NSG 6440 Week 1 Discussion Question
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NSG 6440 Week 1 Discussion Question
You are a Family Nurse Practitioner working in a community health center. You are seeing a 14-year-old adolescent patient for an annual visit. The patient’s mother is also present during the visit and notes that the patient’s grades in school have been declining. Her son is also hanging out with a group of kids that she has concerns about. The mother has concerns for what is going on with her son. Answer the following questions using course resources (texts) and two other evidence-based sources (current guidelines and/or scholarly articles that are within a 3-5 year time frame). What are the components of an annual exam for an adolescent patient? Is the mother required to be present during your exam? Describe 1 health promotion idea that you would discuss with your middle adolescence patient. Why is this idea important? What are some screening tools that might be of importance in this situation? (hint: do you suspect drug or alcohol abuse here?)
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NSG 6440 Week 3 Discussion: Abdominal Pain
In week 3 you learned about other common adolescent health conditions. Review the following case study and answer the following questions:
An 18 year old white female presents to your clinic today with a 2 week history of intermittent abdominal pain. She also is positive for periodic cramping and diarrhea as well as low grade fever. She also notes reduced appetite. She notes that She admits smoking ½ PPD for the last 2 years. Denies any illegal drug or alcohol use. Does note a positive history of Crohn’s Disease. Based on the information provided answer the following questions:
- What are the top 3 differentials you would consider with the presumptive final diagnosis listed first?
- What focused physical exam findings would be beneficial to know?
- What diagnostic testing needs completed if any to confirm diagnosis?
- Using evidence based treatment guidelines note a treatment plan.
Submission Details:
- Post your response to the Discussion Area by the due date assigned. Respond to atleast two posts by the end of the week.
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