Respond to Catherine and Jasmine in the following way: Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why. At least 2 citations and 2 matching references Catherine   Main Post, week 2 case study Top of Form Main Post             A 68 year old black female arrives at the clinic for a follow up of HTN. Her current BP is 182/99 and HR 84. She is on four different HTN medications (Hydralazine 50 mg PO Q8H, Metoprolol XL 200 mg PO Q12H, Lisinopril 40 mg PO daily, and HCTZ 25mg PO daily.) Some of her medication bottles from last year are still full, and she is missing one bottle that may still be at home. She lives alone and has glaucoma that is worsening her vision over the last few years.              When interviewing an elderly patient its important to introduce yourself clearly and do not speak too quickly. Ask your patient how they would like to be addressed. Elderly patients tend to respect formal language such as “Mr., Mrs., Ms., etc.” using words like “hon” can sound patronizing. Taking the time to establish good rapport has been shown to improve health outcomes and strengthen patient-provider relationships (NIH, 2017.) In addition to the fact this patient is elderly, studies have shown African Americans do not trust healthcare providers for a variety of reasons which usually stem from prior experiences with discrimination. Research has shown that racial and ethnic minorities feel they are less valued by health care providers and receive a lower standard of care (Hansen, Hodgson & Gitlin, 2016.) Providers should aim to gain trust of their patients by actively listening and engaging with them. It’s also important to note that her vision may be poor. Staff at the clinic may need to help this patient with any paper forms that may need to be filled out.             A few target questions I would ask this patient are: 1. What is your chief complaint or reason for visiting today? 2. Have you been taking your medications as prescribed?  3. It appears some of the bottles of your medications are still full, do you have difficulty reading the bottles? 4. Do you feel that you are on too many medications to keep up with? 5. Tell me about your home? 6. Do you have reliable transportation? 7. Do you have an ophthalmologist you are seeing for your glaucoma? 8. Are you on any eye drops for your glaucoma? 9. I see that you live alone, do you have a family member or friend to help if needed?             Glaucoma is the leading cause of irreversible blindness worldwide. Proper routine monitoring is key to reducing permanent vision loss (McMonnies, 2017.) It’s important to ensure that this patient has a follow up appointment with an ophthalmologist to keep this under control. I would also suggest trying to treat her BP with fewer medications if possible. I would suggest this patient coming in more often to re-evaluate her BP an.

1. Respond to Catherine and Jasmine in the following way:
Critique your colleague’s targeted questions, and explain how
the patient might interpret these questions. Explain whether any
of the questions would apply to your patient, and why.
At least 2 citations and 2 matching references
Catherine
Main Post, week 2 case study
Top of Form
Main Post
A 68 year old black female arrives at the clinic for a
follow up of HTN. Her current BP is 182/99 and HR 84. She is
on four different HTN medications (Hydralazine 50 mg PO
Q8H, Metoprolol XL 200 mg PO Q12H, Lisinopril 40 mg PO
daily, and HCTZ 25mg PO daily.) Some of her medication
bottles from last year are still full, and she is missing one bottle
that may still be at home. She lives alone and has glaucoma that
is worsening her vision over the last few years.
When interviewing an elderly patient its important to
introduce yourself clearly and do not speak too quickly. Ask
your patient how they would like to be addressed. Elderly
patients tend to respect formal language such as “Mr., Mrs.,
Ms., etc.” using words like “hon” can sound patronizing. Taking
the time to establish good rapport has been shown to improve
health outcomes and strengthen patient-provider relationships
(NIH, 2017.) In addition to the fact this patient is elderly,
studies have shown African Americans do not trust healthcare
providers for a variety of reasons which usually stem from prior
experiences with discrimination. Research has shown that racial
and ethnic minorities feel they are less valued by health care
providers and receive a lower standard of care (Hansen,
Hodgson & Gitlin, 2016.) Providers should aim to gain trust of

