Case Study: Mr. M.  It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the Health History and Medical Information for Mr. M., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below. Health History and Medical Information Health History Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN. Case Scenario Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing. Objective Data Temperature: 37.1 degrees C BP 123/78 HR 93 RR 22 Pox 99% Denies pain Height: 69.5 inches; Weight 87 kg Laboratory Results WBC: 19.2 (1,000/uL) Lymphocytes 6700 (cells/uL) CT Head shows no changes since previous scan Urinalysis positive for moderate amount of leukocytes and cloudy Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L Critical Thinking Essay In 750-1,000 words, critically evaluate Mr. M.'s situation. Include the following: Describe the clinical manifestations present in Mr. M. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support. When performing your nursing assessment, discuss what abnormalities would you expect to find and why. Describe the physical, psychological, and emotional effects Mr. M.'s current health status may have on him. Discuss the impact it can have on his family. Discuss what interventions can be put into place to support Mr. M. and his family. Given Mr. M.'s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each. You are .

1. Case Study: Mr. M.
It is necessary for an RN-BSN-prepared nurse to demonstrate an
enhanced understanding of the pathophysiological processes of
disease, the clinical manifestations and treatment protocols, and
how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mr.
M., presented below.
Based on this information, formulate a conclusion based on your
evaluation, and complete the Critical Thinking Essay
assignment, as instructed below.
Health History and Medical Information
Health History
Mr. M., a 70-year-old male, has been living at the assisted
living facility where you work. He has no know allergies. He is
a nonsmoker and does not use alcohol. Limited physical activity
related to difficulty ambulating and unsteady gait. Medical
history includes hypertension controlled with ACE inhibitors,
hypercholesterolemia, status post appendectomy, and tibial
fracture status postsurgical repair with no obvious signs of
complications. Current medications include Lisinopril 20mg
daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg
PRN, and ibuprofen 400mg PRN.
Case Scenario
Over the past 2 months, Mr. M. seems to be deteriorating
quickly. He is having trouble recalling the names of his family
members, remembering his room number, and even repeating
what he has just read. He is becoming agitated and aggressive

2. quickly. He appears to be afraid and fearful when he gets
aggressive. He has been found wandering at night and will
frequently become lost, needing help to get back to his room.
Mr. M has become dependent with many ADLs, whereas a few
months ago he was fully able to dress, bathe, and feed himself.
The assisted living facility is concerned with his rapid decline
and has decided to order testing.
Objective Data
Temperature: 37.1 degrees C
BP 123/78 HR 93 RR 22 Pox 99%
Denies pain
Height: 69.5 inches; Weight 87 kg
Laboratory Results
WBC: 19.2 (1,000/uL)
Lymphocytes 6700 (cells/uL)
CT Head shows no changes since previous scan
Urinalysis positive for moderate amount of leukocytes and
cloudy
Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Critical Thinking Essay

3. In 750-1,000 words, critically evaluate Mr. M.'s situation.
Include the following:
Describe the clinical manifestations present in Mr. M.
Based on the information presented in the case scenario, discuss
what primary and secondary medical diagnoses should be
considered for Mr. M. Explain why these should be considered
and what data is provided for support.
When performing your nursing assessment, discuss what
abnormalities would you expect to find and why.
Describe the physical, psychological, and emotional effects Mr.
M.'s current health status may have on him. Discuss the impact
it can have on his family.
Discuss what interventions can be put into place to support Mr.
M. and his family.
Given Mr. M.'s current condition, discuss at least four actual or
potential problems he faces. Provide rationale for each.
You are required to cite to a minimum of two sources to
complete this assignment. Sources must be published within the
last 5 years and appropriate for the assignment criteria and
relevant to nursing practice.
Prepare this assignment according to the guidelines found in the
APA Style Guide, located in the Student Success Center. An
abstract is not required.
This assignment uses a rubric. Please review the rubric prior to

