[Solved] NUR 504

Assignment Prompt & Instructions

– ## NUR504Case2.pdf

– ## NUR504Ass1.pdf

– ## NUR504Dis1.pdf

**## NUR504Case2.pdf**

Case 2
Chief Complaint. (CC).
I am here for my

annual physical exam

and have been having

vaginal discharge.”

History of Present Illness (HPI)
32-year-old pregnant

lesbian – her

pregnancy has been

without complication

thus far. She has

been receiving

prenatal care from an

obstetrician. She

received sperm from

a local sperm bank.

PMH- None

PSH- None

Drug Hx
Current Meds:

prenatal vitamins and

takes Tylenol over the

counter for aches and

pains on occasion

Allergies-None

Family Hx
She has a strong

family history of

diabetes. Gravida 1;

Para 0; Abortions 0.

Review of Systems (ROS)

General
No fatigue, fever, or

chills.

Head, Eyes, Ears, Nose & Throat (HEENT)-None

Neck
No fatigue, fever, or

chills.

Respiratory-None

CV- None

GI-None

GU- None

Integument
multiple piercings,

and tattoos. Old

scars related to

“cutting”

MS/Neurono
syncopal episodes

or dizziness, no

change in memory or

thinking patterns; no

twitches or abnormal

movements.

Objective Data
PE
B/P 128/76; Pulse 83;

RR 16; Temp 99.0; Ht

5,6; wt 128; BMI

20.98

General-None

HEENT
Atraumatic,

normocephalic,

PERRLA, EOMI,

conjunctiva and

sclera clear; nares

patent, nasopharynx

clear, good dentition.

Piercing in her right

nostril and lower lip.

Lungs
CTA AP&L

Card
S1S2 without rub or

gallop

Abd
benign, normoactive

bowel sounds x 4

GU
external genitalia

intact, no lesions or

masses. White

copious discharge

with an amine odor;

no cervical motion

tenderness; adnexa

intact.

Ext
no cyanosis, clubbing

or edema

Integument
intact without lesions

masses or rashes.

MS-None

Neuro
No obvious deficits

and CN grossly intact

II-XII

**## NUR504Ass1.pdf**

Comprehensive Mental Health Examination

For this assignment, list the parts of a comprehensive mental status examination (MSE)
for mental health patients. Give examples of each and describe the significance to the
advanced practice nurse.

Submission Instructions

• The paper is to be clear and concise and students will lose points for improper
grammar, punctuation, and misspelling.

• The paper should be formatted per current APA and 2-4 pages in length,
excluding the title, abstract, and references page.

• Incorporate a minimum of 5 current (published within the last five years)
scholarly journal articles or primary legal sources (statutes, court opinions) within
your work.

• This assignment will be assessed through Turnitin.

Mental Exam Rubric

Mental Exam Rubric

Criteria Ratings
Poi
nts

Identificati
on of Main
Issues/
Problems

Distinguished

Identify and demonstrate a sophisticated understanding of the issues/

problems.

20 pts

Excellent

Identifies and demonstrate an accomplished understanding of most of

issues/problems.

18 pts

Fair

Identifies and demonstrate an an acceptable understanding of most of

issues/problems.

16 pts

Poor

Identifies and demonstrate an unacceptable understanding of most of

issues/problems.

8 pts

/20
pts

Analysis
and
Evaluation
of Issues/
Probelms

Distinguished

Presents an insightful, thorough analysis and evaluation of issues/problems.

20 pts

Excellent

Presents a thorough analysis and evaluation of most of the issues/problems.

18 pts

Fair

Presents a superficial or incomplete analysis and evaluation of issues/

problems.

16 pts

Poor

Presents unacceptable analysis and evaluation of issues/problems.

8 pts

/20
pts

Demonstr
ates a
Conceptu
al
Understan
ding

Distinguished

Provides a thorough, competent and interpretive responses to all issues/

problems, and shows a high level of conceptual understanding.

20 pts

Excellent

Provides a competent and interpretive responses to all issues/problems, and

shows a moderate level of conceptual understanding.

18 pts

Fair

Provides a competent responses to all issues/problems, but lacks

interpretation and a moderate level of conceptual understanding.

16 pts

Poor

Provides an unacceptable response to all issues/problems, and lacks

interpretation and a moderate level of conceptual understanding.

8 pts

/20
pts

Use of
Citations
to Course
Readings
and
Additional
Research/
Literature

Distinguished

Effectively uses the literature and other resources to inform their work.

Exceptional use of citations and extended referencing.

20 pts

Excellent

Effectively uses the literature and other resources to inform their work.

Moderate use of citations and extended referencing.

18 pts

Fair

Ineffectively uses the literature and other resources to inform their work.

Moderate use of citations and extended referencing.

16 pts

Poor

Ineffectively uses the literature and other resources to inform their work. An

unacceptable use of citations and extended referencing.

