Nutrition

Our nutrition and eating patterns are shaped by our perceptions of food; what we have learned to like and dislike, what we feel is healthful, and it is even formed by our family, cultural, and religious beliefs.In addition to explaining why you don’t like the five foods/liquids, also include what it would take (if possible) for you to overcome your dislike of the food/liquid.For this discussion, list five foods/liquids you like and five foods/liquids you don’t like and/or avoid. For each you like, describe why you like them. For example, you might say I like to eat chocolate chip cookies because they remind me of my grandmother.For the five you do not like to eat/avoid, explain why. For example, you might say I don’t eat lima beans because they taste too mushy in my mouth or I don’t drink milk because I am lactose intolerant, or I don’t eat beef because of religious beliefs.

 
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PICOT QUESTIONS

DyspareuniaSamplePatientInterventioncomparisonOutcomeTime frame

 
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Discussion: reply two

Reply to the two post with two references on eachVarious databases provide reliable and valid information to the researcher depending on their topic of interest. I logged into the Walden University library, clicked on databases, changed the subject to nursing, and on searching, I accessed 15 databases. Out of these, I used the ProQuest Nursing and Health database to retrieve the article of interest. I selected two articles; the first source was titled Reflective Practice Groups in a Mental Health Inpatient Setting by Fenton and Kidd (Fenton & Kidd, 2019). This article explores the nursing staff’s experiences in a mental rehabilitation facility and participation in various reflective practice groups (RPGs). The second article was titled Challenges Faced by New Psychiatric-Mental Health Nurse Practitioner Prescribers by Mangano and other researchers. This resource identifies challenges new psychiatric-mental health nurse practitioner students encounter, including making decisions, adherence to medication treatment and observing symptom-related outcomes (Mangano et al., 2020). ProQuest Nursing and Health database provides reliable information for healthcare researchers on diverse healthcare topics. The resources on this platform are a perfect choice for people preparing for a career as healthcare providers, teaching patients and communities about healthcare, and participating in nursing research. The content allows the beneficiaries to connect theoretical and practical aspects, thus understanding healthcare from multiple perspectives.The database was a helpful platform for finding relevant articles. However, I faced various challenges during the search process. Firstly, locating the appropriate database with the relevant article was challenging. There were 15 databases, and I had to scroll through multiple databases before identifying ProQuest Nursing and Health database. This process can be confusing, particularly to beginners, who might face challenges navigating through available databases. It was challenging to select this database as I searched others like the CINAHL and Cochrane library before settling on it. This process is time-consuming; thus, the researcher must plan well for this search. Secondly, finding the relevant articles after entering the search terms was also challenging. Therefore, I filtered out my search words to narrow the search and display various articles in the database.ProQuest database would be instrumental to my colleagues. It contains substantial, valuable, and valid information that healthcare professionals can use to advance their knowledge and inform various evidence-based practices. My colleagues can use this database to conduct their research and find answers to different clinical questions and analyses. This database will facilitate research, provide valid literature for class discussion and clinical case studies, and help them connect theories to practice(ProQuest, 2022). These applications would make learning manageable and enjoyable, as information would be readily available. The articles on this platform are also affordable, making them easily accessible and available for students. However, learners must be careful when searching for the articles and the search terms they use. They should select precise terms and diversify their search to find multiple articles. Therefore, this database will help promote learning and knowledge acquisition.I would recommend this database to my colleagues because of its quality of articles. This platform has professional and peer-reviewed articles on various topics that my colleagues can compare and analyze during research. The articles also range in publication dates; hence, researchers can access old and new information. Researchers can use the old articles to compare with the latest advancements and explain the changes in research patterns and scientific topics. I know that my colleagues will enjoy the experience of exploring this database due to its diverse content. Notably, most of its articles are free, making them available and easily accessible. Students can access these articles on their laptops, and download them to study and analyze later. They can also share these articles, making the process of reviewing and discussing them easier in person or in groups. Overall, this database is instrumental in research due to the quality and up-to-date articles on various clinical research topics.ReferencesFenton, K., & Kidd, K. (2019). Reflective practice groups in a mental health inpatient setting. Mental Health Practice, 22(3), 28-33. https://doi.org/10.7748/mhp.2019.e1333Mangano, E., Gonzalez, Y., & Kverno, K. S. (2020). Challenges faced by new psychiatric-mental health nurse practitioner prescribers. Journal of Psychosocial Nursing and Mental Health Services, 58(10), 7-11.https://doi.org/10.3928/02793695-20200915-01ProQuest. (2022). Nursing. https://about.proquest.com/en/subjects/health-medicine/nursing/second replyI am pursuing my Master’s degree as a mental health nurse practitioner. I will research literature throughout this program to advance my knowledge and write quality, evidence-based research. “Journal articles that are peer-reviewed give merit to research and assist with ensuring information is trustworthy”. (Al-Jundi, 2017).  As I continue to grow in this class, I am improving at using the APA format as my primary form of writing. I am also continuing to learn how to navigate through Walden’s library and databases, using this to my advantage to widen my knowledge.To start my search, I always log in to Walden’s library, home to 172 databases, including writings and videos. Searching through the many databases Walden’s library offers, I came across many related to psychiatry, psychology, and nursing; among infinite topics. The database I used this time is named Psychology Databases Combined Search. I believe this database will be beneficial to my colleagues because it has access to quality, evidence-based, peer-reviewed literature.A benefit of this database in specific is it combines research from multiple other databases. Using this database allows you to access four different databases: PsycARTICLES, PsycBOOKS, PsycEXTRA, and PsycINFO. This database is also beneficial because it will enable you to minimize your search by allowing you to edit your search options. Some of the search options available include, although are not limited to, publication year, document type, publisher, etc. The only difficulty I can name in using this database is when trying to access the full article; although it takes me to Walden’s library, it goes through several steps to the central theme. The way I see this problem is that through Walden’s library, I can go directly to the article, and through this database, just like with most others, I have to go through several steps to get the same result.Practice characteristics of nurse practitioners in mental health and psychiatric settings is a peered-reviewed article I could find through this database. As I stated earlier in this post, my area of practice is nursing, and moving on forward with my career, I plan to become a psychiatry/ mental health nurse practitioner. For this discussion I decided to concentrate on the scope of practice of a psychiatry nurse practitioner. In this article, I found education on the scope of practice, limitations, and responsibilities of these professionals in mental health and psychiatric settings versus those in clinical practice. This article is relevant to me since I am a registered nurse with experience in the intensive care unit studying to become a mental health nurse practitioner. This article compares the world I am used to with the world I want to enter. “Nurse practitioners in mental health and psychiatric settings appear more likely to practice independently, by a few measures: practicing without an on-site physician, having a billing number, and having a DEA number to prescribe controlled substances. However, nurse practitioners in mental health and psychiatric settings had lower odds of having hospital admitting privileges”. (Jones, 2018)References:Al-Jundi, A. (2017). Critical appraisal of Clinical Research. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. https://doi.org/10.7860/jcdr/2017/26047.9942Evaluating Resources: Journals. Academic Guides. (n.d.). Retrieved September 21, 2022, from https://academicguides.waldenu.edu/library/evaluating/resource-types/journalsJones, E. B. (2018). Practice characteristics of nurse practitioners in mental health and psychiatric settings. Archives of Psychiatric Nursing, 32(4), 599–603. https://doi.org/10.1016/j.apnu.2018.03.012

