Questions
Erin is a 19-year-old university student in her second year at university. Erin is bright and...

Erin is a 19-year-old university student in her second year at university. Erin is bright and has always been a high achiever at school, and her parents have been keen to prompt her to follow her dreams and encourage her pursuits. Erin loves cooking for her family, particularly her older brother Josh. In order to achieve the best possible Year 12 score, Erin’s parents decided to move her to a private school for girls that had a good reputation for university acceptance. Erin’s mother took on extra work to pay for the school fees. While Erin was sad to leave her old school and friends, she agreed that this was the best choice for her academically. Things did not go as well as planned, however, and Erin was subjected to distressing bullying from the beginning of Year 12 until she finished the school year. Erin has always been conscious of her health and weight but was targeted because she had ‘fat legs’

and the bullies sent her text messages of ‘fat people’ and memes with derogatory messages about her. Because her parents had made sacrifices for her to attend this school, Erin didn’t want to tell them that she was being bullied, so she kept it to herself. This bullying had a devastating impact on Erin’s self-esteem, and she began dieting. People would comment on how great she looked, so she continued dieting. She felt she had some control over what she ate, and this made her feel better. When her local gym had a special rate for new members, Erin joined. When she wasn’t at the gym, she was studying. Because she was working out so much, and restricting her diet, Erin became seriously constipated. So, she went to her local pharmacy and began buying laxatives. Erin noticed that they helped with her constipation, but they also reduced her weight (Erin would weigh herself daily), so she began taking them all the time. It got to the point where her local pharmacy would not sell them to her anymore, so she began buying them from multiple pharmacies and online. Despite the turmoil at school, Erin did well academically and achieved exceptionally high marks in her final exams. She got her first preference for courses and enrolled in a Bachelor of Dietetics at a well-regarded university. Recently, however, wearing baggy clothing and restricting her food intake has been causing suspicions. Her mother has told her she is too thin, and her brother and father have expressed concern about her –but Erin doesn’t see it this way. When Erin looks in the mirror, she sees the fat girl who was bullied in Year 12. Erin has collapsed at her gym several times, and staff have expressed concern about her weight. Erin worried that as with the pharmacy, she will need to find another gym. At 1.62 cm tall and weighing 41 kg, Erin’s BMI is 15.6.

  1. What are some of the physical risksassociated with Erin’s behaviours?
  2. Erin is exhibiting many different behaviours consistent with ED. Describe what these are;
  3. EDs can be upsetting for family and friends of the consumer, and family members who are concerned about their loved one are almost always correct in their ED concerns. What are the impacts on the familyare common when a member has an ED;
  4. Investigate longer term issues that may impact recoveryfrom an Eating Disorder.
  5. Develop three questionsyou would ask Erin during an interview to complete an MSE. They could be from any MSE area.
  6. Complete a risk assessment;
  7. Develop a nursing care plan.

In: Nursing

Your CIO asks you develop a governance plan for enhancing information access that is necessary for...

Your CIO asks you develop a governance plan for enhancing information access that is necessary for the success of an expanded population health program. Part of your plan is the introduction of new KPI’s.

List five (5) KPI’s associated with the new governance plan. For each KPI, include metric, definition, and goal.

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Jerry is a 35-year-old man who is studying horticulture part-time at his local TAFE and working...

Jerry is a 35-year-old man who is studying horticulture part-time at his local TAFE and working part-time for the government in a forestry role. Jerry has had bipolar disorder since his late teens but was only officially diagnosed three years ago. Recently, Jerry has started staying up longer during the night working on his assignments, and for the past five days he has not slept at all. For the past month, Jerry has only been sporadically taking his prescribed medication. Last week Jerry’s neighbours made a complaint to the body corporate in the unit where Jerry lives after he did some gardening in his courtyard at 3 am, followed by mowing the communal areas at 4.30 am. Jerry thinks his neighbours need to ‘chill’ and that he was actually in the middle of a breakthrough that could result in reversing global warming. Jerry believes that his neighbours should mind their own business and stop interfering with his creativity, and he cannot understand why they are confused by his ideas. Jerry believes he is on the ‘verge’ of a major discovery. While he was writing his latest assignment, his research helped him unearth a discovery that will reverse global warming, resulting in him making millions of dollars. When the morning came, Jerry quit his job. Jerry’s major concern now is what will happen if he accidentally reverses global warming too much and the temperature becomes too cool. While he is worried about this, he believes everything will probably be okay, because it all comes down to the word ‘land’ and it will ‘even out’, but he does want to seek clarification on this. Jerry is reassured because people live in Iceland, Greenland, Ireland and Poland and these are all cold climates. It will all balance out because there are equal numbers of countries in warmer climates that have the word ‘land’ in them, too, such as Swaziland, Thailand, New Zealand and the Falklands. Outcomes being ‘even’ is of great importance to Jerry. Jerry’s father Paul visited him a few days ago for dinner and is worried about him. Despite Paul making dinner, Jerry couldn’t sit still long enough to eat it. Jerry doesn’t want to talk about the possibility that he may be unwell again, because, he says, ‘It’s not like last time, Dad.’ Yesterday, Jerry attended the Polish embassy requesting they work with him on his project. He demanded to see the ‘most senior person here’ because they would be the only one who could understand his discovery. Both the Thai and Irish embassies had refused to return his calls. Jerry became upset when a representative from the Polish embassy exports department would not meet with him. Jerry was talking rapidly and loudly, and staff could not follow the topic of his conversation. Jerry became irritated when staff didn’t provide the information he wanted and eventually security was called. Jerry was taken to his local hospital for assessment and later admitted.

