Signs of early dementia

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Irma is an 82-year-old widow who lives alone. She has a history of hypertension. At the age of 67, she had a mild stroke but recovered with no physical impairments. Lately, she has been complaining of dizziness and fatigue.

Irma used to be an avid fan of all the cooking shows and took pride in fixing gourmet meals for friends and her husband. Her husband died 6 years ago and since his death, she lost all interest in cooking. A year ago, her smoke alarm went off when she fell asleep and left the stove on.  Now Irma is afraid of using the stove for fear of starting a fire. Her meals consist of a boiled egg and toast with orange juice for breakfast and a cup of canned soup in the evening. She has no variety in her meals and eats little protein or vegetables.

Irma has no children and her younger siblings live in another state. She occasionally walks to the community center and participates in some of the activities for seniors.  Her physician reported that she is exhibiting signs of early dementia and may not be able to live alone much longer.

 

  • What malnutrition indicators are prevalent with Irma?
  • How is Irma’s aging impacting her nutrition?
  • What are Irma’s nutritional needs as part of the older elderly population?
  • Citing evidence-based resources, what health problems can we expect Irma to have as a result of being malnourished?
  • What determinants of health are impacted in Irma’s malnutrition scenario?
  • If Irma were living in your community/state, what resources would be available to her?
  • The Community/state where the student lives in Newport News, Virginia

Psychosocial factors associated with postpartum psychological distress

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Psychosocial factors associated with postpartum psychological distress during the Covid-19 pandemic Ostacoli, L., Cosma, S., Bevilacqua, F. et al. Psychosocial factors associated with postpartum psychological distress during the Covid-19 pandemic: a cross-sectional study. BMC Pregnancy Childbirth 20, 703 (2020). https://doi.org/10.1186/s12884-020-03399-5

Describe the classification of the helminth

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Describe how you would diagnose this illness-what additional symptoms would you look for, what diagnostic tests you will do, your expected findings, and the subsequent treatment and prognosis. Create a list of at least four other differential diagnoses. Describe the classification of the helminth associated with the assigned disease,

Surgical nursing experience

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You are part of a team gathered to plan for the growing needs of the hospital surgery department. The hospital you work for is a large non-profit healthcare system in several communities in your state and the system has a good reputation.  Your role is a surgery nurse and you have worked in the surgery department of this hospital for 5 years.  You are an RN, and you have over 10 years of surgical nursing experience.  Consider the following and discuss with your peers:

  1. Who should the members of the team include besides yourself and why?
  2. There is an option to expand the current surgery wing in the current hospital, there is an option to lease or purchase land about 15 miles away and build a new surgery center, and there is an option to collaborate with a private surgery group that has several for-profit stand-alone surgery centers in the same area which perform more services than your hospital currently supports. How would you decide which option to recommend and what information would you prepare for your presentation?
  3. What risks and challenges could be barriers and how would you plan for risk assessment?
  4. Discuss the budget planning and estimation process and key factors to include in your recommendations.

Medication order for morphine

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You are the lead Pharmacy Technician at your local trauma center. You are training a new Pharmacy Technician in your unit and have created a scenario to share with them as part of the training strategy. An RN from the Emergency Room (ER) provides a medication order for morphine and states that she needs the medication urgently. Due to the urgency, the attending physician was unable to sign off on the prescription order. The RN says that the patient weighs 60 kg; she also asks if this is a medication that could be dispensed from the ER’s Pyxis machine.

Antibiotic therapy for a urinary tract infection

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A female client receiving antibiotic therapy for a urinary tract infection complains of itching, burning, and inflamed perineum. What instruction should the nurse provide? a. Use nylon undergarments at least every other day. b. Dry skin thoroughly and apply clotrimazole (Lotrimin) to the affected area TID. c. Keep perineum moist and use miconazole nitrate ( Monistat-Derm 2%) PRN. d. Stop the antibiotics immediately due to possible allergic reactions. 54. Vaginal exam of a client who is admitted in early labor reveals cervical dilatation of 2 cm with 50% effacement and a -3 fetal station. The client tells the nurse that a friend’s bag of water was ruptured by the doctor to make labor progress faster, and she is concerned because the doctor did not rupture the membranes. What response is best for the nurse to provide? a. Cervical dilatation to 4 cm is needed to rupture the membranes. b. T

he bag of water is not ruptured until the birth is imminent. c. Rupturing the bag of water does not have any effect on labor. d. The baby’s cord can prolapse if the fetal head is high in the pelvis. 55. The nurse initiates a one-to-one relationship with a 36-year-old depressed female client who was recently admitted to the psychiatric facility. Which nursing action is most effective in promoting the development of a therapeutic relationship? a. At your first meeting clearly define the unit’s rules and policies. b. Ensure that scheduled appointments begin according to the schedule. c. Re-direct all conversations to discussions about feelings of low-self esteem. d. Obtain client data from her family to use at the first meeting with the client. 56. A client at 40 weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive. What actions should the nurse plan to perform? (Select all that apply.) a. Place her in a negative pressure room. b. Use standard precautions. c. Establish contact isolation. d. Notify the pediatrician that the mother is HIV positive. Administer zidovudine (AZT) intravenously. Promote bonding by encouraging breastfeeding. 57. It is most important for the registered nurse (RN) who is working on a medical unit to provide direct supervision in which situation? A postpartum nurse pulled to the unit needs to start a transfusion of packed red blood cells.

Weaknesses in human memory

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Provide a brief critique of the experiment and its application to the real world. You should be sure to discuss any problems with the methodology of the experiment or any problems with the interpretations of the results. Additionally, consider how the findings of the study can be applied to real-world issues. How could findings from the experiment be applied to develop policies or procedures to improve human memory in different professional settings? What strengths or weaknesses in human memory do the experiments highlight that would be important for professional disciplines?

The micro-skills used in counseling

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A Counseling Skills Experiment As with all new skills, time and practice make a difference. The micro-skills used in counseling are no different. Practicing skills even in social conversation offers insight into the effects of applying these skills so that you can use them intentionally in counseling. Intentionally use one of this week’s micro-skills ( attending skills, encouragers, a reflection of content, or reflection of feelings ) in a social conversation with a friend or co-worker. In 3 or 4 paragraphs describe what happened and identify the impact that using this micro-skill had upon the interaction. Be specific.

 

Treatment of autism

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Your 4-year-old nephew has been diagnosed with autism. Your dad doesn’t understand what that means. Explain to your dad the symptoms that comprise autistic disorder, and assess the potential for the treatment of autism. Next, your mom blames your brother, saying he’s too permissive and doesn’t give your nephew enough affection. Include in your essay an explanation to your mom why it is no longer believed that parenting plays a role in autism.

2.  Your 13-year-old sister has been diagnosed with ADHD. Your grandmother has no idea what that means, but she is very worried—she has heard that kids who get diagnosed with this disorder get put in “dumb” classes. Describe to your grandmother the symptoms of ADHD and assess the potential for treatment. In your essay be sure to explain to your grandmother the main concern for children diagnosed with ADHD, and evaluate ways that this concern may be addressed.

The importance of research in psychology

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Replicate the Coin Flip Experiment. Flip a coin 50 times. For each coin flip record the results. Based on the results if you flip the coin one more time do you think you can predict the result? Discuss if you noticed any patterns in the results of your experiment and how this experiment helps us to understand the importance of research in psychology.