Reflect on the results of your Assessment, and consider how the results relate to your leadership traits. Download your Signature Theme Report to submit for this Discussion.

Question 5: Donna and Darren have three children. Darren’s father has hypercholesterolemia, which is transmitted in an autosomal dominant pattern. Darren gets his cholesterol levels checked frequently, and they have remained within normal limits; however, two of Donna and Darren’s three children have high plasma levels of total and LDL cholesterol. Darren doesn’t understand why his children are affected when it is clear that he is healthy. 1. Do you see any risk factors or inheritance patterns (include family members in your response)? 2. What could explain why Darren is unaffected but two of his children are affected? 3. What are treatments for familial hypercholesterolemia? 4. When would children be treated?

Question 6: Henry is a 46-year-old man who has attended a family screening event and has been referred for a follow-up EKG. He denies seizures, dizziness, or syncope, is active and maintains a healthy BMI. He takes no daily medications. His family history is remarkable for his father who died at age 50 from a heart-related event, and his brother, who died at 3 months ago, from sudden cardiac death, which is the reason Henry decided to attend the screening event. Henry’s EKG shows a lengthened QT interval.

,1. What condition does Henry likely have?

2. What is the potentially lethal heart problem that can develop as a result of this condition? 3. What can you tell Henry about the genetics of this condition? 4. Would genetic testing be appropriate for Henry and his children? Why or why not?

Learning activity: the patient had a history of suicide attempts and fibromyalgia. the doctor treated the patient for 6 months for fibromyalgia and depression. the patient took all her dad’s meds and OD and is now a total care patient in a nursing home. parents want to sue for malpractice.

Question:

How might the medical outcome and legal liability of this case have been different if the APN had consulted with a psychiatrist or clinical psychologist colleague? 

Brenden was diagnosed at 19 with bipolar I, and subsequently has been admitted six times due to non-adherence to the medication regimen. Brenden is divorced and has a 3-year-old son who lives with his mother. He was recently in court to have his visitations reduced to one supervised visit a week. He lives with his mother, who is supportive.

Question:

1. What data from the histories is important and RELEVANT and has clinical significance for the nurse? 
2. What VS data are RELEVANT and must be recognized as clinically significant by the nurse? Explain why.