8 pts

/20
pts

Writing
Mechanic
s and APA
Formattin
g
Guidelines

Full Marks

Demonstrate a high level of clarity, precision, and attention to detail. APA

style is correct and writing is free of grammar and spelling errors.

20 pts

Excellent

Demonstrate a high level of clarity. APA style and writing mechanics need

more precision and attention to detail.

18 pts

Fair

Demonstrate a moderate level of clarity. APA style and writing mechanics

need more precision and attention to detail.

16 pts

Poor

Demonstrates issues in writing and communicating clearly. APA style and

writing mechanics need serious attention.

8 pts

/20
pts

**## NUR504Dis1.pdf**

Cultural, Spiritual, Nutritional,
& Mental Health Disorders

For this Discussion, you will take on the role of a clinician who is
building a health history for one of the following cases. Your
instructor will assign you your case number. Case 2

Case 1 Case 2 Case 3
Subjective Data

Chief
Compla
int
(CC)

“I came for my annual
physical exam, but do
not want to be a
burden to my
daughter.”

“I am here for my
annual physical exam
and have been having
vaginal discharge.”

“Annual physical
exam”

History
of
Present
Illness
(HPI)

At-risk 86-year-old
Asian male – who is
physically and
financially dependent
on his daughter, a
single mother who has
little time or money for
her father’s health
needs.

32-year-old pregnant
lesbian – her
pregnancy has been
without complication
thus far. She has
been receiving
prenatal care from an
obstetrician. She
received sperm from
a local sperm bank.

23-year-old Native
American male
comes in to see you
because he has been
having anxiety and
wants something to
help him. He has
been smoking “pot”
and says he drinks to
help him too. He tells
you he is afraid that
he will not get into
Heaven if he
continues in this
lifestyle.

PMH

Hypertension (HTN),
gastroesophageal
reflux disease (GERD),
b12 deficiency and
chronic prostatitis

PSH S/P cholecystectomy

Drug Hx

Current Meds:
Lisinopril 10mg daily,
Prilosec 20mg daily,
B12 injections
monthly, and Cipro
100mg daily.

Current Meds:
prenatal vitamins and
takes Tylenol over the
counter for aches and
pains on occasion

Current Meds: denied

Allergie
s

No allergies to food
or medications.

Family
Hx

She has a strong
family history of
diabetes. Gravida 1;
Para 0; Abortions 0.

He has a family
history of diabetes,
hypertension, and
alcoholism.

Review of Systems (ROS)

General

+ weight loss of 25 lbs
over the past year; no
recent fatigue, fever,
or chills.

No fatigue, fever, or
chills.

No recent weight
gains of losses,
fatigue, fever, or
chills.

Head,
Eyes,
Ears,
Nose &
Throat
(HEENT
)

No changes in vision
or hearing, no
difficulty chewing or
swallowing.

Neck No pain or injury No pain or injury
Respira
tory

CV no chest discomfort
or palpitations

GI

GU
no urinary hesitancy
or change in urine
stream

Integum
ent

multiple bruises on his
upper arms and back.

multiple piercings,
and tattoos. Old
scars related to
“cutting”

history of eczema –
not active

MS/
Neuro

+ falls x 2 within the
last 6 months; no
syncopal episodes or
dizziness

no syncopal episodes
or dizziness, no
change in memory or
thinking patterns; no
twitches or abnormal
movements.

no syncopal episodes
or dizziness, no
change in memory or
thinking patterns; no
twitches or abnormal
movements

Objective Data

PE
B/P 188/96; Pulse 89;
RR 16; Temp 99.0; Ht
5,6; wt 110; BMI 17.8

B/P 128/76; Pulse 83;
RR 16; Temp 99.0; Ht
5,6; wt 128; BMI
20.98

B/P 158/90; Pulse 88;
RR 18; Temp 99.2; Ht
5,7; wt 208; BMI 32.6

General

23-year-old male
appears well
developed and well-
nourished. He is
anxious – pacing in
the room and
fidgeting, but in no
acute distress.

HEENT

Atraumatic,
normocephalic,
PERRLA, EOMI, arcus
senilus bilaterally,
conjunctiva and sclera
clear, nares patent,
nasopharynx clear,
edentulous.

Atraumatic,
normocephalic,
PERRLA, EOMI,
conjunctiva and
sclera clear; nares
patent, nasopharynx
clear, good dentition.
Piercing in her right
nostril and lower lip.

Atraumatic,
normocephalic,
PERRLA, EOMI,
sclera with mild
icterus, nares patent,
nasopharynx clear,
poor dentition –
multiple carries.

Lungs CTA AP&L CTA AP&L CTA AP&L

Once you received your case number, answer the following
questions: Case 2

1. Discuss the specific socioeconomic, spiritual, lifestyle,
and other cultural factors related to the health of the
patient you selected.

2. Utilizing the five assessment domains, which ones
would you utilize on your patients in conducting a
comprehensive nutritional assessment.

