen should be adjusted to include:
What is the primary difference in patient management between high risk non-ST elevation myocardial infarction (MI) and the low risk non-ST elevation MI patient?

J.T. is a 26-year-old female patient being evaluated for eye discharge. She says that for the last few days she has developed this sticky, string-like discharge in both eyes. She denies any pain or visual changes, but does admit to a sense of “something in my eyes” and that her eyes itch a lot. Physical examination reveals injected conjunctiva, rope-like discharge bilaterally; pupil response is equal and brisk in both eyes. Which factor in the patient’s history would be supportive of the most likely diagnosis? NURS 6550 Midterm Exam Walden – Questions and Answers

The pathophysiology of endogenous depression is best described as

The diagnostic study most supportive of a diagnosis of pericarditis is:

A 31-year-old male presents to urgent care because he has something in his eye. He was changing the oil under his car and says that something dropped into his eye. He is not having any pain, in fact he waited a day before coming in because he thought it would work itself out. Physical exam reveals a black 1 mm foreign body visible on the corneal surface. The most appropriate intervention is to:

A patient with pericarditis is most appropriately treated with:

Which of the following is not a risk factor for thoracic aneurysm?

The “MONA” acronym provides guidance for immediate interventions in the patient with:

Mr. Sloane is a 36-year-old male patient who presents for treatment of eye pain. He has no significant medical history and does not take any daily or over-the-counter medications. His only recent history is nighttime allergies for which he takes occasional diphenhydramine with good relief. He has had some throbbing in his eye for the last few days on and off but just ignored it; today he says it is flat out painful and he had to come to the emergency department. The eye is throbbing and painful, and he reports generalized decreased vision. The pupil is dilated to 5 mm and non-reactive to light. The eye conjunctiva is reddened. The next step in the diagnostic evaluation should be:

The AGACNP counsels a patient with recurrent epistaxis that the most common cause of nose bleeding is

The geriatric depression scale (GDS) is a commonly used tool to diagnose depression in the elderly population. It comes in a variety of forms for maximal utility. When administering the geriatric depression scale to patients, the AGACNP recognizes that it is extremely important to:

Ventilator-acquired pneumonia (VAP) is a significant problem impacting morbidity, mortality and the cost of inpatient health care. Data-supported mechanisms to reduce the risk for VAP include all of the following except:

Absolute contraindications to thrombolytic therapy in the patient having an acute myocardial infarction include all of the following except:

Which of the following is not a true statement with respect to risk for or occurrence of elder abuse? NURS 6550 Midterm Exam Walden – Questions and Answers

Pre and Post-Operative Management:

What is pre-operative process and why is it necessary?
What are the components and testing necessary in the pre-operative process?
What is the pre-operative management of the diabetic patient?
Review common surgical complications and risks
Identify Low risk vs. high risk procedures according the ACS.
Review the NSQIP guidelines for geriatric patients
Identify surgical complication risks as per ACS/NSQIP in chronic diseases
Review ACCF/AHA antiplatelet therapy guidelines
Post-op fevers – early vs. late (more than 24 hours post-op) – Review how to assess and manage post-op fever
Post op wound assessment
Ordering post-operative pain medications
TPN management with electrolytes
Fluid and electrolyte management in the post-op period
Reading/interpreting chemistry panels;
Review the obesity paradox
PLACE ORDER

HEENT/GI:

Review risk factors for throat cancers
Foreign Body removal risks and workup
Vertigo differentials and diagnosis;
Cholesteatoma
Allergic rhinitis
Ludwig’s angina
Sialadentitis
Common Infections of head and neck
Obstructive Sleep Apnea
Thyroid disease and parathyroid disorders
GERD
Esophagitis
Esophageal achalasia
Pharyngoesophageal (Zenker) diverticulum
Esophageal motility disorders
Barrett’s esophagus
Nutcracker esophagus;
Esophageal carcinoma
Esophageal perforation
Gastroparesis;
Hernias
NURS 6560 Midterm Study Guide – Exam Questions and Answers

CV:

CAD risks, etiology, prevention, treatment, diagnostics, and pathology
Endocarditis
Unstable angina
Valvular disorders – identification of murmurs, treatment and complications
CABG – options and complications; dysrhythmias; pulmonary edema;
Marfan’s syndrome
Thoracic aneurysms – diagnosis, treatment and complications
Heart transplant – indications and treatments
Normal carotid endarterectomy course, management after surgery, and writing post-op notes
NURS 6560 Midterm Study Guide – Exam Questions and Answers

Pulmonary:

VATS
Thoracentesis
Lung biopsies
Tietze syndrome
Empyema;
Pneumothorax;
Mediastinitis
Broncholithiasis
TB test interpretation and limitations;
All types of pneumonia;
Sarcoidosis
Lung cancer post op complications
PE

Shock:

Hypovolemic shock
Cardiogenic Shock
Obstructive Shock (especially in PE)
Distributive Shock (neurogenic and septic shock)
Focus on the diagnosis and treatment of different types of Shock
Pulmonary Artery Catheter – normal and abnormal pressures
ACLS standards/guidelines for treating Shock
NURS 6560 Midterm Study Guide – Exam Questions and Answers

Get a 10 % discount on an order above

eff Cole was hospitalized at age 60 for cardiomyopathy with congestive heart failure. As a result of a timely evaluation and diagnosis, Cole had a more positive health outcome than the majority of other patients with his condition. By working closely with Cole to develop a personalized treatment plan, his health care provider was also able to improve his long-term prognosis (St. Anthony’s Medical Center, 2014).