4. beginning the assignment to become familiar with the
expectations for successful completion.
You are required to submit this assignment to LopesWrite.
Refer to the
LopesWrite Technical Support articles
for assistance.
RUBRIC
Attempt Start Date:
23-Sep-2019 at 12:00:00 AM
Due Date:
29-Sep-2019 at 11:59:59 PM
Maximum Points:
120.0
Case Study: Mr. M.
No of Criteria: 11 Achievement Levels: 5
CriteriaAchievement
LevelsDescriptionPercentageUnsatisfactory0.00 %Less Than
Satisfactory75.00 %Satisfactory79.00 %Good89.00
%Excellent100.00 %Content80.0
Clinical Manifestations of Mr. M.10.0Clinical
manifestations are omitted.Clinical manifestations are partially
presented. There are major omissions and inaccuracies.Clinical
manifestations are summarized. An overview of the general
symptoms is presented. Some findings are

5. incomplete.Subjective and objective clinical manifestations are
described. Overall, the clinical manifestations are accurate and
reflect observed and perceived signs and symptoms.Subjective
and objective clinical manifestations are detailed. The clinical
manifestations are accurate and clearly report the observed and
perceived signs and symptoms.Diagnoses and Secondary
Diagnoses10.0A discussion on what primary and secondary
medical diagnoses should be considered for Mr. M. is omitted;
or, medical diagnoses presented are inaccurate.A partial
discussion on what primary and secondary medical diagnoses
should be considered for Mr. M. is presented. There are major
inaccuracies. Rationale and evidence for the diagnoses are
lacking.A general discussion on what primary and secondary
medical diagnoses should be considered for Mr. M. is presented.
There are some inaccuracies. A summary provides some
rationale and evidence to explain why the diagnoses are
relevant.A discussion on what primary and secondary medical
diagnoses should be considered for Mr. M. is presented. General
rationale and relevant data are used to explain why the
diagnoses should be considered. There are minor inaccuracies.A
detailed discussion on what primary and secondary medical
diagnoses should be considered for Mr. M. is presented. Strong
rationale and reliable data are used to explain why the
diagnoses are relevant and should be considered.Explanation of
Expected Abnormalities During Nursing Assessment15.0A
discussion of what abnormalities a nurse would expect to find
during a nursing assessment is omitted; or, the expected
findings are not relevant for the patient or his health status.An
incomplete summary of some abnormalities a nurse would
expect to find during a nursing assessment is presented. There
are inaccuracies. No rationale or evidence is provided for
support.A general discussion on the abnormalities a nurse would
expect to find during a nursing assessment is presented. There
are minor inaccuracies. Some rationale or evidence is provided
for support.A discussion of abnormalities a nurse would expect
to find during a nursing assessment is presented. General

6. rationale and evidence are provided for support.A thorough
discussion of abnormalities a nurse would expect to find during
a nursing assessment is presented. Strong rationale and evidence
are provided for support.Effects of Health Status on Physical,
Psychological, and Emotional Aspects of Patient and
Family15.0The effects of the health status on the physical,
psychological, and emotional aspects of the patent, and the
impact the health status has on the family, are omitted.The
effects of the health status on the physical, psychological, and
emotional aspects of the patient, and the impact the health
status has on the family, are partially summarized. The effects
presented are questionable, and support for the discussion is not
provided.The effects of the health status on the physical,
psychological, and emotional aspects of the patient, and the
impact the health status has on the family, are summarized.
Overall, the described effects on the patient and impact to the
family are relevant. Some support for the discussion is
provided.A discussion of the effects of the health status on the
physical, psychological, and emotional aspects of the patient,
and the impact the health status has on the family, is presented.
Support for the discussion is provided.A thorough discussion of
the effects of the health status on the physical, psychological,
and emotional aspects of the patient, and the impact the health
status has on the family, is presented. Strong support for the
discussion is provided.Interventions for
Support15.0Interventions that can be put into place to support
Mr. M. and his family are omitted.Some interventions that can
be put into place to support Mr. M. and his family are partially
presented. More information is required.Some interventions that
can be put into place to support Mr. M. and his family are
summarized. There are minor inaccuracies.Key interventions
that can be put into place to support Mr. M. and his family are
discussed. Some detail is needed for clarity.All relevant
interventions that can be put into place to support Mr. M. and
his family are thoroughly discussed.Actual or Potential
Problems Based on Condition15.0Fewer than three actual or

