. During your psychiatric–mental health nursing rotation, you have been asked to spend several days with a home health nurse. How would you feel about caring for someone in his or her home? What are some reasons that you would prefer to have a family member treated in your home rather than in an institutional setting? What difficulties do you think a psychiatric home care nurse might encounter in the home compared with the hospital setting? What would you find challenging and rewarding about working in the home setting? 10, 11 2. Jeremy is a 42-year old man who suffers from severe and persistent mental illness. His family is interested in finding out more about preventative services. What is the difference between primary, secondary, and tertiary prevention services? Provide a list of community services available in your local area. Identify the services as primary, secondary, or tertiary. 1, 2 3. Your local community is looking to increase the mental health services available to citizens. A community support system is being developed and will be run by the health department. List and explain the three tenets of community support systems. List one of the principles that are basic to psychiatric rehabilitation. Explain how an institution could strive to achieve this principle.

Why is the ability to determine when death has occurred so critical in today's healthcare environment?

Which of the following correctly describes the exercise-aging cycle?

What is a hospital chargemaster? Please provide a paragraph that describes what it is but also the history of how it started and how it is used to determine what a hospital gets charged.

_{please answer without plagirism}

• Scientists believe that the human lifespan is 120. What is the difference between life span and life expectancy? Do you think living to 120 is a realistic expectation? Why or why not?
• "Blue Zones" refer to areas around the world where people live measurably longer lives than others. What have scientists learned from these Blue Zones?
  • What do these centenarians generally have in common?  
  • Do you think you could adopt a similar lifestyle? Why or why not?
• Why do scientists believe that restricting your calorie intake will help you live longer? Would you be willing to use a calorie restricted diet, or an intermittent fasting regimen, if it assured that you would live longer? Why or why not?  
• When it comes to food choices, many older adults have the philosophy of "I am going to die anyway, why not enjoy the foods I want." What are your thoughts on this? Do you share this philosophy?  

The Affordable Care Act (Obamacare) has changed the health care environment in America. Pick one of the following stakeholders and discuss the implications of the Affordable Care act for them. Have these implications changed significantly under the current administration in the White House?

During times of stress or illness, patients may require a sliding scale insulin regimen. what is a sliding scale regimen? Why would someone under stress or experiencing illness require more insulin?

They say that your first day of internship is essentially like your first day of school: part two. I see it as a 180 hour job interview, but what exactly is internship? Using your own words, explain the following discussion topics.

1. What is internship?

2. What is the value or benefits of internship?

3. What can you do today to start preparing for internship?

The patient with type 2 diabetes mellitus may control blood glucose levels with the use of oral hypoglycemia without needing insulin. how do hypoglycemics work?

You are caring for an elderly resident at a long care center. This resident has prescribed Lantus 30 units at bedtime and 5 units of Humalog with every meal. What is the purpose of this prescribed regimen? How will you know if this regimen is therapeutic for this resident?

If you were a doctor or hospital administrator, what principles and arguments would you use to decide a medical ethical case involving voluntary euthanasia where the duty to aid and the duty to preserve life were in conflict with the duty to prevent suffering and the duty to respect autonomy?

I agree or not agree and why? *meaningful* comments (not just "I agree" but something substantive engage the ideas).

Although there have been recent events that seem to cause the collapse of civilization likely in the coming decades, I do not think that it is immoral to have children. Also, regarding reducing greenhouse gases, I do not think that people should be restricted to having less children. Procreation is a basic, fundamental right that is deeply valued and is important for the continuation of the human society. Procreation is one of the most important events in some peoples’ lives and the to cultural expectations. Some people may argue that to question someone for their procreational choices is also a morally inappropriate. To many people, bringing a child into the world causes them extreme happiness. Procreating is often seen as a lifelong project to many prospective parents and they would see limitations to their choices as inappropriate and excessively demanding. Many may argue that it is not the best choice to bring a child into a world full of chaos and uncertainty, but that ultimate decision should only be made by the parents. Trevor Hedberg states that “it is inappropriate to claim that an individual’s procreative acts cause harm in the morally relevant sense,” which I completely agree with because you will not know if that child will cause harm to others until he/she has grown up. The world in which we live in today is vastly different than what that child will live in, but there are always ways to adapt and find solutions to problems, just as today’s society has done. Procreation is our moral right and the decision to do so, during these times, should not be judged negatively.

Marvin, a 42 year old factory worker, comes to his physician complaining of an open sore on his left shin that does not seem to be healing. As the doctor unwrapped the bandage the patient had applied, a strong odor was detected. She identified the wound as an infected venous stasis ulcer. She noticed that the lower leg was edematous and the skin of the foot and ankle was somewhat discolored. Portions of the saphenous vein were visibly distended and tortuous. An oral history revealed that the patient stood at a workbench all day on the job. She explained to the patient that his varicose veins were caused by valvular incompetence in his veins. This had progressed to the chronic venous insufficiency he was now suffering from. After the infection was controlled with antibiotics, the patient was advised to wear elastic stockings, sit down at work whenever possible and to perform toe raises every 5 minutes if he did have to stand up for extended periods. 1. What is the likely cause of the patient’s valvular incompetence? 2. Why does valvular incompetence lead to varicose veins and chronic venous insufficiency? 3. Why does venous insufficiency result in edema and venous stasis ulcer formation? 4. What is the likely reason that the ulcer became infected? 5. What is the rationale for the advice about stockings, seated posture and leg raises?

You work in a "planning" clinic and follow a young couple who are planning to have a first child soon. Unfortunately the couple experiences some difficulties.Several months later and after several attempts, you have a second
meeting with the couple who failed to give birth. You ask thishave a blood sample taken from them. The woman's blood work returns to normal, except for a low levelovarian hormones. Note that the woman is, at this time, in the phase
luteal of its ovarian cycle.
a) How does this result explain the woman's inability to get pregnant?
(Explain in detail the physiological processes impacted by hormones
ovaries at this stage of the cycle and how they influence the ability of the
woman to get pregnant)
b) What would you prescribe the woman to deal with the problem? Why?
(Make the connection between the physiological processes described in a) and your choice of treatment