1.Describe the difference between the heart’s working cells and the specialized cells of the electrical conduction system.

2.List the coronary blood vessels that supply the right ventricle.

3.List the coronary blood vessels that supply the left ventricle.

Chapter 1 through 10

TRUE/FALSE

Write T for true or F for false.

1. Communication across all sectors of the health arena is critical to quality care.

2. Communication between provider and consumers affects every facet on the health continuum from health promotion and disease prevention to assessment, diagnosis, and treatment.

3. Treatment adherence leads to better health out- comes and no adherence places the patient at risk for poor recovery and dis- ease progression.

4. Treatment adherence refers to not only medication adherence but also compliance with appointment schedules, diet and exercise regimens, or lifestyle modifications.

5. The relationship of trust between patient and provider is built on the effectiveness of their communications.

6. Cancer and Diabetes are the example of chronic diseases.

7. Symptoms are not observable by provider.

8. NIH is stands for National Institute of Health

9. CDC is stand for Center for Disease Control

10. The information processing that goes on within the brain has three distinct steps.

11. Parasympathetic system involve the fight-flight mechanism

12. Sympathetic system involve the relaxation

13. Teach back is the approach of choice with patient who understand their treatment regimen

14. Member of most subculture in USA are more comfortable to talk about their health problems with providers.

15. IOM drafted a few reports to improve the healthcare quality in USA.
16. One of the most common modes of human communication involves the use of questions.
17. Questions are customarily the primary tool for healthcare providers because providers are diagnostically driven and are continually seeking to assess patients
18. Ruling-out questions include questions that seek clarity and are generally more direct
19. Interpretative questions are used to collect data.
20. Interpretive questions are used to give information.
21. Are you following the diet and exercise plan I gave you? This question is example of direct question.
22. There are three types of questions formats.
23. Multiple-choice questions do offers options to the patient; patient has the choice of what to follow.
24. “Do you want some water?” is the example of open-ended question.
25. Would you prefer to have your bath before or after breakfast?” is the example of open-ended question.
26. Two types of trust are general and specific. Bonus Question

A client is admitted to the emergency department with shortness of breath, excessive sweating, and nausea. The client states, "It feels like my chest is ripping open!". The nurse prepares for emergency treatment for which of the following conditions?

Group of answer choices

A. Acute arterial occlusion

B. Aortic aneurysm

C. Venous thrombosis

D.Aortic dissection

Post a treatment plan for the older adult client in the Week 10: Case Study found in this week’s Learning Resources. Be sure to address the following in your post:

• Which diagnosis should be considered?
• What is the DSM-V Coding for the diagnosis you are considering?
• What is your rationale for the diagnosis? Be sure and link the client’s signs and symptoms to the DSM-V diagnostic criteria to support your diagnosis.
• What tests or tools should be considered to help identify the correct diagnosis?
• What differential diagnosis should be considered?
• What Treatment Strategy would you recommend?
• What treatment would you prescribe and what is the rationale?
• Safety
• Psychopharmacology
• Diagnostic Tests
• Psychotherapy
• Psychoeducation
• What standard guidelines would you use to treat or assess this patient?
• Clinical Note: Is depression a normal part of aging?

Support your approach with evidence-based literature.

NURS 6640: Psychotherapy with Individuals

Week 10: Case Study

IDENTIFICATION: The patient is a 69-year-old, widowed African American male who is the father of one adult child and grandfather of six grandchildren. The patient is self-referred to a psychiatric outpatient clinic.

CHIEF COMPLAINT: “I need help with depression and anxiety.

HISTORY OF CHIEF COMPLAINT: The patient reports that his father is dying, and he has been experiencing worsening of depression and anxiety symptoms over the past few months. He is seeking a psychiatric evaluation at his son’s advice. The patient does not enjoy being with his family.

He has difficulty falling asleep, but then spends the day lying on the couch and reports feeling like he is “moving in slow motion.” He reports feeling tired all the time. He has also stopped going to his volunteer job at the nursing home.

He responded to the practitioner’s question of “why depressed now?” by saying that with the imminent death of his father, he is losing his main support. In addition to his father’s illness, the patient was diagnosed and treated for prostate cancer this year. He received psychotherapy at that time which focused on his anxiety about the diagnosis, his denial of its severity, his wish to “not know what he knew,” and, ultimately, end-of-life issues.