Card S1S2 without rub or
gallop

S1S2 without rub or
gallop

S1S2, +II/VI
holosystolic murmur;
without rub or gallop

Abd benign, normoactive
bowel sounds x 4

benign, normoactive
bowel sounds x 4

benign, normoactive
bowel sounds x 4;
Hepatomegaly 2cm
below the costal
margin.

GU

external genitalia
intact, no lesions or
masses. White
copious discharge
with an amine odor;
no cervical motion
tenderness; adnexa
intact.

Ext no cyanosis, clubbing
or edema

no cyanosis, clubbing
or edema

no cyanosis, clubbing
or edema

Integum
ent

multiple bruises in
different stages of
healing – on his upper
arms and back.

intact without lesions
masses or rashes.

intact without lesions
masses or rashes.

MS

Neuro
No obvious
deformities, CN
grossly intact II-XII

No obvious deficits
and CN grossly intact
II-XII

No obvious deficits
and CN grossly intact
II-XII

3. Discuss the functional anatomy and physiology of a
psychiatric mental health patient. Which key concepts
must a nurse know in order to assess specific
functions?

Submission Instructions:

• Your instructor will assign you your case number and you
will post on the case number you have been assigned.

• You will reply to the other two case studies (One of each).

• Your initial post should be at least 500 words, formatted and

cited in current APA style with support from at least 2
academic sources. Your initial post is worth 8 points.

• You should respond to at least two of your peers by
extending, refuting/correcting, or adding additional nuance
to their posts. Your reply posts are worth 2 points (1 point
per response.)

• All replies must be constructive and use literature where
possible.

**## NUR504Dis1.pdf**

Cultural, Spiritual, Nutritional,
& Mental Health Disorders

For this Discussion, you will take on the role of a clinician who is
building a health history for one of the following cases. Your
instructor will assign you your case number. Case 2

Case 1 Case 2 Case 3
Subjective Data

Chief
Compla
int
(CC)

“I came for my annual
physical exam, but do
not want to be a
burden to my
daughter.”

“I am here for my
annual physical exam
and have been having
vaginal discharge.”

“Annual physical
exam”

History
of
Present
Illness
(HPI)

At-risk 86-year-old
Asian male – who is
physically and
financially dependent
on his daughter, a
single mother who has
little time or money for
her father’s health
needs.

32-year-old pregnant
lesbian – her
pregnancy has been
without complication
thus far. She has
been receiving
prenatal care from an
obstetrician. She
received sperm from
a local sperm bank.

23-year-old Native
American male
comes in to see you
because he has been
having anxiety and
wants something to
help him. He has
been smoking “pot”
and says he drinks to
help him too. He tells
you he is afraid that
he will not get into
Heaven if he
continues in this
lifestyle.

PMH

Hypertension (HTN),
gastroesophageal
reflux disease (GERD),
b12 deficiency and
chronic prostatitis

PSH S/P cholecystectomy

Drug Hx

Current Meds:
Lisinopril 10mg daily,
Prilosec 20mg daily,
B12 injections
monthly, and Cipro
100mg daily.

Current Meds:
prenatal vitamins and
takes Tylenol over the
counter for aches and
pains on occasion

Current Meds: denied

Allergie
s

No allergies to food
or medications.

Family
Hx

She has a strong
family history of
diabetes. Gravida 1;
Para 0; Abortions 0.

He has a family
history of diabetes,
hypertension, and
alcoholism.

Review of Systems (ROS)

General

+ weight loss of 25 lbs
over the past year; no
recent fatigue, fever,
or chills.

No fatigue, fever, or
chills.

No recent weight
gains of losses,
fatigue, fever, or
chills.

Head,
Eyes,
Ears,
Nose &
Throat
(HEENT
)

No changes in vision
or hearing, no
difficulty chewing or
swallowing.

Neck No pain or injury No pain or injury
Respira
tory

CV no chest discomfort
or palpitations

GI

GU
no urinary hesitancy
or change in urine
stream

Integum
ent

multiple bruises on his
upper arms and back.

multiple piercings,
and tattoos. Old
scars related to
“cutting”

history of eczema –
not active

MS/
Neuro

+ falls x 2 within the
last 6 months; no
syncopal episodes or
dizziness

no syncopal episodes
or dizziness, no
change in memory or
thinking patterns; no
twitches or abnormal
movements.

no syncopal episodes
or dizziness, no
change in memory or
thinking patterns; no
twitches or abnormal
movements

Objective Data

PE
B/P 188/96; Pulse 89;
RR 16; Temp 99.0; Ht
5,6; wt 110; BMI 17.8

B/P 128/76; Pulse 83;
RR 16; Temp 99.0; Ht
5,6; wt 128; BMI
20.98

B/P 158/90; Pulse 88;
RR 18; Temp 99.2; Ht
5,7; wt 208; BMI 32.6

General

23-year-old male
appears well
developed and well-
nourished. He is
anxious – pacing in
the room and
fidgeting, but in no
acute distress.

HEENT

Atraumatic,
normocephalic,
PERRLA, EOMI, arcus
senilus bilaterally,
conjunctiva and sclera
clear, nares patent,
nasopharynx clear,
edentulous.