  1. You have been asked to formulate a risk assessmentfor Jerry. Based on the information in the case study, what risks would you identify? Use the form attached to this tutorial guide.
  2. Describe these features of the presentation of mania: pressured speech, disinhibition, punning, grandiose delusions, and second person auditory hallucinations. Provide examples from the video, or from Jerry’s case study.
  3. Jerry became irritated and security were called, and he was taken to his local hospital for assessment. What is the difference between ‘voluntary’ and ‘involuntary’ treatmentin the context of mental health act legislation in your state or territory?
  4. Treatment for Bipolar Disorder includes antipsychotics, anxiolytics, antidepressants and most commonly mood stabilizers. Investigate the following psychotropic medications known as Mood Stabiliser- Lithium Carbonate, Sodium Valproate, Lamotrigine and Carbamazepine. Consider the importance of effective monitoring, consumer experiences(side effects) and safety factors(e.g. Lithium Toxicity). Discover the other therapeutic use for the last three medications.
  5. The mental state examination (MSE) is a formal assessment used in both diagnostics and ongoing assessment. How can the principles of a therapeutic relationshipfacilitate the processof obtaining information through an MSE?
  6. Australia’s legal system requires health care clinicians to operate within a ‘least restrictive’ framework. Discuss where this approach is evident in the mental health act legislation in your state.
  7. What does the mental health legislation act in your state or territory stipulate about ‘recovery’?
  8. How can the mental health nurse apply Bandura’s concept of self-efficacyto support consumers in medication self-management?

In: Nursing

Public Policy/Health Informatics information Governance and Value-Based Healthcare Describe why an understanding of the relationship between...

Public Policy/Health Informatics

information Governance and Value-Based Healthcare

Describe why an understanding of the relationship between information governance and value-based healthcare is important for healthcare organizations today.

In: Nursing

Write a descriptive about lymphocytic leukemia (keep them unidentified) and must be at least 250 words

Write a descriptive about lymphocytic leukemia (keep them unidentified) and must be at least 250 words

In: Nursing

Choose an ethical area of concern. Consider a real life problem that is timely and presents...

Choose an ethical area of concern. Consider a real life problem that is timely and presents an ethical dilemma for the healthcare provider or the healthcare industry. This dilemma can be a healthcare related ethical dilemma from a recent magazine, healthcare journal, or reputable newspaper article.

In: Nursing

Discuss Communication and give examples of how you personally demonstrate this SLO. Include how you utilize...

Discuss Communication and give examples of how you personally demonstrate this SLO. Include how you utilize scholarly writing, collaboration, and information management to provide and promote cultural competence and population health.

In: Nursing

Explain the pathophysiology of Multiple Sclerosis

Explain the pathophysiology of Multiple Sclerosis

In: Nursing

Explain what Vaughn means when he says that one of the key features of ethics is...

Explain what Vaughn means when he says that one of the key features of ethics is that they have "normative dominance" and give at least one concrete example of ethics being normatively dominant.

In: Nursing

what are some ways that the nurse could provide for the psychosocial and spiritual comfort of...

what are some ways that the nurse could provide for the psychosocial and spiritual comfort of the client? provide an evidence based rationale for your response.

In: Nursing

Mr. John is a 55-year-old male, who presents to the A & E department at 4:00...

Mr. John is a 55-year-old male, who presents to the A & E department at 4:00 pm with a history of shortness of breath, diaphoresis, severe left-sided chest pains, rating 10/10 on the pain scale, for the past three hours.

Mr. John is a known hypertensive and diabetic patient, who is non-compliant with his medications. He is also overweight. He smokes a pack of cigarettes every day for the past fifteen years. The patient notes that he was admitted to hospital one year ago and was treated for angina pectoris and his father died of an MI at age 65. He is married and is a father of four children.

On admission his vital signs were T 37.9, P 112, R- 32, BP- 156/108, blood glucose- 346mg/dl. He had a physical assessment and various test done and a diagnosis of Acute Myocardial Infarction was made.

identify three nursing diagnosis for this patient?

In: Nursing

how can the nurse provide support for the family/ loved ones of the dying client? provide...

how can the nurse provide support for the family/ loved ones of the dying client? provide an evidence based rationale for your response

In: Nursing

What is dehydration? What are some conditions that may lead to dehydration? What are the signs...

What is dehydration? What are some conditions that may lead to dehydration? What are the signs and symptoms that an adult patient would exhibit?

In: Nursing

Write a short essay that summarizes the health care manager’s role in achieving successful organizational performance.

Write a short essay that summarizes the health care manager’s role in achieving successful organizational performance.

In: Nursing

1) why would oxytocin be given to a woman after a cesarean section? 2) Describe the...

1) why would oxytocin be given to a woman after a cesarean section?
2) Describe the two strategies for diagnosing gestational diabetes. what are the advantages of each?
3) You are counseling a patient about DMPA. what do you tell her about this method of contraception?

In: Nursing