PAST PSYCHIATRIC HISTORY: The patient was never hospitalized for psychiatric reasons. He has no history of suicidal thoughts, gestures, or attempts. The patient described either a partial or negative response from several medications he had been prescribed from his primary care provider (PCP) over the course of a several years, including Effexor, Prozac, Zoloft Lexapro and Duloxetine.

He is currently prescribed Lorazeapm 1 mg BID by his PCP which he has been taking for several years.

MEDICAL HISTORY: GERD, HTN and hyperlipidemia. History of prostate cancer.

HISTORY OF DRUG OR ALCOHOL ABUSE: The patient denies history of drug and alcohol abuse.

FAMILY PSYCHIATRIC HISTORY: Patient reports that his mother had depression. He is an only

View the “Ethical Issues In Nursing -- Respect: Dignity, Autonomy, and Relationships"

Form a post about Is this interesting to me? Why? Detail response with examples & cited references.

The nurse is planning to give a hypotonic solution to a client. The nurse understands that an infusion of a hypotonic solution would have what effect?

Group of answer choices

A.Water would move from the intravascular space to the intracellular space

B.Water would move from the interstitial space to the vascular space

C.Water would move from the intracellular space to the intravascular space

D.Water would move in equal amounts between the cells and the blood vessels.

A very significant current health issue is COVID-19. Please analyze and provide solutions (i.e., potential solutions) to this public health problem using the social ecological model as a framework. b. Please describe how each level of the social ecological model influences health behavior. c. Recommend an appropriate social behavioral theory for intervention at the intrapersonal or interpersonal level.

67-year-old female presents with chief complaint of shortness of breath, fatigue, weakness, unintentional weight loss, and mild numbness in her feet. She states she feels unsteady when she walks. PMH includes hypothyroidism well controlled on Synthroid 100 mcg/day. – Presents with pale conjunctiva of eyes and pale palate. Tongue beefy red and slightly swollen with loss of normal rugae. Turbinate’s pale but no swelling. Liver edge palpated two finger breadths below right costal margin. No hx of HTN or CHF. Lab data- hgb, hct, reticulocyte count, serum B12 levels low, mean corpuscle volume, plasma iron, and ferritin levels high, folate, TIBC are normal.

What is patient presenting diagnosis, are there any concerns with patient Liver, what anemia is patient suffering from, what are the other types of anemias, what sign & symptoms indicate a deficiency and what do the lab work indicate?

1. Active range of motion is:

Select one:

a. increasing ROM at the joints moved

b. for strengthening muscles

c. performed under supervision of the PT/PTA to ensure correct performance

d. the best for maintaining joint motion

2. An example of a capsular end feel is:

Select one:

a. scapular protraction

b. shoulder external rotation

c. elbow extension

d. ankle dorsiflexion

3. When positioning a patient in prone, placing the arms alongside the head may result in decreased circulation to the arms.

Select one:

True

False

1. Fatigue during gait training may be due to:

Select one:

a. medications

b. amount to be learned to safely use an ambulatory assistive device

c. time of day gait training is started

d. physical effort required to use an ambulatory assistive device

2. In the sidelying position, the uppermost lower extremity is placed:

Select one:

a. on pillows to prevent adduction and pressure on the lowermost lower extremity

b. all

c. directly on top of the lowermost lower extremity

d. on pillows in abduction to decrease pressure on the lowermost lower extremity

Short explanatory notes on decalcification provess.

Write a brief essay examining the issues concerning confidentiality in current enabling technologies in the healthcare environment. Give three examples of how technology can be more effective than a manual system in maintaining patient privacy ( about 250 words)

Subject-Follow safe work practices for direct client care

1. Why is it important to conduct environmental assessment to identify potential sources of risk to personal safety?
2. List step by step procedure to deal with the following:

1. Incident: Fall
2. Fire at workplace
3. Evacuation

3. What is debriefing? Why is it important to address individual needs in workplace?
4. What should you do to prevent infection if you have cuts, abrasions or a skin disorder?