Discussion Board Discussion Board .docx

Discussion Board ?
Discussion Board
The main discussion board page appears with a list of available
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threads that can be organized around a
particular subject. A thread is a conversation within a forum
that includes the initial post and all replies to it. When you
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FORUM
DESCRIPTION TOTAL UNREAD REPLIES TOTAL

POSTS POSTS TO ME PARTICIPANTS
General Questions Description: Total Posts: Unread Posts:
Replies To Total Participants:
This is a thread for general questions, chances are someone
else 0 0 Me: 0 0
in the class has the same question, or maybe an answer.
U1DT1
Description:
How can we identify health risks, strengths, and needs in our
Total Posts:
14
Unread Posts:
0

Replies
To Me: 0
Total Participants:
8
comprehensive health assessment? Give two examples with
rationales for each.
Students are expected to:
1. Post an initial substantive response of 200-250 words to
each question.
2. Read postings and engage in the discussion boards 4-5
days per week.
3. Respond to at least two other student’s postings with
substantive comments. Substantive comments add to the
discussion and provide your fellow students with information
that will enhance the learning environment.The postings
should be at least one paragraph (approximately 100 words)
and include references as indicated by the instructor.

4. References and citations should conform to the APA 6th
edition.
5. Remember: Please respect the opinions of others, even if
their views differ. In other words, disagree professionally
and respectfully.Plagiarism is never acceptable – give credit
when credit is due - cite your sources
Grading Rubric: Before you submit your discussion post click
on
the view discussion rubric option for grading criteria. You will
need to select the discussion question title in order to create
your thread and to also view the rubric.
U2DT1
Description:
Consider performing a health history on someone that may not
Total Posts:
1

Unread Posts:
0
Replies
To Me: 0
Total Participants:
1
be able to provide you with answers, such as an infant, child, an
elderly person, a developmentally disabled individual, or
patients
who speak a language you do not know.
What strategies would you employ to obtain a complete
the health history?
Provide a rationale for why you think these strategies
would be effective.
Your response should include evidence of review of the course
material, websites, and literature through proper citations using
APA format.
Reply to at least TWO of your classmates.
Provide helpful information that you posted in your initial

response that supplement their response and/or a resource to
help with this system.
https://herzing.blackboard.com/webapps/discussionboard/do/con
ference?toggle_mode=read&action=list_forums&course_id=_11
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ference?conf_id=_684453_1&sortCol=title&numResults=25&co
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sts&numResults=25&course_id=_117256_1&action=list_forums

&toggle_mode=read&nav=discussion_board_entry&sortDir=AS
CENDING
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esults=25&course_id=_117256_1&action=list_forums&toggle_
mode=read&nav=discussion_board_entry&sortDir=ASCENDIN
G
ference?conf_id=_684453_1&sortCol=total_posts&numResults=
25&course_id=_117256_1&action=list_forums&toggle_mode=r
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s=25&course_id=_117256_1&action=list_forums&toggle_mode
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esults=25&course_id=_117256_1&action=list_forums&toggle_
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https://herzing.blackboard.com/webapps/discussionboard/do/for
um?action=list_threads&course_id=_117256_1&nav=discussion
_board_entry&conf_id=_684453_1&forum_id=_859368_1

Please refer to the grading rubric for details on how this activity
will be graded.
U3DT1
Description:
T. R. (a 23-year-old female) presents to the local health clinic
with
Total Posts:
0
Unread Posts:
0

Replies
To Me: 0
Total Participants:
0
complaints of two red, scaly patches on her Right arm.
HPI: Started about two weeks ago. She states that the first
lesions appeared to be poison ivy. After the vesicles cleared, the
itching and scaling remained. She now has new lesions over her
left eyebrow, and a small patch appears over her right upper lip.
She states that the lesions have not cleared with over-the-
counter medications. She believes she has used steroid cream,
antibacterial cream, and anti-itch cream.
Questions
What other questions regarding her HPI would you like to
ask?
What additional history would you like to obtain from R.H?
(Be comprehensive in this response; you have no past
medical history for this client.)