 
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Promoting and Protecting Vulnerable Populations

All countries have population subgroups that are more vulnerable to health threats than the general population. What are some reasons that vulnerable populations are more sensitive to risk factors than those who are more resilient?  Describe what is meant by vulnerable populations and explain strategies you, as the public health nurse, could use to best facilitate the achievement of healthful outcomes in this population?

 
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Case Study: C.Z.

Purpose:Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.Scenario:C.Z. is a 20-year-old Caucasian male who is in his second year of college. He is seeking treatment due to persistent fears that campus security and the local police are tracking and surveilling him. He cites occasional lags in his internet speed as evidence that surveillance devices are interfering with his electronics. His intense anxiety about this has begun getting in the way of his ability to complete schoolwork, and his friends are concerned – he says they have told him, “you’re not making sense.”C.Z. occasionally laughs abruptly and inappropriately and sometimes stops speaking mid-sentence, looking off in the distance as though he sees or hears something. He expresses concern about electronics in the room (phone, computer) potentially being monitored and asks repeatedly about patient confidentiality, stating that he wants to be sure the police won’t be informed about his treatment. His beliefs are fixed, and if they are challenged, his tone becomes hostile.Questions:Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers.Discuss the etiology, course, and the structural/functional abnormalities of schizophrenia.Discuss the evidence-based pharmacological and nonpharmacological treatment for this patient using the US Clinical Guidelines.Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources.