Atraumatic,
normocephalic,
PERRLA, EOMI,
conjunctiva and
sclera clear; nares
patent, nasopharynx
clear, good dentition.
Piercing in her right
nostril and lower lip.

Atraumatic,
normocephalic,
PERRLA, EOMI,
sclera with mild
icterus, nares patent,
nasopharynx clear,
poor dentition –
multiple carries.

Lungs CTA AP&L CTA AP&L CTA AP&L

Once you received your case number, answer the following
questions: Case 2

1. Discuss the specific socioeconomic, spiritual, lifestyle,
and other cultural factors related to the health of the
patient you selected.

2. Utilizing the five assessment domains, which ones
would you utilize on your patients in conducting a
comprehensive nutritional assessment.

Card S1S2 without rub or
gallop

S1S2 without rub or
gallop

S1S2, +II/VI
holosystolic murmur;
without rub or gallop

Abd benign, normoactive
bowel sounds x 4

benign, normoactive
bowel sounds x 4

benign, normoactive
bowel sounds x 4;
Hepatomegaly 2cm
below the costal
margin.

GU

external genitalia
intact, no lesions or
masses. White
copious discharge
with an amine odor;
no cervical motion
tenderness; adnexa
intact.

Ext no cyanosis, clubbing
or edema

no cyanosis, clubbing
or edema

no cyanosis, clubbing
or edema

Integum
ent

multiple bruises in
different stages of
healing – on his upper
arms and back.

intact without lesions
masses or rashes.

intact without lesions
masses or rashes.

MS

Neuro
No obvious
deformities, CN
grossly intact II-XII

No obvious deficits
and CN grossly intact
II-XII

No obvious deficits
and CN grossly intact
II-XII

3. Discuss the functional anatomy and physiology of a
psychiatric mental health patient. Which key concepts
must a nurse know in order to assess specific
functions?

Submission Instructions:

• Your instructor will assign you your case number and you
will post on the case number you have been assigned.

• You will reply to the other two case studies (One of each).

• Your initial post should be at least 500 words, formatted and

cited in current APA style with support from at least 2
academic sources. Your initial post is worth 8 points.

• You should respond to at least two of your peers by
extending, refuting/correcting, or adding additional nuance
to their posts. Your reply posts are worth 2 points (1 point
per response.)

• All replies must be constructive and use literature where
possible.

**## NUR504Case2.pdf**

Case 2
Chief Complaint. (CC).
I am here for my

annual physical exam

and have been having

vaginal discharge.”

History of Present Illness (HPI)
32-year-old pregnant

lesbian – her

pregnancy has been

without complication

thus far. She has

been receiving

prenatal care from an

obstetrician. She

received sperm from

a local sperm bank.

PMH- None

PSH- None

Drug Hx
Current Meds:

prenatal vitamins and

takes Tylenol over the

counter for aches and

pains on occasion

Allergies-None

Family Hx
She has a strong

family history of

diabetes. Gravida 1;

Para 0; Abortions 0.

Review of Systems (ROS)

General
No fatigue, fever, or

chills.

Head, Eyes, Ears, Nose & Throat (HEENT)-None

Neck
No fatigue, fever, or

chills.

Respiratory-None

CV- None

GI-None

GU- None

Integument
multiple piercings,

and tattoos. Old

scars related to

“cutting”

MS/Neurono
syncopal episodes

or dizziness, no

change in memory or

thinking patterns; no

twitches or abnormal

movements.

Objective Data
PE
B/P 128/76; Pulse 83;

RR 16; Temp 99.0; Ht

5,6; wt 128; BMI

20.98

General-None

HEENT
Atraumatic,

normocephalic,

PERRLA, EOMI,

conjunctiva and

sclera clear; nares

patent, nasopharynx

clear, good dentition.

Piercing in her right

nostril and lower lip.

Lungs
CTA AP&L

Card
S1S2 without rub or

gallop

Abd
benign, normoactive

bowel sounds x 4

GU
external genitalia

intact, no lesions or

masses. White

copious discharge

with an amine odor;

no cervical motion

tenderness; adnexa

intact.

Ext
no cyanosis, clubbing

or edema

Integument
intact without lesions

masses or rashes.

MS-None

Neuro
No obvious deficits

and CN grossly intact

II-XII

**## NUR504Ass1.pdf**

Comprehensive Mental Health Examination

For this assignment, list the parts of a comprehensive mental status examination (MSE)
for mental health patients. Give examples of each and describe the significance to the
advanced practice nurse.

Submission Instructions

• The paper is to be clear and concise and students will lose points for improper
grammar, punctuation, and misspelling.

• The paper should be formatted per current APA and 2-4 pages in length,
excluding the title, abstract, and references page.

• Incorporate a minimum of 5 current (published within the last five years)
scholarly journal articles or primary legal sources (statutes, court opinions) within
your work.

• This assignment will be assessed through Turnitin.

