You should begin the primary assessment of a patient who has a psychiatric problem with an interview to get to know the patient.
How to evaluate a psychiatric patient?In the psychiatric evaluation, an interview is initially carried out to get to know the patient and, if necessary, a conversation with other sources, such as
family membershealth professionalssocial workersamong others, can be requested.With this information, we can conclude that you should begin the primary assessment of a patient who has a psychiatric problem with an interview to get to know the patient.
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A 14-year-old girl presents to her primary care provider with a 3-to-4-month history of abdominal pain. Several mornings each week, the patient awakens with epigastric and periumbilical pain, and she does not want to eat breakfast. Eating makes her pain worse, and she does have some nausea. She does not have diarrhea, constipation, or blood in her stool. She has not gained weight since her last visit 6 months ago. On physical examination, she is a healthy-appearing, Tanner Stage IV adolescent whose weight and height are at the 50th percentile for age. Her abdomen is soft but mildly tender throughout. There is no perianal disease, and the stool in her rectum is hemoccult negative. You suspect that she has functional abdominal pain (functional dyspepsia). Which of these tests would be helpful to obtain to exclude other likely causes of her pain
The test that would be useful to rule out other likely causes of your pain would be Upper Endoscopy with no injuries to the stomach or duodenum that could be responsible for the symptoms.
What is Functional Dyspepsia?Functional dyspepsia is a gastric disorder characterized by the presence of one or more symptoms (epigastric pain, postprandial fullness, early satiety, stomach burning) during the last 3 months and that started at least 6 months before.
With this information, we can conclude that the test that would be useful to rule out other likely causes of your pain would be Upper Endoscopy with no injuries to the stomach or duodenum that could be responsible for the symptoms.
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The first step in creating a successful fitness program is to Multiple Choice assess your current fitness level. determine your training intensity. set specific fitness goals. plan your fitness program.
The first step in creating a successful fitness program is to assess your current fitness level.
What is the first step in creating a successful fitness program?Assessment your current fitness level is the first step of a successful fitness program because the current fitness level provides the condition of fitness of an individual. With this information, the person can set their goals and fitness plan.
So we can conclude that the first step in creating a successful fitness program is to assess your current fitness level.
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How does active vitamin D help to maintain calcium concentrations in the blood and enhance the supply of calcium available for bone mineralization
Vitamin D helps to maintain calcium concentrations in the blood for bone mineralization by increasing the rate of calcium absorption in the intestine.
What is the principal function of Vitamin D in maintaining Calcium concentrations?Calcium is most typically related to bone production and metabolism as a nutrient. Because of decreased active calcium absorption during vitamin D deficient situations, bone metabolism suffers severely.
Vitamin D's primary role in calcium internal regulation is to improve calcium absorption from the gut. Calcium is taken via both an active transcellular mechanism that requires energy and a passive paracellular pathway via gap junctions.
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In the neighborhood where you grew up, few people had computers and most people felt that the medical establishment didn't care about them. As a consequence, they didn't seek much health information or trust what they heard. Which theory best describes patterns such as that
The social judgment theory best describes patterns seen in the the neighborhood.
What is the social judgement theory?The social judgment theory proposes that the an individual's view of a situation or condition is dependent on the individuals cognitive map.
The individual judgement falls under three zones:
zone of positions we acceptzone of positions we neither accept nor rejectzone of positions we rejectThe members of the community displayed these zones in their decision-making regarding healthcare.
Therefore, the members of the community displays the patterns of social judgement theory.
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Ultrasound examination reveals a 2 cm discrete solid thyroid nodule in lower pole of thyroid but there are a few smaller nodules scattered throughout the gland, suggestive of mild multinodular goitre.
Answer:
A diagnosis of cancer was made in 10.5% of nodules measuring 1 – 1.9 cm. The risk of cancer increased to 15% of nodules greater than 2 cm. In nodules that were larger than this 2 cm threshold, the cancer risk was unchanged.
Explanation:
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A woman in labor is given an opioid analgesic for pain. Which vital sign is a priority for the nurse to monitor in the newborn infant
A woman in labor is given an opioid analgesic for pain the vital sign is a priority for the nurse to monitor in the newborn infant is the pulse.
