do you think the world is threatened by a population explosion? why do people find alienation or community in the city?

Eleanor has always loved working with patients at a large cancer center in her city. Recently, however, you have noticed that the loss of one particular patient, Maria, has really been quite a blow for Eleanor. This is not the usual response Eleanor has to a patient’s death, and having worked at the center for 8 years, she has experienced her share of patient deaths. After Maria’s death, Eleanor wrote a brief post on her Facebook page saying, “Lost a very special person today,” and posting a funny little traditional Irish poem Maria liked to recite. She has also, by invitation, joined a special page Maria’s family has set up to celebrate Maria’s life and share memories. One day, a few of Eleanor’s colleagues criticize her for this while you are having lunch with Eleanor in the center’s cafeteria. “Sharing anything about a former patient is inappropriate,” one nurse tells her. The other nurse nods. “Even participating or joining the page at all is inappropriate.” After they leave, Eleanor looks at you, and then buries her face in her hands. “Do you think I was wrong?” she says. “Maria was my patient, I know, but we grew so close over the last months. She and her sisters and I became actual friends. I just thought my happy memories of some of Maria’s good moments might help other people celebrate her life too. In fact, I got incredibly positive feedback from Maria’s family, and even friends of hers that I didn’t know, on the anecdote I shared.” She lowers her hands and looks at you. “I don’t know. I know, I know, she was a patient, yes, and I was the nurse. But I loved her anyway. Am I unprofessional for grieving like this? Do you think maybe I’m depressed or having some kind of breakdown? What should I do?”

1. Given the criticism Eleanor has received, what specific type of grief is she most likely experiencing? How might it be contributing to Eleanor’s prolonged pain, and what can you do to help her?

2. Eleanor feels guilty for grieving like this for a patient and worries that she is experiencing depression. Based on what you know, how would you answer? What is the difference between normal grief and major depressive disorder?

Mr. Jackson carries a diagnosis of coronary artery disease and sometimes experiences exertional angina. When this occurs he uses 1 tablet of NTG 0.4 mg SL which relieves the discomfort. What medication is absolutely contraindicated when using NTG and why ? What should be advised if the patient experiences non exertional chest pain and why?

Using the case study below - What are the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms, Are there any racial/ethnic variables that would impact the physiological functioning, How do these processes interact to affect the patient?

Case Study: A 58-year-old obese white male presents to ED with chief complaint of fever, chills, pain, and swelling in the right great toe. He states the symptoms came on very suddenly and he cannot put any weight on his foot. Physical examination reveals exquisite pain on any attempt to assess the right first metatarsophalangeal (MTP) joint. Past medical history positive for hypertension and Type II diabetes mellitus. Current medications include hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC normal except for elevated sedimentation rate (ESR) of 33 mm/hr and C-reactive protein (CRP) 24 mg/L. Metabolic panel normal. Uric acid level 6.7 mg/dl.

What class of antibiotics may cause a tendon rupture? What makes it more likely to occur? What instructions should be given to the patient when prescribing this class of antibiotic?

makeup a discharge teaching plan for postpartum women that focuses on prevention and early detection of the childbirth complications of hemorrhage, infection, and thromboembolic disease.

Mr. Mc Connell carries a diagnosis of poorly controlled asthma. The Nurse Practitioner is checking the electronic health record and notes that his usage of Albuterol is excessive. Mr. Mc Connell is going through 1 canister every 10 days. What would your first steps be and what recommendations would you give this patient ? Please explain your rationale.

Mr. Sanders has recently undergone an EGD which revealed a gastric ulcer. What medication would be recommended at this time ? Would a H2 blocker or a Proton Pump Inhibitor be more beneficial to him and why ? What is the difference between the two classes of medication?

Which theory is the manager using if planning change on the unit focuses on the self-motivation and commitment of the employees?

Theory Y

Path-Goal theory

Social Role theory

Hierarchy of Needs theory

What class of antibiotics may cause a tendon rupture ? What makes it more likely to occur ? What instructions should be given to the patient when prescribing this class of antibiotic?

Colchicine is commonly prescribed for Gout exacerbations. What other conditions might Colchicine be prescribed for and why?

Ms. Warren is having gastric bypass surgery tomorrow She is a diabetic and injects 30 units of 70/30 insulin SQ in the evening before dinner and in the morning before her breakfast. What pre op instructions ( 24 hours before surgery ) should the Nurse Practitioner give her regarding her insulin dose and why?

Ms. Warren's TSH level is 41. The normal range for the TSH , depending on your institution is approximately ( 0.4-5.0 mU/L ) What is her diagnosis ? What medication, if any, should the Nurse Practitioner prescribe ? How often should the Nurse Practitioner monitor a TSH ? What should the TSH goal be?

If Ms. Harris has a known allergy to Penicillin, would it be reasonable to treat her acute sinusitis with Cephalexin and why ? What type of allergic reaction to Penicillin would be an absolute contraindication to prescribing Cephalexin?