Mental Exam Rubric

Mental Exam Rubric

Criteria Ratings
Poi
nts

Identificati
on of Main
Issues/
Problems

Distinguished

Identify and demonstrate a sophisticated understanding of the issues/

problems.

20 pts

Excellent

Identifies and demonstrate an accomplished understanding of most of

issues/problems.

18 pts

Fair

Identifies and demonstrate an an acceptable understanding of most of

issues/problems.

16 pts

Poor

Identifies and demonstrate an unacceptable understanding of most of

issues/problems.

8 pts

/20
pts

Analysis
and
Evaluation
of Issues/
Probelms

Distinguished

Presents an insightful, thorough analysis and evaluation of issues/problems.

20 pts

Excellent

Presents a thorough analysis and evaluation of most of the issues/problems.

18 pts

Fair

Presents a superficial or incomplete analysis and evaluation of issues/

problems.

16 pts

Poor

Presents unacceptable analysis and evaluation of issues/problems.

8 pts

/20
pts

Demonstr
ates a
Conceptu
al
Understan
ding

Distinguished

Provides a thorough, competent and interpretive responses to all issues/

problems, and shows a high level of conceptual understanding.

20 pts

Excellent

Provides a competent and interpretive responses to all issues/problems, and

shows a moderate level of conceptual understanding.

18 pts

Fair

Provides a competent responses to all issues/problems, but lacks

interpretation and a moderate level of conceptual understanding.

16 pts

Poor

Provides an unacceptable response to all issues/problems, and lacks

interpretation and a moderate level of conceptual understanding.

8 pts

/20
pts

Use of
Citations
to Course
Readings
and
Additional
Research/
Literature

Distinguished

Effectively uses the literature and other resources to inform their work.

Exceptional use of citations and extended referencing.

20 pts

Excellent

Effectively uses the literature and other resources to inform their work.

Moderate use of citations and extended referencing.

18 pts

Fair

Ineffectively uses the literature and other resources to inform their work.

Moderate use of citations and extended referencing.

16 pts

Poor

Ineffectively uses the literature and other resources to inform their work. An

unacceptable use of citations and extended referencing.

8 pts

/20
pts

Writing
Mechanic
s and APA
Formattin
g
Guidelines

Full Marks

Demonstrate a high level of clarity, precision, and attention to detail. APA

style is correct and writing is free of grammar and spelling errors.

20 pts

Excellent

Demonstrate a high level of clarity. APA style and writing mechanics need

more precision and attention to detail.

18 pts

Fair

Demonstrate a moderate level of clarity. APA style and writing mechanics

need more precision and attention to detail.

16 pts

Poor

Demonstrates issues in writing and communicating clearly. APA style and

writing mechanics need serious attention.

8 pts

/20
pts

**## NUR504Dis1.pdf**

Cultural, Spiritual, Nutritional,
& Mental Health Disorders

For this Discussion, you will take on the role of a clinician who is
building a health history for one of the following cases. Your
instructor will assign you your case number. Case 2

Case 1 Case 2 Case 3
Subjective Data

Chief
Compla
int
(CC)

“I came for my annual
physical exam, but do
not want to be a
burden to my
daughter.”

“I am here for my
annual physical exam
and have been having
vaginal discharge.”

“Annual physical
exam”

History
of
Present
Illness
(HPI)

At-risk 86-year-old
Asian male – who is
physically and
financially dependent
on his daughter, a
single mother who has
little time or money for
her father’s health
needs.

32-year-old pregnant
lesbian – her
pregnancy has been
without complication
thus far. She has
been receiving
prenatal care from an
obstetrician. She
received sperm from
a local sperm bank.

23-year-old Native
American male
comes in to see you
because he has been
having anxiety and
wants something to
help him. He has
been smoking “pot”
and says he drinks to
help him too. He tells
you he is afraid that
he will not get into
Heaven if he
continues in this
lifestyle.

PMH

Hypertension (HTN),
gastroesophageal
reflux disease (GERD),
b12 deficiency and
chronic prostatitis

PSH S/P cholecystectomy

Drug Hx

Current Meds:
Lisinopril 10mg daily,
Prilosec 20mg daily,
B12 injections
monthly, and Cipro
100mg daily.

Current Meds:
prenatal vitamins and
takes Tylenol over the
counter for aches and
pains on occasion

Current Meds: denied

Allergie
s

No allergies to food
or medications.

Family
Hx

She has a strong
family history of
diabetes. Gravida 1;
Para 0; Abortions 0.

He has a family
history of diabetes,
hypertension, and
alcoholism.

Review of Systems (ROS)

General

+ weight loss of 25 lbs
over the past year; no
recent fatigue, fever,
or chills.

No fatigue, fever, or
chills.

No recent weight
gains of losses,
fatigue, fever, or
chills.

Head,
Eyes,
Ears,
Nose &
Throat
(HEENT
)

No changes in vision
or hearing, no
difficulty chewing or
swallowing.