2. their patients by actively listening and engaging with them. It’s
also important to note that her vision may be poor. Staff at the
clinic may need to help this patient with any paper forms that
may need to be filled out.
A few target questions I would ask this patient are:
1. What is your chief complaint or reason for visiting today?
2. Have you been taking your medications as prescribed?
3. It appears some of the bottles of your medications are still
full, do you have difficulty reading the bottles?
4. Do you feel that you are on too many medications to keep up
with?
5. Tell me about your home?
6. Do you have reliable transportation?
7. Do you have an ophthalmologist you are seeing for your
glaucoma?
8. Are you on any eye drops for your glaucoma?
9. I see that you live alone, do you have a family member or
friend to help if needed?
Glaucoma is the leading cause of irreversible blindness
worldwide. Proper routine monitoring is key to reducing
permanent vision loss (McMonnies, 2017.) It’s important to
ensure that this patient has a follow up appointment with an
ophthalmologist to keep this under control. I would also suggest
trying to treat her BP with fewer medications if possible. I
would suggest this patient coming in more often to re-evaluate
her BP and ensure the medications are working. It may also be
beneficial to set up maybe a home health consult, family
member, or some kind of service that can help organize the
patients pills and help with ADL’s if needed.
References
Hansen, B. R., Hodgson, N. A., & Gitlin, L. N. (2016). It’s a
matter of trust: Older African Americans speak about
their health care encounters. Journal of

3. Applied Gerontology, 35(10), 1058-1076.
McMonnies, C. W. (2017). Glaucoma history and risk
factors. Journal of optometry, 10(2), 71- 78.
NIH. (2017, May 17). Tips for improving communication with
older patients. Retrieved June 8, 2020, from
https://www.nia.nih.gov/health/tips-improving-communication-
older-patients
Jasmine: Week 2 Discussion
COLLAPSE
Top of Form
All patients come in with different backgrounds and different
stories. Working as a mental health nurse the past year has
really opened my eyes to a lot of different things. Patients go
through many different obstacles in life and everyone deals with
these obstacles differently. Some situations are difficult for
certain people to handle compared to others. Working at a
mental health facility, I also care for patients suffering from
substance and alcohol abuse, these patients are going through
addictions and withdrawals.
Patient AG a 54 year old Caucasian male comes into the clinic
after a recent hospitalization due to having a seizure related to
alcohol withdrawal. The patient has hypertension and a history
of cocaine and alcohol abuse.The patient is homeless, the
number of people experiencing being homeless has increased
nearly three percent in 2019. and states that he stopped taking
his hypertension medication. Patient states that he is abstaining
from alcohol and cocaine but needs to smoke cigarettes to calm
down due to not drinking anymore. Studies show that alcohol
related mortality and suicides have increased since the late
1990s (Glei, 2019).
Starting this patients assessment, I would want to know the
patient's outlook on his health and how he feels the cocaine and

4. alcohol are affecting his life. Being that the patient just had a
recent hospitalization due to a seizure but states he is abstaining
from alcohol and cocaine, I would want to know when did he
stop drinking and using? When was the last time he used? I
would also want to know in his words, what causes him to
relapse? Due to the patient being homeless, some financial
questions would be in concern such as, how does he support his
habit? Questions about medication compliance would also be
very beneficial. I would want to know how much the patient
knows about hypertension and medication compliance.
Hypertension is a major risk factor in adults for
cardiovascular disease and causing death (Kang, 2020).
Targeted questions
1. How do you feel alcohol and cocaine are effecting your life?
2. When was the last time that you used cocaine and alcohol?
3. What are your concerns pertaining to your health?
4. Tell me about your medication compliance.
5. Tell me about the stressors in your life that cause you to
relapse?
6. Do you have any financial concerns?
7. Are you having any suicidal/homicidal thoughts?
References
Glei, D. A., & Weinstein, M. (2019). Drug and Alcohol Abuse:
the Role of Economic Insecurity. American Journal of Health
Behavior,
43(4), 838–857.
Homelessness in the United States: The federal government’s
annual census of unhoused people. (2020). Congressional
Digest, 99(5), 3–5.
Jiyeon Kang, & Yeon Jin Jeong. (2020). Psychological
Resistance to Drug Therapy in Patients with Hypertension: A
Qualitative
Thematic Analysis. Korean Journal of Adult
Nursing, 32(2), 124–133.

