How do excessive dopamine receptors play a role in the function of the prefrontal cortex in adult schizophrenia patients affecting their working memory and executive function?
Give evidence to support studies done on rats or humans using each working memory and executive function with reference.
Robert Johnson, a 55-year-old man, is married with two adult children and five grandchildren. He is the assistant president of a large bank. In the first session, he tells you that it is becoming more difficult for him to hide his homosexuality. He has kept his homosexuality a secret his entire life. He knew he preferred men when he married his wife thirty years ago, but he thought he needed to get married to hide the fact that he was gay. During his marriage, he has had affairs with many men. Because he has been very discrete, his wife and family do not suspect that he is homosexual and that he has had several affairs.
Now he is having a relationship with a man he loves and with whom he wants to grow old. Mr. Johnson’s lover threatens to leave him if Mr. Johnson does not get a divorce and makes their relationship public. Mr. Johnson is afraid because if he makes his homosexuality public, he may lose his job and the respect of his children.
He tells you that he is worrying so much about his over leaving that he is unable to concentrate at work. Being the vice president of the bank means a lot to him. He has worked very hard and sacrificed a lot to obtain this position. He does not want to lose it.
1. Provide a provisional DSM 5/ICD 10 diagnosis
2. Examine and discuss the psychotherapeutic modalities you would choose to use to treat this client. Choose between Psychoanalytic, Adlerian, existential, person-centered, gestalt, behavior, cognitive behavior, choice/reality, feminist, and postmodern therapy. You may combine therapies (integrative approach), but you must justify the combination. Be sure to include a list of the specific techniques (therapeutic processes and content), not just the theory you would use for this client. Be specific in how you would treat each client.
A study examined lower life satisfaction, active coping, and cardiovascular disease risk factors (diastolic and systolic blood pressure, body mass index, and circumferences) in older African Americans over the phases of an 18-month church-based intervention, using a quasi-experimental design. Participants (n = 89) were 45 years of age and older from six churches (three treatments, three comparisons) in North Florida. Lower life satisfaction had a persistent unfavorable effect on weight variables.
Active coping showed a direct beneficial effect on selected weight variables. However, active coping was adversely associated with blood pressure and did not moderate the association between lower life satisfaction and cardiovascular risk factors. The intervention had a beneficial moderating influence on the association between lower life satisfaction and weight variables and on the association between active coping and these variables. Yet, this pattern did not hold for the association between active coping and blood pressure. The relationship of lower life satisfaction and selected cardiovascular risk factors and the positive effect of active coping were established, but findings regarding blood pressure suggest further study is needed.
Discuss factors that affect intergenerational relationships between older adults and their adult children. What factors support good intergenerational relationships?
(Think from the life-span perspective; briefly analyze at least six different factors)
200-300 wds
Short-Answer Question
The term “emerging adulthood” is fairly recent in the field of developmental psychology.
(1) Explain why researchers felt it necessary to add this stage of development.
(2) Describe at least two new characteristics of cognitive development during emerging adulthood compared to earlier life stages.
200-300 wds
A 52-year-old obese Caucasian male presents to the clinic with a 2-day history of fever, chills, and right great toe pain that has gotten worse. The patient states this is the first time that this has happened, and nothing has made it better, and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief. Past medical history positive or hypertension treated with hydrochlorothiazide and kidney stones. Social history negative for tobacco use but admits to drinking “a fair amount of red wine” every week. General appearance: Ill-appearing male who sits with his right foot elevated. A physical exam is remarkable for a temp of 101.2, the pulse of 108, respiration of 18, and BP of 160/88. The right great toe (first metatarsal phalangeal [MTP]) is noticeably swollen and red. Unable to palpate to assess a range of motion due to extreme pain. CBC and Complete metabolic profile revealed WBC 14,000 mm3 and uric acid 8.9 mg/dl. The APRN diagnoses the patient with acute gout.
Question 1 of 2:
Describe the pathophysiology of gout.
Explain why a patient with gout is more likely to develop renal calculi.
The APRN tells the patient that the tender points are no longer used to diagnose FM. She suggests that the patient takes the Widespread Pain Index (WPI) and the Symptom Severity Inventory (SSI). The patient asks the APRN what these tests are for. What is the APRN’s best answer?
Develop a personal nursing philosophy narrative as to how your life moved towards meeting that goal of becoming a nurse.
