Kassandra is an African American women who is also part of the LGBTQ+ community with plans to lose weight, increase flexibility, and lower cholesterol in the next six months. However, one of the main problems in her neighborhood are a lack of gyms and green spaces to...
A chronic leg wound has increased exudate with foul odor, erythema, and elevated temperature to periwound. There is swelling with new areas of skin breakdown. A provider is using the mnemonics NERDS and STONEES as a guide to differentiate if the wound is locally...
A 16-year-old client reports that their mother was recently incarcerated for drug use. They appear withdrawn and restless. Which tool would be the most appropriate to use for this person?Adolescent drug involvement scale (ADIS) Drug and alcohol problem quick screen...
A 35-year-old patient who is 37 weeks pregnant presents to the clinic with dysuria, frequency, and urgency. The urine dip shows leukocytes, nitrites, and 1+ protein. The NP diagnoses the patient with a UTI. She notes the patient reports a mild rash after taking...
A 17-year-old pregnant client presents to a clinic for a routine pregnancy check. They report occasional use of alcohol, but also express interest in a substance use program. A parent of the pregnant person later calls the clinic and requests the clinic records...
A 23-year-old patient who is 16 weeks pregnant presents to the urgent care with 3 days of URI symptoms. She tests negative for COVID-19. She asks the NP if she should get a COVID-19 vaccine. Following current ACOG guidance, the NP recommends: Yes, COVID-19 can be very...
A mother of a newborn is crying and tells the nurse, “I am worried about my baby. His Apgar score was 6 and the nurses had to help him breath for a while.” What response should the nurse make to this mother? 1. “Don’t worry about what score...
A 28-year-old client reports inadequate pain relief from chronic pain, frequently missing work due to pain. They are currently using ibuprofen and acetaminophen and adhere to the recommended regimen of exercise, sleep, and healthy eating. They report some relief from...
Scenario: Neena is a 23 year old female patient who is G1 PO at 38 weeks 6 days gestation of a singleton pregnancy. She was sent to the OB unit from the primary care provider’s office for external fetal monitoring of palpable contractions that occur every 6...
Mrs. Barns has a diabetic foot wound that has increased in size since her last wound care clinic visit two weeks ago. There are new areas of skin breakdown, erythema and elevated temperature to periwound. There is swelling and increased drainage with foul odor. What...
An adult patient is being evaluated for secondary causes of hypertension due to resistant blood pressure and an onset of high blood pressure at an earlier age. He reports no family history of hypertension. Which of the following mechanisms can cause secondary...
Dr. Miller is a private practice psychologist . He has a very casual patient who comes in for a session every now and then. The patient spends the session time talking about how he’s trying to improve his relationships with his parents and older brother. Dr....