5. REPLY
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Rubric Assessment
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This table lists criteria and criteria group name in the first
column. The first row lists level names and includes scores if
the rubric uses a numeric scoring method. Response
No Submission
0 points
0 %
Emerging (F-D: 1-27)
27 points
27 %
Satisfactory (C: 28-31)
31 points
31 %
Proficient (B: 32-35)
35 points
35 %
Exemplary (A: 36-40)
40 points
40 %
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The information provided is inaccurate, not focused on the
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fully. Response demonstrates incomplete understanding of the
topic and/or inadequate preparation.
The information provided is accurate, giving a basic

6. understanding of the topic(s) covered. A basic understanding is
when you are able to describe the terms and concepts covered.
Despite this basic understanding, initial posting may not include
complete development of all aspects of the assignment.
The information provided is accurate, displaying a good
understanding of the topic(s) covered. A good understanding is
when you are able to explain the terms and topics covered.
Initial posting demonstrates sincere reflection and addresses
most aspects of the assignment, although all concepts may not
be fully developed.
The information provided is accurate, providing an in-depth,
well thought-out understanding of the topic(s) covered. An in-
depth understanding provides an analysis of the information,
synthesizing what is learned from the course/assigned readings.
/ 40
/ 40
*
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column. The first row lists level names and includes scores if
the rubric uses a numeric scoring method. Participation
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0 %
Emerging (F-D: 1-13)
13 points
13 %
Satisfactory (C: 14-16)
16 points
16 %
Proficient (B: 17-18)
18 points
18 %

7. Exemplary (A: 19-20)
20 points
20 %
Participation in Discussion
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May include one or more of the following:
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“Good job” or “I agree.
*Comments are off topic.
Comments to two or more classmates’ initial posts but only on
one day of the week. Comments are substantive, meaning they
reflect and expand on what the other student wrote.
Comments to two or more classmates’ initial posts on more than
one day. Comments are substantive, meaning they reflect and
expand on what the other student wrote.
Comments to two or more classmates’ initial posts and to the
instructor's comment (if applicable) on two or more days.
Responses demonstrate an analysis of peers’ comments,
building on previous posts. Comments extend and deepen
meaningful conversation and may include a follow-up question.
/ 20
/ 20
*
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This table lists criteria and criteria group name in the first
column. The first row lists level names and includes scores if
the rubric uses a numeric scoring method. Writing
No Submission

8. 0 points
0 %
Emerging (F-D: 1-13)
13 points
13 %
Satisfaction (C: 14-16)
16 points
16 %
Proficient (B: 17-18)
18 points
18 %
Exemplary (A: 19-20)
20 points
20 %
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Information Literacy
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spelling, use of slang, and incomplete or missing citations and
references. If required for the assignment, did not use course,
text, and/or outside readings (where relevant) to support work.
Some spelling, grammatical, and/or structural errors are present.
Some errors in formatting citations and references are present.
If required for the assignment, utilizes sources to support work
for initial post but not comments to other students. Sources
include course/text readings but outside sources (when relevant)
include non-academic/authoritative, such as Wikis and .com
resources.
Minor errors in grammar, mechanics, or spelling in the initial
posting are present. Minor errors in formatting citations and
references may exist. If required for the assignment, utilizes
sources to support work for both the initial post and some of the

9. comments to other students. Sources include course and text
readings as well as outside sources (when relevant) that are
academic and authoritative (e.g., journal articles, other text
books, .gov Web sites, professional organization Web sites,
cases, statutes, or administrative rules).
Minor to no errors exist in grammar, mechanics, or spelling in
both the initial post and comments to others. Formatting of
citations and references is correct. If required for the
assignment, utilizes sources to support work for both the initial
post and the comments to other students. Sources include course
and text readings as well as outside sources (when relevant) that
are academic and authoritative (e.g., journal articles, other text
books, .gov Web sites, professional organization Web sites,
cases, statutes, or administrative rules).
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Overall Score
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10. Satisfactory progress has not been met on the competencies for
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Satisfactory (C Range)56 points minimum
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this assignment.
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Proficient (B Range)64 points minimum
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