Part 2.doc

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Part 1: Advanced Pathophysiology

Answer in paragraph format each of the questions that are indicated. That is, you must objectively answer each of the questions in the order indicated.

Cardiovascular diseases are…….Coronary artery disease (CAD) is…….. Cardiac arrhythmia is ……

One paragraph

1. Skin functions

2. Layers of skin. 

a. Which layer is produced Keratin and melanin?

3. Which are dermal appendages?

4. Which system regulates blood supply to the skin?

One paragraph

5. Eccrine vs Apocrine glands: 

a. Location

b. Differences

c. Functions.

6. Primary vs secondary skin lesions. 

a. Examples of each group.

7. Mention al primary skin lesions and describe it.

One paragraph

8. Describe all Skin Cancers and features for each.

9. What is pressure injury? 

a. Describe stages of it.

One paragraph

10. What is a keloid and why it occurs?

11. Mention inflammatory disorders of the skin and concept for each of it.

One paragraph

12. Psoriasis and features of it.

13. Acne Vulgaris and features of it.

14. Hidradenitis Suppurative and features of it.

One paragraph

15. Acne rosacea and features of it.

16. Lupus Cutaneous and features of it.

17. Folliculitis vs Furuncles

One paragraph

18. Celullitis vs erysipelas. 

a. Etiology 

b. Clinical features.

19. HSV-1 vs HSV-2

20. Shingles vs Chickenpox (Varicella Zoster Virus)

One paragraph

21. Tnieas fungal Infections: types depending on location.

22. Urticaria: why occur?, Lesions and symptoms.

23. What is actinic Keratosis? 

One paragraph

24. What is the ABCDE rule for suspected skin lesions for Melanoma assessment?

25. Kaposi Sarcoma, what isthis type of lesion and in which type of patients is present?

26. Paronychia vs Onychomycosis

Parts  2 and 3 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.

Part 2:  Advanced Pharmacology

Anxiety Disorders 

L.P., age 23, is a white woman who graduated from college last year. She began working as an accountant 1 month after graduating. Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L.P. reports that she has a good relationship with her boyfriend, but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects.

Diagnosis: Generalized Anxiety Disorder 

1. List three specific treatment goals for L.P. (One paragraph)

2. What drug therapy would you prescribe? (One paragraph)

a. Why?

3. What are the parameters for monitoring the success of the therapy? (One paragraph)

4. Describe specific patient monitoring based on the prescribed therapy. (One paragraph)

5. List two adverse reactions for the selected agent that would cause you to change therapy. (One paragraph)

6. What would be the choice for second-line therapy?(One paragraph)

a. Why

Part 3: Advanced Pharmacology

Anxiety Disorders 

L.P., age 23, is a white woman who graduated from college last year. She began working as an accountant 1 month after graduating. Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L.P. reports that she has a good relationship with her boyfriend, but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects.

Diagnosis: Generalized Anxiety Disorder 

1. List three specific treatment goals for L.P. (One paragraph)

2. What drug therapy would you prescribe? (One paragraph)

a. Why?

3. What are the parameters for monitoring the success of the therapy? (One paragraph)

4. Describe specific patient monitoring based on the prescribed therapy. (One paragraph)

5. List two adverse reactions for the selected agent that would cause you to change therapy. (One paragraph)

6. What would be the choice for second-line therapy?(One paragraph)

a. Why

Part 4: Healthcare Policy

1. Wat represents the engagement in the communities? (One paragraph)

2. Describe the utility of the effective levels of engagement during community activities.(One paragraph)

3. Describe the most effective levels of engagement that nurses can provide communities (Three paragraphs)

4. Conclusion(One paragraph)

Part 5: Health promotion

Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the transition to young adulthood is accompanied by higher rates of mortality, greater engagement in health-damaging behaviors, and an increase in chronic conditions.  Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections.  

1. Describe three strategies for how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention (two paragraphs per each strategy)