Executive Solution Overview
– ## 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…
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– ## 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
– 3