Where is normal birth anesthesia applied?The anesthesia that is administered to pregnant women during normal delivery is the epidural, which is applied to the lumbar region, in the vertebral space, in order to reach the nerves in the region, providing analgesia there and from the waist down.
therefore, when applying anesthesia during childbirth, it is necessary to observe the pulse since the woman will no longer be able to inform her limit as she will be anesthetized.
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In what ways can you reduce confusion and be sure physicians receive the proper medical records? Be specific. Have you ever had the opportunity or the challenge of developing a file or tracking system. Share your experiences and what worked and what did not.
No, i did not experienced as such challenge of developing a file or tracking system. The defensibility of a case depends on the medical record, which occasionally poses the toughest challenge. A medical record's main objective is to give a thorough and accurate account of the patient's medical history.
What is medical record?The medical record also serves a crucial secondary purpose, serving as the key piece of evidence in the successful defense of a claim for medical malpractice. A medical malpractice claim typically takes five years to be resolved.
This covers medical issues, diagnostics, your care and treatment, as well as the effects of those interventions. An accurate communication tool, a well-documented medical record reflects all clinically significant aspects of the patient's health.
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when assessing distal circulation in a patient’s lower extremities, which pulse should you palpate?
When assessing the distal circulation in a patient's lower extremities, the pulses you should palpate are femoral, popliteal, tibial, and foot.
What are the palpable pulses in the lower limbs?The evaluation of the arteries of the lower limbs includes palpation of the
femoralpoplitealtibial and pedal pulses.The femoral pulse is palpated at the level of the femoral trigone, at the midpoint between the pubic symphysis and the anterosuperior iliac spine.
With this information, we can conclude that when assessing the distal circulation in a patient's lower extremities, the pulses you should palpate are femoral, popliteal, tibial, and foot.
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How many hours do you have to falsify claim as a pica or cuss worker for it to be a crime
The two types of endoscopy procedures encode range 31231 through 31298 are diagnostic and surgical true or false
The two types of endoscopy procedures encode range 31231 through 31298 are diagnostic and surgical Is False.
What are the different types of endoscopic procedures?There are two distinct procedure codes for endoscopic sinus surgery: 31231 Nasal endoscopies, diagnostic, unilateral, or bilateral (separate procedure).31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy, or debridement (separate procedure).Diagnostic Nasal Endoscopy - CPT 31231. Endoscopy is a medical procedure that allows a doctor to inspect and observe the inside of the body without performing major surgery. An endoscope is a long, usually flexible tube with a lens at one end and a video camera at the other.To learn more about endoscopy :
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obert is training for a track race. He slightly tears his semitendinosus. The doctors prescribe P.R.I.C.E and give him medicine for inflammation and pain. Robert most likely has a
The information given illustrates that Robert most likely has a muscle strain.
What is muscle strain?It should be noted that a muscle strain means an injury that occurs to the muscle or the tendon.
Based on the information given, the fact that Robert tears his semitendinosus depicts that he has a muscle strain.
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which condition in a client with a brain injury is contraindicated for magnetic resonance imaging with contrast
Metal aneurysm clips condition in a client with a brain injury is contraindicated for magnetic resonance imaging with contrast.
What is the lifespan of brain aneurysm clips?The surgeon inserts the clip over the entire neck of the aneurysm, taking care not to clip any other vessels. You may use more than one clip. The surgeon then confirms that the aneurysm is completely closed off. The clip or clips will remain in position indefinitely.
The type of cerebral aneurysm clip implanted in a patient is frequently unknown in everyday practice, and ferromagnetic-type clips were in use until the late 1990s.
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Using your ICD-10-CM code book look for the diagnosis code for a patient with a preoperative diagnosis of abdominal pain, right lower quadrant and a postoperative diagnosis of acute appendicitis with peritoneal abscess. What ICD-10-CM coding is reported
Postoperative diagnosis of acute appendicitis with peritoneal abscess is ICD 10 K35.
What is the ICD 10?ICD-10 LIST - The International Classification of Diseases and Related Health Problems (also known as the International Classification of Diseases - ICD 10) is published by the World Health Organization (WHO) and aims to standardize the coding of diseases and other health-related problems .
With this information, we can conclude that postoperative diagnosis of acute appendicitis with peritoneal abscess is ICD 10 K35.