Neck No pain or injury No pain or injury
Respira
tory

CV no chest discomfort
or palpitations

GI

GU
no urinary hesitancy
or change in urine
stream

Integum
ent

multiple bruises on his
upper arms and back.

multiple piercings,
and tattoos. Old
scars related to
“cutting”

history of eczema –
not active

MS/
Neuro

+ falls x 2 within the
last 6 months; no
syncopal episodes or
dizziness

no syncopal episodes
or dizziness, no
change in memory or
thinking patterns; no
twitches or abnormal
movements.

no syncopal episodes
or dizziness, no
change in memory or
thinking patterns; no
twitches or abnormal
movements

Objective Data

PE
B/P 188/96; Pulse 89;
RR 16; Temp 99.0; Ht
5,6; wt 110; BMI 17.8

B/P 128/76; Pulse 83;
RR 16; Temp 99.0; Ht
5,6; wt 128; BMI
20.98

B/P 158/90; Pulse 88;
RR 18; Temp 99.2; Ht
5,7; wt 208; BMI 32.6

General

23-year-old male
appears well
developed and well-
nourished. He is
anxious – pacing in
the room and
fidgeting, but in no
acute distress.

HEENT

Atraumatic,
normocephalic,
PERRLA, EOMI, arcus
senilus bilaterally,
conjunctiva and sclera
clear, nares patent,
nasopharynx clear,
edentulous.

Atraumatic,
normocephalic,
PERRLA, EOMI,
conjunctiva and
sclera clear; nares
patent, nasopharynx
clear, good dentition.
Piercing in her right
nostril and lower lip.

Atraumatic,
normocephalic,
PERRLA, EOMI,
sclera with mild
icterus, nares patent,
nasopharynx clear,
poor dentition –
multiple carries.

Lungs CTA AP&L CTA AP&L CTA AP&L

Once you received your case number, answer the following
questions: Case 2

1. Discuss the specific socioeconomic, spiritual, lifestyle,
and other cultural factors related to the health of the
patient you selected.

2. Utilizing the five assessment domains, which ones
would you utilize on your patients in conducting a
comprehensive nutritional assessment.

Card S1S2 without rub or
gallop

S1S2 without rub or
gallop

S1S2, +II/VI
holosystolic murmur;
without rub or gallop

Abd benign, normoactive
bowel sounds x 4

benign, normoactive
bowel sounds x 4

benign, normoactive
bowel sounds x 4;
Hepatomegaly 2cm
below the costal
margin.

GU

external genitalia
intact, no lesions or
masses. White
copious discharge
with an amine odor;
no cervical motion
tenderness; adnexa
intact.

Ext no cyanosis, clubbing
or edema

no cyanosis, clubbing
or edema

no cyanosis, clubbing
or edema

Integum
ent

multiple bruises in
different stages of
healing – on his upper
arms and back.

intact without lesions
masses or rashes.

intact without lesions
masses or rashes.

MS

Neuro
No obvious
deformities, CN
grossly intact II-XII

No obvious deficits
and CN grossly intact
II-XII

No obvious deficits
and CN grossly intact
II-XII

3. Discuss the functional anatomy and physiology of a
psychiatric mental health patient. Which key concepts
must a nurse know in order to assess specific
functions?

Submission Instructions:

• Your instructor will assign you your case number and you
will post on the case number you have been assigned.

• You will reply to the other two case studies (One of each).

• Your initial post should be at least 500 words, formatted and

cited in current APA style with support from at least 2
academic sources. Your initial post is worth 8 points.

• You should respond to at least two of your peers by
extending, refuting/correcting, or adding additional nuance
to their posts. Your reply posts are worth 2 points (1 point
per response.)

• All replies must be constructive and use literature where
possible.

**## NUR504Case2.pdf**

Case 2
Chief Complaint. (CC).
I am here for my

annual physical exam

and have been having

vaginal discharge.”

History of Present Illness (HPI)
32-year-old pregnant

lesbian – her

pregnancy has been

without complication

thus far. She has

been receiving

prenatal care from an

obstetrician. She

received sperm from

a local sperm bank.

PMH- None

PSH- None

Drug Hx
Current Meds:

prenatal vitamins and

takes Tylenol over the

counter for aches and

pains on occasion

Allergies-None

Family Hx
She has a strong

family history of

diabetes. Gravida 1;

Para 0; Abortions 0.

Review of Systems (ROS)

General
No fatigue, fever, or

chills.

Head, Eyes, Ears, Nose & Throat (HEENT)-None

Neck
No fatigue, fever, or

chills.

Respiratory-None

CV- None

GI-None

GU- None

Integument
multiple piercings,

and tattoos. Old

scars related to

“cutting”

MS/Neurono
syncopal episodes

or dizziness, no

change in memory or

thinking patterns; no

twitches or abnormal

movements.

Objective Data
PE
B/P 128/76; Pulse 83;

RR 16; Temp 99.0; Ht

5,6; wt 128; BMI

20.98

General-None

HEENT
Atraumatic,

normocephalic,

PERRLA, EOMI,

conjunctiva and

sclera clear; nares

patent, nasopharynx

clear, good dentition.

