The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. 

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. Copy-paste from websites or textbooks will not be accepted or tolerated. 

All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study.

Case Study #1: Iron Deficiency Anemia

Patient Information:

• Name: John Doe

• Age: 35

• Gender: Male

• Occupation: Construction Worker

• Medical History: No significant medical history reported.

Presenting Complaint: John Doe presents to the clinic with complaints of fatigue, weakness,

and shortness of breath on exertion for the past few months. He reports feeling unusually tired,

even after a full night's sleep, and has noticed increased paleness of his skin and conjunctiva.

Physical Examination Findings:

• Vital Signs: BP 120/80 mmHg, HR 80 bpm, RR 16 breaths/min, Temp 98.6°F

• General: Pale skin and conjunctiva, fatigue apparent

• Cardiovascular: Regular rhythm, no murmurs or abnormal sounds

• Respiratory: Clear lung fields bilaterally

• Abdomen: Soft, non-tender, no organomegaly

• Neurological: Intact cranial nerves, normal motor and sensory functions

Laboratory Investigations:

• Hemoglobin (Hb): 9.5 g/dL (Normal range: 13.5-17.5 g/dL)

• Hematocrit (Hct): 29% (Normal range: 40-50%)

• Mean Corpuscular Volume (MCV): 75 fL (Normal range: 80-100 fL)

• Serum Iron: 25 mcg/dL (Normal range: 60-170 mcg/dL)

• Total Iron Binding Capacity (TIBC): 400 mcg/dL (Normal range: 250-450 mcg/dL)

• Ferritin: 10 ng/mL (Normal range: 30-400 ng/mL)

Diagnosis: John Doe is diagnosed with iron deficiency anemia based on his clinical presentation,

physical examination findings, and laboratory results.

Questions for Students:

1. What are the common signs and symptoms of iron deficiency anemia?

2. Explain the laboratory findings in John Doe's case and how they support the diagnosis of

iron deficiency anemia.

3. What are the potential causes of iron deficiency anemia in adults, and how would you

approach further investigations in this patient?

4. Discuss the treatment options for iron deficiency anemia,

BIOLOGICAL BASIS AND ETHICAL/LEGAL CONSIDERATIONS OF PSYCHOTHERAPY

Many studies have found that psychotherapy is as effective as psychopharmacology in terms of influencing changes in behaviors, symptoms of anxiety, and changes in mental state. Changes influenced by psychopharmacology can be explained by the biological basis of treatments. But how does psychotherapy achieve these changes? Does psychotherapy share common neuronal pathways with psychopharmacology?

Psychotherapy is used with individuals as well as in groups or families. The idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. However, in group and family therapy, this is precisely what the psychiatric-mental health nurse practitioner does. In your role, learning how to provide this type of therapy within the limits of confidentiality is essential.

For this Discussion, you will consider whether psychotherapy also has a biological basis and analyze the ways in which legal and ethical considerations differ in the individual, family, and group therapy settings.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

To prepare:

• Review this week’s Learning Resources, reflecting on foundational concepts of psychotherapy, biological and social impacts on psychotherapy, and legal and ethical issues across the modalities (individual, family, and group).

BY DAY 3

Post an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective on the value of psychotherapy treatments. Describe how legal and ethical considerations for group and family therapy differ from those for individual therapy, and explain how these differences might impact your therapeutic approaches for clients in group, individual, and family therapy. Support your rationale with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources. 

Upload a copy of your discussion writing to the draft Turnitin for plagiarism check.  Your faculty holds the academic freedom to not accept your work and grade at a zero if your work is not uploaded as a draft submission to Turnitin as instructed.

1. How long have you been a Nurse Executive and what major changes have you seen in the
Nurse Executive role over the past 3-5 years?
2. What are the major challenges that you face in your role today as a Nurse Executive?
3. In your opinion, what are the key competencies that Nursing Leaders at your level need
today and what should the educational preparation be?
4. What does it take to be an employer for nurses in today’s healthcare environment?
5. Have you considered applying for Magnet Recognition? What are the pros and cons of this, in
your viewpoint? (If already Magnet, write N/A)
6. If facility is Magnet status, what are the pros & cons about maintaining the recognition?
7. What changes, if any, will the nursing profession need to make to adapt to the nursing
shortage?
8. What should nurses do to mentor younger nurses into leadership positions?
9. What strengths do you bring to the Executive Leadership Team of your Healthcare Agency?
10. What key committees/boards/groups, etc. does a nurse executive in your organization need
to participate on in order to have a major impact on decision-making.
11. What issues/challenges keep you awake at night in your role?
12. If you were asked to give advice to a Nurse just beginning her career in Nursing Leadership
based on your own experiences, what would that advice be?

Patient is a female 63 years old , 3G2P1A  who presented complaining of urinary frequency, urgency incontinence, no hematuria no stress incontinence. She indicates requires multiple pads during the day, she also indicates it started after lumbar spine surgey associated with bilateral leg weakness. Indicate treatment plan and add 3 differential diagnosis using scholarly references no oldr than 5 years

Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. Describe the legislation and what was accomplished. What additional steps need to be taken to continue advocacy for this issue?