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An athlete falls and sustains a dislocated right shoulder. How should the athlete be transported safely to the hospital
When the athlete dislocates his shoulder, it is best to immobilize the area and take him to the doctor as soon as possible to assess the severity of the injury.
What is a dislocation?Dislocation is a type of injury in which the bones move out of their natural position causing extreme pain to the patient. Dislocations usually occur after a fall or a blow.
How to treat a dislocation before going to the hospital?When a person suffers a dislocation, they should avoid moving the part that was dislocated and go to the hospital immediately. There the doctors will evaluate the severity of the injury and the appropriate procedure, in some cases surgery is needed and in other cases less complex procedures.
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While on a school skiing trip in Colorado, Heidi falls and breaks her tibia and fibula in a Pott's fracture. What would you expect as a prominent part of her clinical assessment several hours after the fall
The thing that would be expected as a prominent part of her clinical assessment several hours after the fall will be hematoma.
What is hematoma?It should be noted that hematoma is the collection of blood outside the blood vessel.
In this case, the thing that would be expected as a prominent part of her clinical assessment several hours after the fall will be hematoma.
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The term refers to the entire lower area of the abdomen.
Answer: Inguinal
Explanation: means relating to the groin, refers to the entire lower area of the abdomen.
Information is sometimes helpful in reducing the uncertainty people feel concerning health issues. But too much information, or information provided when we are not ready for it, can be distressing. The idea that information serves to stabilize our world in some circumstances and to challenge that stability in others is called
According to the research, the theory of problematic integration suggests that information serves to stabilize our world and to challenge that stability in others.
What is the theory of problematic integration?It is a theory in communication that alludes to the communicative construction of information in interrelated ways.
It explains that when information serves to stabilize the biliefs of some people, this orientation tends to be combined in an uncomfortable way or can be distressing for others.
Therefore, we can conclude that according to the research, the theory of problematic integration suggests that information serves to stabilize our world and to challenge that stability in others.
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Nicholas has been diagnosed with a condition resulting from inflammation of tissue associated with his lungs. Which statement best clarifies the condition
Based on the information provided, it can be concluded Nicholas has inflammation in the pleura.
What is the pleura?The pleura is a membrane located in the thorax; the main function of the pleura is to protect the lungs.
What is Nicholas's condition?Nicholas has inflammation in the tissue that covers the lungs; based on this, a statement that clarifies his condition is "pleura inflammation."
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True or false: One reason that antibiotic treatment failure occurs is because the drug could not diffuse into the infected body part.
A baby is born with crossed eyes; the doctor suggests surgery to alleviate the problem, which muscles will be cut
Medial rectus muscle should be cut as the baby needs surgery to alleviate the problem.
What is medial rectus muscle?The medial rectus muscle is a muscle in the orbit that has been located near the eye. It is a sort of extraocular muscle.
It crops up from the common tendinous ring and enters the anteromedial surface of the eye. It is supplied by the oculomotor nerve's inferior division (III).
It medially rotates the eye (adduction). The head facing straight and helps to keep the eyes facing straight ahead
Thus, Medial rectus muscle should be cut as the baby needs surgery to alleviate the problem.
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The packaging of investigational drugs should ideally:
The packaging of investigational drugs should ideally be designed to help with subject compliance.
What is investigational drugs?
Investigational drug is a substance that has been tested in the laboratory and has been approved by the U.S. Food and Drug Administration (FDA) for testing in people.
Investigational drug should be packaged to prevent contamination and unacceptable deterioration during transport and storage.
Thus, the packaging of investigational drugs should ideally be designed to help with subject compliance.
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A clinic nurse is monitoring a client with anorexia nervosa. Which client statement should indicate to the nurse that treatment has been effective
The patient's statement that the nurse can take as evidence of the effectiveness of the treatment is: "My friends and I went out to lunch today."
What is anorexia nervosa?Anorexia nervosa is an eating disorder characterized by causing a pattern of behavior in which the patient consciously loses more weight than is considered healthy for her/his age and height.
Generally, anorexia patients have an intense fear of gaining weight, so they tend to go on extreme diets or excessive and intense exercise to lose weight quickly.
According to the above, if a patient states that she is going to eat or that her relationship with food has improved, it is an indication that the treatment has been successful.