Piercing in her right

nostril and lower lip.

Lungs
CTA AP&L

Card
S1S2 without rub or

gallop

Abd
benign, normoactive

bowel sounds x 4

GU
external genitalia

intact, no lesions or

masses. White

copious discharge

with an amine odor;

no cervical motion

tenderness; adnexa

intact.

Ext
no cyanosis, clubbing

or edema

Integument
intact without lesions

masses or rashes.

MS-None

Neuro
No obvious deficits

and CN grossly intact

II-XII

**## NUR504Ass1.pdf**

Comprehensive Mental Health Examination

For this assignment, list the parts of a comprehensive mental status examination (MSE)
for mental health patients. Give examples of each and describe the significance to the
advanced practice nurse.

Submission Instructions

• The paper is to be clear and concise and students will lose points for improper
grammar, punctuation, and misspelling.

• The paper should be formatted per current APA and 2-4 pages in length,
excluding the title, abstract, and references page.

• Incorporate a minimum of 5 current (published within the last five years)
scholarly journal articles or primary legal sources (statutes, court opinions) within
your work.

• This assignment will be assessed through Turnitin.

Mental Exam Rubric

Mental Exam Rubric

Criteria Ratings
Poi
nts

Identificati
on of Main
Issues/
Problems

Distinguished

Identify and demonstrate a sophisticated understanding of the issues/

problems.

20 pts

Excellent

Identifies and demonstrate an accomplished understanding of most of

issues/problems.

18 pts

Fair

Identifies and demonstrate an an acceptable understanding of most of

issues/problems.

16 pts

Poor

Identifies and demonstrate an unacceptable understanding of most of

issues/problems.

8 pts

/20
pts

Analysis
and
Evaluation
of Issues/
Probelms

Distinguished

Presents an insightful, thorough analysis and evaluation of issues/problems.

20 pts

Excellent

Presents a thorough analysis and evaluation of most of the issues/problems.

18 pts

Fair

Presents a superficial or incomplete analysis and evaluation of issues/

problems.

16 pts

Poor

Presents unacceptable analysis and evaluation of issues/problems.

8 pts

/20
pts

Demonstr
ates a
Conceptu
al
Understan
ding

Distinguished

Provides a thorough, competent and interpretive responses to all issues/

problems, and shows a high level of conceptual understanding.

20 pts

Excellent

Provides a competent and interpretive responses to all issues/problems, and

shows a moderate level of conceptual understanding.

18 pts

Fair

Provides a competent responses to all issues/problems, but lacks

interpretation and a moderate level of conceptual understanding.

16 pts

Poor

Provides an unacceptable response to all issues/problems, and lacks

interpretation and a moderate level of conceptual understanding.

8 pts

/20
pts

Use of
Citations
to Course
Readings
and
Additional
Research/
Literature

Distinguished

Effectively uses the literature and other resources to inform their work.

Exceptional use of citations and extended referencing.

20 pts

Excellent

Effectively uses the literature and other resources to inform their work.

Moderate use of citations and extended referencing.

18 pts

Fair

Ineffectively uses the literature and other resources to inform their work.

Moderate use of citations and extended referencing.

16 pts

Poor

Ineffectively uses the literature and other resources to inform their work. An

unacceptable use of citations and extended referencing.

8 pts

/20
pts

Writing
Mechanic
s and APA
Formattin
g
Guidelines

Full Marks

Demonstrate a high level of clarity, precision, and attention to detail. APA

style is correct and writing is free of grammar and spelling errors.

20 pts

Excellent

Demonstrate a high level of clarity. APA style and writing mechanics need

more precision and attention to detail.

18 pts

Fair

Demonstrate a moderate level of clarity. APA style and writing mechanics

need more precision and attention to detail.

16 pts

Poor

Demonstrates issues in writing and communicating clearly. APA style and

writing mechanics need serious attention.

8 pts

/20
pts

**## NUR504Dis1.pdf**

Cultural, Spiritual, Nutritional,
& Mental Health Disorders

For this Discussion, you will take on the role of a clinician who is
building a health history for one of the following cases. Your
instructor will assign you your case number. Case 2

Case 1 Case 2 Case 3
Subjective Data

Chief
Compla
int
(CC)

“I came for my annual
physical exam, but do
not want to be a
burden to my
daughter.”

“I am here for my
annual physical exam
and have been having
vaginal discharge.”

“Annual physical
exam”

History
of
Present
Illness
(HPI)

At-risk 86-year-old
Asian male – who is
physically and
financially dependent
on his daughter, a
single mother who has
little time or money for
her father’s health
needs.

32-year-old pregnant
lesbian – her
pregnancy has been
without complication
thus far. She has
been receiving
prenatal care from an
obstetrician. She
received sperm from
a local sperm bank.

