Nursing Question

Case 3

			Case 3
Subjective Data
Chief Complaint (CC)			“Annual physical exam”
History of Present Illness (HPI)			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.
Drug Hx			Current Meds: denied
Allergies			No allergies to food or medications.
Family Hx			He has a family history of diabetes, hypertension, and alcoholism.
Review of Systems (ROS)
General			No recent weight gains of losses, fatigue, fever, or chills
CV			no chest discomfort or palpitations
Integument			history of eczema – not active
MS/Neuro			no syncopal episodes or dizziness, no change in memory or thinking patterns; no twitches or abnormal movements
Objective Data
PE			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, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries.
Lungs			CTA AP&L
Card			S1S2, +II/VI holosystolic murmur; without rub or gallop
Abd			benign, normoactive bowel sounds x 4; Hepatomegaly 2cm below the costal margin.
Ext			no cyanosis, clubbing or edema
Integument			intact without lesions masses or rashes.
Neuro			No obvious deficits and CN grossly intact II-XII

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

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.
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?
4. Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Please don’t copy, my school uses Turn It In.

Click here to get the answer for this question