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The patient has a mass on his forehead; he says it is from a piece of sheet metal from a laceration to his forehead months ago. He has an X-ray showing a foreign body is in the mass. After obtaining consent, the metal fragment foreign body is removed from the subcutaneous tissue. What ICD-10-CM code(s) is/are reported
Reported ICD-10-CM codes are ICD 10 R22. 0 Localized swelling, mass or tumor of the head and ICD 10 · W45 - Penetration of a foreign body or object through the skin.
What is the ICD l10?ICD-10 LIST - The International Classification of Diseases and Related Health Problems (also known as the International Classification of Diseases - ICD 10) is published by the World Health Organization (WHO) and aims to standardize the coding of diseases and other health-related problems .
With this information, we can conclude that reported ICD-10-CM codes are ICD 10 R22. 0 Localized swelling, mass or tumor of the head and ICD 10 · W45 - Penetration of a foreign body or object through the skin.
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Methods for treating rheumatoid arthritis focus on Select one: a. reducing inflammation and keeping the joints flexible. b. avoiding allergens that trigger a reaction. c. eating low-fat, low-calorie foods. d. managing stress.
Methods for treating rheumatoid arthritis focus on reducing inflammation and keeping the joints flexible
What is the goal treatment for rheumatoid arthritis?The goals of treatment in rheumatoid arthritis include pain relief, preventing additional joint damage, maintain the function of the organ, and relief of fatigue and weakness.
So we can conclude that methods for treating rheumatoid arthritis focus on reducing inflammation and keeping the joints flexible.
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How can teachers inspire their students
The nurse prepares a 7 year old influenza injection. The nurse explains that the client will receive "medicine under the skin" and the client is visibly anxious. Which nursing intervention is appropriate?
Ask the child to count to 10 during the injection is the nursing intervention that is most appropriate.
What is a Nursing intervention?A nursing intervention may be defined as measures a nurse carries to execute their patient supervision strategy, it includes medicines, therapies, techniques, or instruction moments planned to enhance the patient's convenience and health.
Children are frightened of injections. So, to overcome this consequence it is required to divert the conscious mind of the child to other activities and performed the action of injecting medicines through injections.
This sense of humor is shown by nurses to perform their work more significantly and efficiently. According to the question, the child's age is 7, so it's a nursing intervention to ask the child to count to 10, and do their job very easily.
The complete question is as follows:
Ask the child to count to 10 during the injection.Ask the parent to hold the child's arm tightly.Explain to the child that the injection will not hurt.Keep the injection needle out of the child's view.Therefore, the correct option for this question is A.
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The laboratory test that measure the percentage by volume of packed red blood cells in a whole blood sample is known as a/an test.
Answer:
A hematocrit (he-MAT-uh-krit) test
evaluation of unanticipated adverse device effects (uades) must be reported to the fda by the:
In event of the evaluation of unanticipated adverse device effects, they must be reported to the FDA by the sponsor.
What is the FDA?The FDA is the acronym for the Food and Drug Administration. This agency is in charge of the process of production and approval of foods and drugs in the United States.
In event of the evaluation of unanticipated adverse device effects, they must be reported to the FDA by the sponsor.
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A client with a spinal cord injury is diagnosed with neurogenic shock. What type of shock is this categorized as
The neurogenic shock is categorized as a distributive type of shock .
What is a neurogenic shock?The term neurogenic shock refers to a situation in which a person has a big issue with the maintenance of heartbeat or temperature as a result of a damage that is one to the nervous system or the spinal cord.
The neurogenic shock is categorized as a distributive type of shock which may result in a decrease in blood pressure.
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A pregnant client with iron-deficiency anemia is prescribed an iron supplement. After teaching the woman about using the supplement, the nurse determines that more teaching is needed based on which client statement
The nurse believes that further instruction is required if the nurse discovers that the pregnant client's statement indicates that she does not completely comprehend the importance of the prescription supplements.
What is iron-deficiency anemia?Iron deficiency anemia is a frequent type of anemia that occurs when the blood loses sufficient healthy red blood cells.
It happens when your body is deficient in iron. Possible causes include a lack of iron-rich diets and a difficulty to absorb iron.
For a pregnant client who has iron-deficiency anemia and has been prescribed iron supplements. After teaching the patient how to use the supplements, the nurse believes that further instruction is required if the nurse discovers that the pregnant client's remark indicates that she does not completely comprehend the importance and impact of the prescription supplements.
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