In a 3-4 page, double-spaced, typewritten document, please respond to the following:
• Begin your paper with why you wanted to become a nurse
• Develop a narrative as to how your life moved along towards meeting that goal of becoming a nurse.
Include any work experiences (volunteer work, hospital, MD office, healthcare facility) that reinforced your desire to become a nurse and why.
What educational preparation has already taken place in your life prior to entering a formal nursing program? Were there any particular people or nurses who influenced your decision to become a nurse and what was the nature of that influence?
What plans did you make to become a nurse that either was delayed or actually occurred as planned? What keeps you focused on completing the program especially when obstacles present themselves? What has been the greatest sacrifice you have made to become a nurse?
• In the time you have been involved in nursing activities, what has given you the greatest satisfaction and why?
• How has the current healthcare arena affected your feelings about being a nurse?
• Look at the QCC statement of philosophy of nursing.
• Write a statement of your philosophy of nursing that should include the four (4) meta paradigms of client, health, environment, and nursing. What are your beliefs about the client? How do you define health? In your opinion, what makes up the environment? How does nursing impact all of these? NB. Philosophy of Nursing can be found in your STUDENT HANDBOOK located under “Course Information.”
• How is your philosophy the same as or different than the QCC philosophy of nursing? • What nursing theory/theorist has influenced your personal philosophy the most and why?
• What will finally becoming a professional registered nurse mean to you?
• Where do you see yourself five years after graduation?
Here is the nursing school’s Philosophy: Philosophy of the Department of Nursing The philosophy of the Department of Nursing is based upon the relationships among the concepts of the individual/ patient, environment, health, and nursing. The Individual is a biopsychosocial and spiritual being who functions within the context of the family, culture, and community.
Individuals have basic physiological, psychosocial, and developmental needs across their lifespans. These needs must be fulfilled in order for a state of health to exist. An individual or group of individuals becomes a Patient upon entry into a healthcare system for assistance in achieving maximum self-care potential.
The Environment is the aggregate of biological, physical, spiritual, social, and cultural conditions that influence the life of the patient. The health of the patient is affected by the local and global environment. Health is living within one’s environment while achieving the greatest level of functioning.
Therapeutic support of the patient leads to a state of health, wholeness, well-being, and integrity in the individual. The ability to maintain optimum wellness varies among individuals based on developmental stage, life experiences, health alterations, level of knowledge, values, culture, and environment.
Alterations emerge when the individual cannot meet their needs as a result of disease, injury, or life cycle events. When individuals cannot meet their own needs, they have the right to receive patient-centered assistance in moving toward their highest level of functioning and health.
From the perspective of the future of healthcare and the professional nurse, discuss future trends in Healthcare. What are your thoughts about the Millennium Development goals? What are your thoughts about health and Healthcare in 2032?
Summarize the genitourinary Infections or Disorders in terms of etiology, pathogenesis, clinical picture, diagnosis, and treatment rationale.
| The 5 General Topics of Disease Summary |
| 1. Etiology & risk factors |
| 2. Pathogenesis: The molecular mechanism of the disease process (How the disease process evolves) |
| 3. Clinical Picture: Signs& Symptoms, Sequelae, and Complications |
| 4. Diagnosis: Labs & tests (as well as screening tests and follow up tests whenever applicable) |
| 5. Pathophysiologic rationale of treatment |
This summary should cover the following genitourinary infections:
UTI: cystitis & pyelonephritis
Genital infections: Chlamydia, gonorrhea
For each one of these 2 categories (UTI & Genital infections) discuss the following:
The organisms causing these infections, route of transmission, risk factors.
Signs& symptoms of these infections and possible complications
Labs and tests to diagnose these infections.
This is the textbook for information:
McCance, K.L., Huether, S. E. (2018) Pathophysiology: The Biological Basis for Disease in Adults and Children. (8th Ed) St. Louis, MO. Elsevier Mosby ISBN-13: 978-0323583473 ISBN-10: 9780323583473
A patient with cardiac arrhythmia has a pacemaker system with electrodes in the atrium and ventricle. The patient visits his cardiologist for evaluation of the battery, leads, capture and sensing function, heart rhythm and programmed parameters of the system which included connection, recording, and disconnection of the pacemaker.
Analysis, review, and a report were performed by the physician and placed in the record. What CPT® code is reported?
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