What Should the Nurse Do?
1
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Summer is a 48-year-old female who presents to a primary care clinic with concerns about her weight. She is noticing some weight gain, irritability, and changes in her menstrual cycle. She states, “I thought I still had a few more years before menopause.” How should the nurse respond?
2
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A 25-year-old male presents to a visit to “get a medicine for ADHD.” As the nurse takes the health history, the patient reports up to seven hours per day using a computer or phone, primarily for gaming. He reports trouble concentrating and feels like he is just not motivated to do anything else. He is also having trouble falling asleep. How should the nurse respond?
3
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Dacia is a 34-year-old single mom working full time as a restaurant server. Lately, she has been struggling with finances, interpersonal conflict with the father of her children, and mechanical car problems. She exercises daily and eats healthily but indulges in ice cream at night. She presents to a primary care clinic where Jessa works as a nurse. Dacia is worried about her heart and has wondered if she had a heart attack. She tells Jessa that she almost went to the emergency room the other night because her heart was racing, but she felt better after talking with her mom. What additional questions should the nurse elicit from Dacia?
4
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Dacia explains that she had similar symptoms during her divorce five years ago. She states that she usually feels better after talking with her family. Her main symptoms are a racing heart, the sensation of fear, throat tightening, chest tightness, tingling in the cheeks, and dizziness. Jessa knows that Dacia’s symptoms are consistent with what mental health disorder?
5
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During a routine wellness checkup for a 48-year-old female, the nurse noticed she had never had a mammogram. What is the best course of action for the nurse?