23-year-old Native
American male
comes in to see you
because he has been
having anxiety and
wants something to
help him. He has
been smoking “pot”
and says he drinks to
help him too. He tells
you he is afraid that
he will not get into
Heaven if he
continues in this
lifestyle.

PMH

Hypertension (HTN),
gastroesophageal
reflux disease (GERD),
b12 deficiency and
chronic prostatitis

PSH S/P cholecystectomy

Drug Hx

Current Meds:
Lisinopril 10mg daily,
Prilosec 20mg daily,
B12 injections
monthly, and Cipro
100mg daily.

Current Meds:
prenatal vitamins and
takes Tylenol over the
counter for aches and
pains on occasion

Current Meds: denied

Allergie
s

No allergies to food
or medications.

Family
Hx

She has a strong
family history of
diabetes. Gravida 1;
Para 0; Abortions 0.

He has a family
history of diabetes,
hypertension, and
alcoholism.

Review of Systems (ROS)

General

+ weight loss of 25 lbs
over the past year; no
recent fatigue, fever,
or chills.

No fatigue, fever, or
chills.

No recent weight
gains of losses,
fatigue, fever, or
chills.

Head,
Eyes,
Ears,
Nose &
Throat
(HEENT
)

No changes in vision
or hearing, no
difficulty chewing or
swallowing.

Neck No pain or injury No pain or injury
Respira
tory

CV no chest discomfort
or palpitations

GI

GU
no urinary hesitancy
or change in urine
stream

Integum
ent

multiple bruises on his
upper arms and back.

multiple piercings,
and tattoos. Old
scars related to
“cutting”

history of eczema –
not active

MS/
Neuro

+ falls x 2 within the
last 6 months; no
syncopal episodes or
dizziness

no syncopal episodes
or dizziness, no
change in memory or
thinking patterns; no
twitches or abnormal
movements.

no syncopal episodes
or dizziness, no
change in memory or
thinking patterns; no
twitches or abnormal
movements

Objective Data

PE
B/P 188/96; Pulse 89;
RR 16; Temp 99.0; Ht
5,6; wt 110; BMI 17.8

B/P 128/76; Pulse 83;
RR 16; Temp 99.0; Ht
5,6; wt 128; BMI
20.98

B/P 158/90; Pulse 88;
RR 18; Temp 99.2; Ht
5,7; wt 208; BMI 32.6

General

23-year-old male
appears well
developed and well-
nourished. He is
anxious – pacing in
the room and
fidgeting, but in no
acute distress.

HEENT

Atraumatic,
normocephalic,
PERRLA, EOMI, arcus
senilus bilaterally,
conjunctiva and sclera
clear, nares patent,
nasopharynx clear,
edentulous.

Atraumatic,
normocephalic,
PERRLA, EOMI,
conjunctiva and
sclera clear; nares
patent, nasopharynx
clear, good dentition.
Piercing in her right
nostril and lower lip.

Atraumatic,
normocephalic,
PERRLA, EOMI,
sclera with mild
icterus, nares patent,
nasopharynx clear,
poor dentition –
multiple carries.

Lungs CTA AP&L CTA AP&L CTA AP&L

Once you received your case number, answer the following
questions: Case 2

1. Discuss the specific socioeconomic, spiritual, lifestyle,
and other cultural factors related to the health of the
patient you selected.

2. Utilizing the five assessment domains, which ones
would you utilize on your patients in conducting a
comprehensive nutritional assessment.

Card S1S2 without rub or
gallop

S1S2 without rub or
gallop

S1S2, +II/VI
holosystolic murmur;
without rub or gallop

Abd benign, normoactive
bowel sounds x 4

benign, normoactive
bowel sounds x 4

benign, normoactive
bowel sounds x 4;
Hepatomegaly 2cm
below the costal
margin.

GU

external genitalia
intact, no lesions or
masses. White
copious discharge
with an amine odor;
no cervical motion
tenderness; adnexa
intact.

Ext no cyanosis, clubbing
or edema

no cyanosis, clubbing
or edema

no cyanosis, clubbing
or edema

Integum
ent

multiple bruises in
different stages of
healing – on his upper
arms and back.

intact without lesions
masses or rashes.

intact without lesions
masses or rashes.

MS

Neuro
No obvious
deformities, CN
grossly intact II-XII

No obvious deficits
and CN grossly intact
II-XII

No obvious deficits
and CN grossly intact
II-XII

3. Discuss the functional anatomy and physiology of a
psychiatric mental health patient. Which key concepts
must a nurse know in order to assess specific
functions?

Submission Instructions:

• Your instructor will assign you your case number and you
will post on the case number you have been assigned.

• You will reply to the other two case studies (One of each).

• Your initial post should be at least 500 words, formatted and

cited in current APA style with support from at least 2
academic sources. Your initial post is worth 8 points.

• You should respond to at least two of your peers by
extending, refuting/correcting, or adding additional nuance
to their posts. Your reply posts are worth 2 points (1 point
per response.)

• All replies must be constructive and use literature where
possible.

– 1
– 2
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