What are some treatments modalities for anxiety disorders? And medical treatments for people with Somatic symptoms and related disorders/medications used in the treatment of anxiety disorders and their side effects?

The leading cause of morbidity and mortality in the US is cardiovascular disease. It is commonly a result of years of chronic inflammatory changes to the lining of the blood vessel (endothelium) caused by excessive calories (free radical oxygens from burning fats) and lack of exercise (insulin resistance) and/or smoking. Metabolic syndrome is a constellation of excessive central fat (waist>hip ratio) high blood pressure + elevated LDL with low HDL + insulin resistance (pre-diabetes) or Type 2 diabetes. We use medications in combinations to reduce LDL cholesterol, reduce triglycerides, reduce weight, lower blood pressure, improve insulin resistance, and lower blood sugar levels.

Choose one drug from each of these categories and discuss how they work together better than they would work separately. You will need to demonstrate an understanding of how they interact on the body (pharmacodynamics).

Limit your information to one page and cite your references.

A nurse is reinforcing teaching with a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? “A witness is legally required to sign a client’s living will.” “Advance directives do not apply to clients receiving mental health care – “A client can verbally designate a durable power of attorney.” “The PSDA becomes applicable when a diet reaches 65 years of age”

We engage in a variety of interactions with people every day whether at work or elsewhere. We build opinions based on their verbal and nonverbal contact during interactions. According to Riley (2017), “when our verbal message does not match our posture, tone of voice, body language, or facial expression, client or coworkers decode the disparate information as two dissimilar messages.” (p.87).

Once when I arrived to work ten minutes late during a shift change.

My colleague casually asked me the reason for being late. Even though I was late because I had left late from home, I explained that it was because of the heavy traffic on the way.

My facial expressions did not seem to go along with what I was saying, and I could not maintain eye contact. She was rolling her eyes, though, so it appeared as though she could tell that my spoken message and body language were not coordinated.

Our vocal communication can be planned; however, our nonverbal communication can reveal concealed facts. By analyzing a person’s body language or the manner they transmit a message, we can ascertain whether they are telling us the truth (Riley, J.B, 2017).

2. Discrepancies between you and the external world:
We occasionally come across circumstances with which we disagree. However, we keep moving forward, accepting the discrepancies.

For instance, in nursing, documentation is critical; however, keeping the paperwork up to date takes away time from bedside nursing.

Additionally, the workload can be excessive, sometimes compromising patient care quality.

A nurse must care for sick people, so she should spend more time at the bedside rather than documenting. I understand that documentation is essential, but it can be planned more straightforwardly, taking less time and leaving more time to provide patient-centered care.

3. Discrepancies between you and the client:
Making others aware of their behavior’s destructiveness or lack of productivity is the first step in confrontation. The second is offering suggestions for how they may conduct themselves more constructively or productively. At the same time, we know some people tend to argue when challenged.

As a result, we do not want to discuss their behaviors. People encounter problems because of their misdirected actions/behavior; at this moment, we might regret not discussing the destructive behavior before (J.B. Riley, 2017).
According to Riley (2017), confrontation can be done in such a way that the other person does not feel offended and will also appreciate your opinion.
If I would have a dispute with my client at any time, I would first listen to what my client has to say, then clarify the problematic behavior and explain why I believe this behavior is the issue—additionally making a polite request to change the behavior and making a respectful suggestion in a way that the client is not offended.

Finally, I would encourage the client to change their behavior by emphasizing the positive consequences of changing or the negative implications (J.B. Riley, 2017)

Reference

Riley, J.B. (2017). Communication in Nursing: Learning confrontation skills. (8th Ed.). Elsevier.