This week’s graded discussion topic relates to the following Course Outcomes (COs).
- CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
- CO3 Utilize effective communication when performing a health assessment. (PO 3)
The topic this week asks you to apply what you have learned to the following case study.
As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1 hour from campus and commutes each day. Using Healthy People 2020 (Links to an external site.) and your text as a guide, answer the following questions.
- What additional information would you like to gather from Maria?
- What are Maria’s real and potential health risks?
- Why is Maria’s culture important when obtaining the health assessment?
- Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?
- What nursing interventions would you incorporate into Maria’s plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections.
Solution:
What additional information would you like to gather from Maria?
I would ask Maria about what she does to relief stress or do for down time. I would inquire about exercise, smoking history, alcohol and any drug usage and about her support system. I would also ask if she has health insurance. This plays a big factor in whether she would receive treatment if any problems were prevalent or this was another stress factor.
What are Maria’s real and potential health risks?
Maria has many health risks. Mental health comes to mind first. Maria is under lots of stress, does not sleep much, has a long commute and many home stress factors. As well as: Obesity, heart disease, diabetes, liver disease. These are prevalent due to her cooking style, stress and………Please click the Paypal icon below to purchase full solution for only $5