After the initial recovery, patients like Cole often struggle to adhere to treatment plans. However, by collaborating with patients and developing regimes that consider their lifestyle needs, you can help improve health outcomes for patients with cardiovascular conditions.

ORDER A CUSTOM-WRITTEN PAPER NOW

This week, as you explore the etiology and clinical presentations of cardiovascular conditions in acute care settings, you will examine strategies for assessing, diagnosing, and treating patients with cardiovascular conditions.

Learning Objectives
By the end of this week, students will:
Evaluate patients with cardiovascular conditions
Develop differential diagnoses for patients with cardiovascular conditions
Develop treatment plans for patients with cardiovascular conditions
Photo Credit: thelinke/E+/Getty Images

Learning Resources
Required Readings
Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F.A. Davis Company.

Section 6, “Cardiovascular Procedures”
Chapter 89, “Doppler Technique”
Chapter 90, “Electrocardiogram (ECG) Interpretation”
Chapter 91, “Electrocardiogram (ECG) Lead Placement”
Chapter 92, “Holter Monitor Application: Continuous 24-Hour Ambulatory Cardiac Monitoring”
Chapter 93, “Stress Testing”
Chapter 96, “Blood Culture Specimen Collection”
Chapter 97, “Capillary Blood Collection: Heel/Finger Stick”
Chapter 99, Defibrillation: Unna’s Boot Application”
Chapter 100, “Venipuncture”
Papadakis, M. A., McPhee, S. J., & Rabow, M. W. (2018). Current medical diagnosis & treatment (57th ed.). New York, NY: McGraw Hill.

Chapter 10, “Heart Disease” (pp. 328-446)
Chapter 11, “Systemic Hypertension” (pp. 447-478)
Chapter 12, “Blood Vessel & Lymphatic Disorders” (pp. 479-506)
Chapter 28, “Lipid Disorders” (pp. 1269-1277)
Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F.A. Davis Company.

Chapter 6, “Chest” (pp. 125–149)
American Heart Association. (2013). Hypertrophic cardiomyopathy. Retrieved from http://www.heart.org/HEARTORG/Conditions/More/Cardiomyopathy/Hypertrophic-Cardiomyopathy_UCM_444317_Article.jsp

Duvvuir, P., & Moghekar, A. (2014). Bedside applications of ultrasound. Retrieved from http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/pulmonary/bedside-applications-of-ultrasound/

SkillStat Learning Inc. (2014). The 6 second ECG. Retrieved from http://www.skillstat.com/tools/ecg-simulator#/-home. Conditions of the Cardiovascular System Essay Assignment Papers

University of Virginia. (2013g). Interpretation of the ICU chest radiograph. Retrieved from http://www.med-ed.virginia.edu/courses/rad/chest/index.html

University of Virginia. (2013j). Introduction to conventional cardiac radiography. Retrieved from http://www.med-ed.virginia.edu/courses/rad/cardiacplain/

Required Media
i-Human Patient Cases. (2014). Retrieved from https://ih2.i-human.com/users/sign_in

Optional Resources
Dubin, D. (2000). Personal quick reference sheets. In Rapid interpretation of EKG’s (pp. 333–346). Tampa, FL: Cover Publishing Co. Retrieved from http://tmedweb.tulane.edu/portal/files/open-access/clinical-diagnosis/ekg_reference_sheets.pdf

Godara, H., Hirbe, A., Nassif, M., Otepka, H., & Rosenstock, A. (2014). The Washington manual of medical therapeutics (34th ed.). Baltimore, MD: Lippincott Williams & Wilkins.

Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F.A. Davis.

Yale University. (1999a). Atlas of echocardiography: Coronal section through chest.

Yale University. (1999b). Atlas of echocardiography: Left parasternal long axis view.

Yale University. (1999c). Atlas of echocardiography: Normal function.

Yale University. (1999d). Atlas of echocardiography: Radiography of the heart.

Assignment: Assessing, Diagnosing, and Treating Conditions of the Cardiovascular System
Cardiovascular conditions are among the leading causes of hospitalization, and they are of particular importance because they often require immediate medical responses. This makes it essential that you not only be able to identify quickly signs and symptoms of these conditions but also be fluent in current evidence-based treatment guidelines. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat patients who present with cardiovascular conditions. Conditions of the Cardiovascular System Essay Assignment Papers

To prepare:

Review this week’s Learning Resources. Consider how to assess, diagnose, and treat conditions of the cardiovascular system.
Review this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from each patient
Consider what physical exams and diagnostic tests would be appropriate to help you gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
Identify three to five possible conditions to consider in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Reflect on a treatment plan for the patient that includes health promotion and patient education strategies.
To complete:

As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Patients Case Player Student Manual in the Week 1 Learning Resources.

By Day 7
This Assignment is due.

Submission and Grading Information
Week 4 Assignment Rubric

Practicum Reminder: Week 4 Time Log
Time Logs
You are required to keep a log of the time you spend related to your practicum experience and enter every patient you see each day. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term.

Conditions of the Cardiovascular System Essay Assignment Papers