7. potential problems faced by the patient are presented. The
problems posed are not relevant to his condition.Three actual or
potential problems faced by the patient are partially presented.
It is unclear how some of the posed problems are relevant to his
condition. There are inaccuracies.At least four actual or
potential problems faced by the patient are summarized. The
posed problems are generally relevant to his condition. There
are minor inaccuracies. Some information or rationale is
needed.Four or more actual or potential problems faced by the
patient are discussed. The posed problems are relevant to his
condition. Rationale provided generally supports the
discussion.Four or more actual or potential problems faced by
the patient are thoroughly discussed. The posed problems are
clearly related to his condition. Strong rationale is provided and
supports the discussion.
Organization, Effectiveness, and Format20.0
Thesis Development and Purpose5.0Paper lacks any
discernible overall purpose or organizing claim.Thesis is
insufficiently developed or vague. Purpose is not clear.Thesis is
apparent and appropriate to purpose.Thesis is clear and
forecasts the development of the paper. Thesis is descriptive
and reflective of the arguments and appropriate to the
purpose.Thesis is comprehensive and contains the essence of the
paper. Thesis statement makes the purpose of the paper
clear.Argument Logic and Construction5.0Statement of purpose
is not justified by the conclusion. The conclusion does not
support the claim made. Argument is incoherent and uses
noncredible sources.Sufficient justification of claims is lacking.
Argument lacks consistent unity. There are obvious flaws in the
logic. Some sources have questionable credibility.Argument is
orderly but may have a few inconsistencies. The argument
presents minimal justification of claims. Argument logically,
but not thoroughly, supports the purpose. Sources used are
credible. Introduction and conclusion bracket the
thesis.Argument shows logical progression. Techniques of
argumentation are evident. There is a smooth progression of

8. claims from introduction to conclusion. Most sources are
authoritative.Clear and convincing argument presents a
persuasive claim in a distinctive and compelling manner. All
sources are authoritative.Mechanics of Writing (includes
spelling, punctuation, grammar, language use)5.0Surface errors
are pervasive enough that they impede communication of
meaning. Inappropriate word choice or sentence construction is
used.Frequent and repetitive mechanical errors distract the
reader. Inconsistencies in language choice (register), sentence
structure, or word choice are present.Some mechanical errors or
typos are present, but they are not overly distracting to the
reader. Correct sentence structure and audience-appropriate
language are used.Prose is largely free of mechanical errors,
although a few may be present. A variety of sentence structures
and effective figures of speech are used.Writer is clearly in
command of standard, written, academic English.Paper Format
(use of appropriate style for the major and
assignment)2.0Template is not used appropriately, or
documentation format is rarely followed correctly.Appropriate
template is used, but some elements are missing or mistaken. A
lack of control with formatting is apparent.Appropriate template
is used. Formatting is correct, although some minor errors may
be present.Appropriate template is fully used. There are
virtually no errors in formatting style.All format elements are
correct.Documentation of Sources (citations, footnotes,
references, bibliography, etc., as appropriate to assignment and
style)3.0Sources are not documented.Documentation of sources
is inconsistent or incorrect, as appropriate to assignment and
style, with numerous formatting errors.Sources are documented,
as appropriate to assignment and style, although some
formatting errors may be present.Sources are documented, as
appropriate to assignment and style, and format is mostly
correct.Sources are completely and correctly documented, as
appropriate to assignment and style, and format is free of error.
Total Percentage 100