This is how the rash appears on physical examination:
1. What specifically would you assess for on physical exam?
How would you document the lesions?
2. What characteristics would you look for or questions
would you ask to ascertain risk of skin cancer?
3. What education would you provide related to skin cancer
health promotion and screening guidelines?
APA format.
will be graded.
U4DT1

Description:
A 35-year-old woman with a history of asthma is complaining
of
Total Posts:
0
Unread Posts:
0
Replies
To Me: 0
Total Participants:
0
nasal itching, sneezing, and rhinorrhea. She states her symptoms
are worse in the spring and fall. She does have difficulty
sleeping
due to congestion. She does not smoke but does have 2 cats in
the home. She does appear tired but no respiratory distress. Her
vital signs are T98.8, R18, P88 and BP 128/80. Nasal turbinates

are swollen, boggy and pale, bluish gray. Thin watery secretions
are seen.
Based on this information what is the subjective data?
What information is the objective data?
Give an example of 2 questions you may want to ask this
patient.
APA format.
will be graded.
U5DT1 Description: Total Posts: Unread Posts: Replies To
Total Participants:

Consider factors (such as disease process, musculoskeletal 0 0
Me: 0 0
changes, or environmental risks) that can influence the
evaluation of the lungs and thorax and discuss how you will
adjust the H&P around these factors?
APA format.
Please refer to the grading rubric for details on how this
activity
will be graded.
Total Participants:
C. T. a 48-year-old male patient presents for a checkup. He 0 0
Me: 0 0
admits it has been 4 years since he has been seen by a medical
professional and at that time was diagnosed with an upper
respiratory illness. He did have his blood pressure takin a year
ago at his employer’s health fair and was told it was a “little
high”.
He has had no major illness or chronic diseases. He has no
known allergies and does not take any regular medication.
His family history shows that is father died of a heart attack at
age 68, his mother is alive and well at age 72, he has a 50-year-

old brother with depression and alcoholism, and one son who is
healthy at age 24. He did have a maternal uncle with prostate
cancer.
On review of systems, he has occasional headaches,
experiences
shortness of breath when he walks upstairs, and gets up once a
night to urinate.
What should the major objectives of this health
maintenance visit be?
What conditions, risk factors, and health related behaviors
should be screened for during this visit?
What are the common causes of morbidity and mortality
for 48-year-old men in the United States?
Read and respond to two of your peers posts. Compare and
contrast your responses with theirs and discuss different
perspectives.
Use correct APA formatting and in text citations to support
your
responses.
Total Participants:
A 32-year-old female presents for an evaluation of a lump in
her 0 0 Me: 0 0
right breast that she found on breast self-examination. The
lump
is found to be 2cm in size, firm, and mobile. No Adenopothy
noted.
What are two questions you would ask this patient?
What are two risk factors would you want to assess for?

APA format.
will be graded.
Total Participants:
Today in the office you encounter a patient with an eating 0 0
Me: 0 0
disorder such as anorexia or bulimia.
Discuss how you would approach the history and physical
exam considering this information.
Identify specific subjective and objective data you would

obtain during the visit and why those components are
important and how they relate to the eating disorder.
APA format.
activity
will be graded.
Total Participants:
Find two screening guidelines for testicular cancer or prostate
0 0 Me: 0 0
cancer.
Discuss the similarities/differences in the screening
guidelines and find available resources to help encourage
adherence to screening guidelines in the target
population.
APA format.

activity
will be graded.
Total Participants:
You have a 28-year-old female in the clinic with a complaint of
an 0 0 Me: 0 0
offensive and fishy-smelling, abnormal vaginal discharge. She
denies a history of STDs. She reports getting yeast infections
on
two occasions. Her last infection was a year ago. She used OTC
medication and reported relief. Reports that she is married and
has not had any other sex partners. Otherwise, she is healthy.
What two diagnostic/laboratory procedures would you order to
evaluate her condition? Discuss your rationale (document),
normal findings or range for the procedures, teachings
associated with the procedures (e.g., NPO, fasting, etc,).
APA format.
activity
will be graded.

Total Participants:
A 20-year-old male presents with an inversion injury of his
right 0 0 Me: 0 0
ankle that occurred while playing soccer. His ankle is swollen,
but
he can bear weight and has no focal tenderness and no ligament
laxicity.
What testing might you want to order for this patient?
What would be the initial therapy for this type of injury?
APA format.

