Christy Bowen; Bridget Carey; Jessica Palozie; Maren Reinholdt

What Should the Nurse Do?

Selena is a 35-year-old female who works full-time as a marketing executive. Her lifestyle is busy, and she often works overtime. Selena has been feeling fatigued and stressed. Concerned about her health, she schedules a visit with her primary care provider.

Nursing Assessment: Selena reports feeling tired, stressed, and overwhelmed by her schedule. She reports irregular sleep patterns, lack of exercise, and a fast-food diet. Selena’s blood pressure is elevated, and her BMI and other measurements indicate that she is overweight.

The nurse must come up with a health-promotion plan for Selena.

1 .

Selena’s lack of exercise is a physical wellness issue. What health-promotion topics would help Selena improve her physical wellness?

2 .

Stating that she is overwhelmed and stressed indicates that Selena has a mental and emotional wellness imbalance. What health-promotion topics are appropriate to improve Selena’s mental and emotional wellness?

3 .

Patient partnership is key to health-promotion planning. What important contributions can Selena make to the health-promotion plan to individualize it to her value set and personal preferences?

Jorge is a 45-year-old male who has attempted to make lifestyle changes in the past but has faced difficulties sustaining them. He is frustrated by his previous failures and is hesitant to try again. Jorge has a sedentary lifestyle and poor eating habits, and he struggles with work-life balance.

4 .

How would you as a nurse approach Jorge to understand the reasons behind his previous failures in making lifestyle changes? Outline key strategies to assess his barriers and concerns.

5 .

Develop a new plan for Jorge that addresses his past challenges and increases the likelihood of sustainable lifestyle changes. Provide two tailored recommendations with rationales.

6 .

Sarah is a registered nurse working in a community health-care center. Her role involves providing health promotion and education to individuals across different age groups. Recently, she has encountered a challenging situation where she needs to differentiate her teaching approach for young adults, middle-aged adults, and older adults.

Sarah’s first patient of the day is Tom, a 23-year-old college student. Tom is experiencing symptoms of stress and anxiety due to upcoming exams and adjusting to living away from home for the first time. Sarah knows that young adults like Tom often face challenges specifically related to education, financial pressures, and mental health.

Next, Sarah meets with Lisa, a 45-year-old mother of two who is struggling to balance her career, family responsibilities, and caring for her aging parents. Lisa expresses concerns about her hectic lifestyle and its impact on her health. Sarah recognizes that middle-aged adults like Lisa often face challenges related to managing multiple roles and coping with stress.

Last, Sarah meets with Mr. Johnson, a 70-year-old retiree who is struggling with mobility issues and chronic health conditions. Mr. Johnson expresses concerns about his increasing dependence on others and fears of losing his independence. Sarah understands that older adults like Mr. Johnson often face challenges related to aging, health literacy, and maintaining independence.

How can Sarah tailor her education strategies to address the specific concerns of young adults, middle-aged adults, and older adults and effectively promote health and well-being across the life span?

Jamal, a registered nurse working in a busy hospital, is assigned to care for Mr. Sun, a 62-year-old male from China who speaks little English. He is admitted for exacerbation of heart failure. Mr. Sun has a history of heart disease and hypertension. During Jamal’s initial assessment, he realizes that Mr. Sun has limited knowledge about his condition and the medications he is prescribed. Additionally, he observes that Mr. Sun seems overwhelmed and anxious about his health.

Jamal faces a dilemma in balancing the need to provide comprehensive health education to Mr. Sun while navigating various barriers that may hinder effective communication and understanding. He recognizes the importance of empowering Mr. Sun to manage his condition effectively to improve his quality of life and prevent readmission.

7 .

What level of health literacy does Mr. Sun exhibit?

8 .

What are some cultural or language barriers that could affect Mr. Sun’s learning?

9 .

What are some resources that Jamal could provide for Mr. Sun?

Mariah is a nurse working in a community health center. She encounters diverse patients with varied learning needs daily. By tailoring her approach to accommodate the unique learning needs of each patient, Mariah can ensure that all individuals receive comprehensive education and support to effectively manage their health conditions and improve their overall well-being. How can Mariah address the learning needs of the following four patients?

10 .

Emma is a 45-year-old female who recently underwent surgery for glaucoma and is now visually impaired. She visits the health center for diabetes management education.

11 .

Jack is a 60-year-old male who recently suffered a stroke, leaving him with partial paralysis in his right arm and leg. He relies on public transportation because he cannot drive and seeks education on stroke rehabilitation.

12 .

Adam is a 30-year-old male with dyslexia who struggles with reading comprehension. He visits the health center for education on managing his asthma.

13 .

Mia is a 55-year-old female who is deaf and communicates primarily through American Sign Language (ASL). She visits the health center for education on heart disease prevention.