 
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health assessment

How can we identify health risks, strengths, and needs in our comprehensive health assessment?Give two examples with rationale for each.Instructions250-300 words  supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

 
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Nurs-6512 Assign wk6

Assignment 1: Lab Assignment: Assessing the AbdomenA male went to the emergency room for severe midepigastric abdominal pain. He was diagnosed with AAA; however, as a precaution, the doctor ordered a CTA scan.Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients as well as which physical assessments and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.To PrepareReview the Episodic note case study your instructor provides you for this week’s Assignment.About      the Episodic note case study provided:Review       this week’s Learning Resources and consider the insights they provide       about the case study.Consider       what history would be necessary to collect from the patient in the case       study.Consider       what physical assessment and diagnostic tests would be appropriate to       gather more information about the patient’s condition. How would the       results be used to make a diagnosis?Identify at       least five possible conditions that may be considered in a       differential diagnosis for the patient.Case studyABDOMINAL ASSESSMENTSubjective:CC: “My stomach has been hurting for the past two days.”HPI: LZ, 65 y/o AA male, presents to the emergency department with a two days history of intermittent epigastric abdominal pain that radiates into his back. He went to the local Urgent Care where was given PPI’s with no relief. At this time, the patient reports that the pain has been increasing in severity over the past few hours; he vomited after lunch, which led his to go to the ED at this time. He has not experienced fever, diarrhea, or other symptoms associated with his abdominal pain.PMH: HTNMedications: Metoprolol 50mgAllergies: NKDAFH: HTN, Gerd,  HyperlipidemiaSocial Hx: ETOH, smoking for 20 years but quit both 2 years ago, divorced for 5 years, 3 children, 2 males, 1 femaleObjective:VS: Temp 98.2; BP 91/60; RR 16; P 76; HT 6’10”; WT 262lbsHeart: RRR, no murmursLungs: CTA, chest wall symmetricalSkin: Intact without lesions, no urticariaAbd: abdomen is tender in the epigastric area with      guarding but without mass or rebound.Diagnostics: US and CTAAssessment:Abdominal Aortic Aneurysm (AAA)Perforated UlcerPancreatitisPLAN:The AssignmentAnalyze      the subjective portion of the note. List additional information that      should be included in the documentation.Analyze      the objective portion of the note. List additional information that should      be included in the documentation.Is      the assessment supported by the subjective and objective information? Why      or why not?What      diagnostic tests would be appropriate for this case, and how would the      results be used to make a diagnosis?Would      you reject/accept the current diagnosis? Why or why not? Identify three      possible conditions that may be considered as a differential diagnosis for      this patient. Explain your reasoning using at least three different      references from current evidence-based literature.

 
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Prayers

Prayer can be expressed in words of the heart and spirit. It begins with discipline, desire, and delight.Instructions:Write a total of three (3) prayers for the following:Write two (2) prayers you could use for health issues.Write one (1) prayer for thanksgiving.Complete this assignment using proper spelling, and grammar.Type your answer(s) in a Word document and save the file.

 
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The Purnell Model for Cultural Competence and its relevance for advanced practice nurse.

The Purnell Model for Cultural Competence and its relevance for advanced practice nurse.

 
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unit 3 assignment

● Case: AA – Hypertension Stage 2, and OverweightScenario Description:Ms. A presents with complaints of headache and general fatigue. She also reports that she has had periodic nosebleeds. She reported that she has been taking many medications for her hypertension in the past, but stopped taking them because of the side effects. She could not recall the names of the medications. Prescribed one year ago and currently taking 100 mg/day atenolol and 12.5 mg/day hydrochlorothiazide (HCTZ), which she admits to taking irregularly because “… they bother me, and I forget to renew my prescription.” Despite this antihypertensive regimen, her blood pressure remains elevated, ranging from 150 to 155/110 to 114 mm Hg. In addition, Ms. A admits that she has found it difficult to exercise, stop smoking, and change her eating habits. She has not seen her primary care doctor in a year. Smokes 15 cigarettes a day for 10 years.

 
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