Brenda is working in a busy walk in clinic on a warm Saturday morning. The music in the clinic is loud. The clients are talking amongst the waiting rooms. Several clients are lined up waiting to register. Steven is next in line. His eyes are down, his voice is soft. Brenda is a professional and is aware of the importance of her interaction with Steven. He is hesitant to speak out loud.

1.What makes face-to-face communication unique in a health care setting?

2. Why is Brenda’s interaction with Steven important? What type of values in a relationship is she trying to establish?

3. Based on Steven’s facial expression and tone of voice, how might Steven be feeling?

4.Identify and explain 1 way that Brenda could demonstrate confidence during this interaction. (1 mark)

5. Identify and explain 2 ways that Brenda demonstrate professional etiquette during the interaction.

6. What strategies could Brenda utilize to maintain Steven’s confidentiality ? Provide 2 strategies and explain how each maintains confidentiality.

7. In your own words, explain what diplomacy is and provide 1 example of how Brenda might demonstrate diplomacy during her interaction with Steven

8. Create an example of an open-ended question that Brenda can ask Steven to solicit his health needs.

Briefly explain how a healthy diet and supplements reduce depression for my research paper include references as well. Thank you!

(1) Describe common types of endocrine and musculoskeletal system disorders: causes, clinical manifestations, diagnostic tests, and treatments

(2)What is Hashimoto’s disease and what are its manifestations?

(3) Compare and contrast common endocrine and musculoskeletal conditions: causes, clinical manifestations, diagnostic tests, and treatments.

Assignment title or task: Identify which study design is applicable for studying the following health outcomes and why?
1. Number of new cases of obesity among college students in Saudi Arabia in 2019.
2. The number of students with obesity who are physically active and the number of students with obesity who are physically inactive.
3. Give two difference between descriptive and analytic cross-sectional study.
* Answer should be ( 300 - 350) Words.

What must exist between a receptor and a drug for the drug to be effective? Explain

Chronic drug administration can result in which of the following effects? Explain the answer.

            a. down regulation of the receptor

            b. receptor desensitization

            c. tachyphylaxis

            d. drug tolerance

Measures directed toward persons as part of the treatment and management of their clinical and chronic diseases are called:

Case Study Scenario: Ms. Amal is a 22-year-old female student with a history of type 1 diabetes mellitus, diagnosed when she was 5 years old. She has been brought into the emergency department this morning by her father, Mr. Seed, as she is lethargic and unable to make any sense. Mr. Seed reports she has been unwell with a flu-like illness for the past week, with nausea, vomiting, and productive cough over the past two days. Amal had decided not to take her usual insulin dose last night as she had not been eating and her blood sugar was low 8.1 mmol/L. Ms. Amal stated that she so much worries about her status as she always feels tired and unable to concentrate on her study and most often sleep in class. On examination, the nurse finds Amal has deep, rapid respirations, acetone smell on her breath, and her skin is flushed and dry. Her Father, Mr. Seed, reports she had gone to the toilet several times during the night. Her blood glucose level (BGL) is 42.1 mmol/L and her ketone levels are 7.1 mmol/L. Urinalysis shows large amounts of glucose. Her vital signs are: • BP= 102/54 mmHg • HR= 112 beats/minute • RR= 36 breaths/minute, rapid and shallow • T= 36.2°C • SpO2= 96% with no supplemental oxygen. The health care provider suspect Amal has diabetic ketoacidosis (DKA) and order two large-bore intravenous (IV) cannula inserted for fluid resuscitation and IV insulin administration.

Q1. Make a shortlist of Ms. Amal symptoms?

Q2. Distinguish between the subjective and objective signs and symptoms

Q3. Identify potential problems for Ms. Amal?

- Q4:

a. Identify two top priorities health problems for Ms. Amal?

b. Determine two target goals for the selected health problems?

Q5. Determine a nursing diagnosis using the PES format for each selected priority health problem.

- Q6. Develop a care plan that includes A, B, and C for one priority health problem:

a. Identify two of Amal’s need

b. Plan two goals/outcomes

c. Identify six nursing interventions

- Q7:

a. List least 5 different, relevant sources specific to nursing process and NANDA diagnosis to be mentioned for full 5 marks.

b. Follow APA- American Psychological Association style reference format

When I consider the practice situation in which I was the most concerned about issues related to the social determinants of health, what did I think? What did I believe? How did I act? What might that situation have been like for the individual patient/client, family members or group I was working with?

Why does the diencephalon play a vitally important role in the coordination of body functions? Explain and give an example.

The dose of ofatumumab (Arzerra) for a patient is 300 mg. In preparing an IV infusion, a pharmacist draws the calculated volume of drug from a 50-mL vial containing 1 g of the drug. This quantity is then added to a 1-L bag of normal saline. The infusion is programmed to flow at a rate of drug of 3.6 mg per hour.

(a) What volume (in mL) of the drug from the vial is needed for the patient's dose?

(b) What is the rate of flow needed (in mL/min) to administer the dose to the patient? Express to the nearest thousandth (3 decimal places)

(c) How many hours are needed to administer the dose to this patient? Express to nearest tenth of an hour.

1. Bill McDonald, 65 years of age, is a male patient diagnosed with chronic obstructive pulmonary disease (COPD). He is going to be discharged with home oxygen at 2 L/min per nasal cannula. According to Medicare guidelines, the patient falls into the group 1 patient category, the patient’s O2 saturation on room air was less than 88% and his PaO2 was less than 55 mm Hg, which was obtained from an arterial blood gas (ABG) at room air. The physician completed the script for the home oxygen therapy according to Medicare guidelines. The information that needed to be included on the script was the documented diagnosis, the prescribed liter flow, the frequency of use in hours per day, and the number of months in duration. The results of the pulse oximetry and the ABG were also included in the script to justify the need for the home oxygen therapy. The nurse needs to make arrangements with the social worker to obtain an agency to supply the oxygen equipment needed and to provide follow-up on a regular basis. The supplier makes arrangements to deliver an oxygen concentrator and portable tanks or concentrated oxygen and oxygen regulators, and needed supplies, including 50 feet of tubing, and nasal cannulas. (Learning Objectives 1 and 2)

What home care considerations need to be made before the patient is discharged and what considerations need to be made once the patient arrives home?

What patient and family education must the nurse provide in regard to home oxygen therapy?

When I reflect upon a specific situation where a social determinant of health constrained my nursing practice, what did I think? What did I believe? How did I act? How might the individual, family or group I was working with have experienced that situation?