will be graded.
Total Participants:
A 60-year-old man is brought to the ER by ambulance because
of 0 0 Me: 0 0
slurred speech and left side weakness. His wife states they went
to bed at 11pm and woke up at 5am when she noticed his
symptoms. He is right handed with a history of coronary artery
disease, hypertension, and hypercholesterolemia and a heart
attack at age 50. He currently is unable to move his left arm and
leg. He had an episode of amaurosis fugux (blindness)in his
right
eye one month ago that lasted for 5 minutes. Around 3 months
ago his wife states he had bilateral pain in his legs while they
were on a walk that lasted about 15 minutes. He is taking a baby
aspirin a day an ACE inhibitor, and statin as well. He does have
a
history of alcohol use and smoking in the past but stopped after
his heart attack. His blood pressure is 195/118 Pulse 106,
Respiratory rate 18, Temperature 99.8, o2 sat is 97% on room
air.
Although his pupils are equal and reactive, and the ocular
movements are intact, he is unable to turn his eyes voluntarily
toward the left side. The neck is supple, there is no jugular vein
distension, and there are no bruits. The lungs are clear heart

sounds regular without murmurs, and abdomen is normal. The
limbs are not well perfused distally. The neurologic
examination
reveals that he is alert and oriented, although he does not
recognize he is sick. He shows loss of awareness and attention
with respect to objects or stimuli on his left side. He has mild
dysarthria but, his speech is fluent, and he understands and
follows commands very well. There is mild weakness on the left
side of the face and left sided homonymous hemaianopsia, but
there is no nystagmus or ptosis, and no tongue or uvula
deviation. He is not able to move his left arm and leg, has
hyperreflexia, and the left great toe is upgoing.
What are two questions you would ask this patient?
Identify the subjective data for this patient.
Identify the objective data for this patient.
What is the likely diagnosis?
APA format.
will be graded.

Total Participants:
A 24-year-old patient who has never been pregnant before 0 0
Me: 0 0
presents after having a positive home pregnancy test. She has no
significant medical history. She denies symptoms and is worried
because she has not felt the baby move thus far. Her last period
was June 15 and today is August 20.
What are three questions you would ask this patient?
What would be her gestational age and expected due
date?
How would you address her concern of not feeling the
baby move?
APA format.

will be graded.
Total Participants:
You are seeing a 2 year old child with upper respiratory illness
0 0 Me: 0 0
symptoms today in clinic. There are no signs of infection but
the
child's mother is demanding an antibiotic for treatment.
How would you approach this situation?
What education can you give this parent?
APA format.
activity
will be graded.

Total Participants:
You have a newly diagnosed diabetic 16-year-old female in
your 0 0 Me: 0 0
clinic. Describe a teaching plan for this client. How will your
plan
differ from an adult plan, give your rationale with
documentation in APA format? How will you incorporate the
family in your plan, give rationale with documentation? What
other professionals will you include in the plan, give your
rationale with documentation in APA format? How will you
address her participation on the basketball team at school, give
rationale and documentation?
U16DT1 - Reflection Description: Total Posts: Unread Posts:
Replies To Total Participants:
Discussion As you complete this course reflect on your
experience 0 0 Me: 0 0
transitioning from an experienced nurse to an advanced
practice
nursing student. Please describe how the skills you have
learned
in obtaining patients’ history, physical exam and clinical and
diagnostic reasoning will help you in your professional career?
Displaying 1 to 17 of 17 items
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ference?editPaging=false&nav=discussion_board_entry&toggle
_mode=read&showAll=true&action=list_forums&conf_id=_684
453_1&sortCol=position&sortDir=ASCENDING&course_id=_1
17256_1&startIndex=0
#7230 Topic: HA W3DT1
Number of Pages: 1 (Double Spaced)
Number of sources: 3
Writing Style: APA
Type of document: Essay
Academic Level:Ph. D.
Category: Nursing
Language Style: English (U.S.)

Order Instructions:
T. R. (a 23-year-old female) presents to the local health clinic
with complaints of two red, scaly patches on her Right arm.
HPI: Started about two weeks ago. She states that the first
lesions appeared to be poison ivy. After the vesicles cleared, the
itching and scaling remained. She now has new lesions over her
left eyebrow, and a small patch appears over her right upper lip.
She states that the lesions have not cleared with over-the-
counter medications. She believes she has used steroid cream,
antibacterial cream, and anti-itch cream.
Questions
What other questions regarding her HPI would you like to ask?
What additional history would you like to obtain from R.H? (Be
comprehensive in this response; you have no past medical
history for this client.)
This is how the rash appears on physical examination:
skin rash

What specifically would you assess for on physical exam? How
would you document the lesions?
What characteristics would you look for or questions would you
ask to ascertain risk of skin cancer?
What education would you provide related to skin cancer health
promotion and screening guidelines?
** Please refer to PDF attached for review.
Provide response with references. All references must be within
5 years of publication and in APA format.

Discussion Board Discussion Board .docx

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