The date that john should reply to the directors according to the HIPAA OMNIBUS rules final compliance rule is September 2013.
By the HIPAA Omnibus Rules, which were finished in 2012 and went into effect in 2013, all previously established rules had been updated and changed. To enhance the security and privacy of data sharing, changes have been made to the security, privacy, breach notification, and enforcement rules. Omnibus Rules established a complete rule that included all HIPAA and HITECH compliance requirements.
The Omnibus Final Rule, the most recent HIPAA modification, was passed to increase protections for private health information, particularly in electronic format, while improving patient access to personal health information. The Health Information Technology for Economic and Clinical Health (HITECH) Act, which clearly states the consequences of violations, was motivated by this rule.
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a patient with hypofunction of the adrenal cortex has been admitted to the medical unit. what would the nurse most likely find when assessing this patient?
The nurse evaluating the patient's decreased blood pressure is a patients with hypofunction of a adrenal cortex who was admitted to a medical unit.
What do you mean by adrenal cortex?The adrenal gland's outer layer (a small organ on top of each kidney). Androgen and corticosteroids hormones are produced by the adrenal cortex. The outside of the adrenal gland is called the adrenal cortex. It creates hormones to support essential body processes and organ functions. The adrenal cortex can be impacted by a variety of disorders. Some result in excessive hormone production, while others restrict it. Numerous hormones are produced by the adrenal cortex. Aldosterone, a mineralocorticoid, cortisol, androgens, and estrogen are the most significant ones (sex hormones). Aldosterone aids the kidneys in maintaining a healthy level of salty in the body's tissues and blood.
What happens if the adrenal cortex is damaged?An addisonian crisis can occur when stress cannot enhance cortisol production due to adrenal insufficiency. Hypotension, low blood sugar, and high blood potassium levels are the symptoms of an addisonian crisis, a potentially fatal condition. You must need medical attention right away.
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a client was chopping firewood and experienced a heaviness in the chest and dyspnea. the client arrives in the emergency department four hours after the heaviness and the health care provider diagnoses an anterior myocardial infarction (mi). what orders will the nurse anticipate?
Sublingual nitroglycerin, tissue plasminogen activator (tPA), and telemetry orders will the nurse anticipate.
What is the main cause of myocardial infarction?When the heart muscle isn't receiving enough blood, it can suffer from a heart attack, also known as a myocardial injury. More the time that elapses without receiving care to reestablish blood flow, more the harm the heart muscle has endured. Heart attacks are typically brought on by coronary heart disease (CAD).
Is myocardial infarction dying painful?Sometimes the discomfort is felt inside the lower abdomen, where indigestion may be assumed to be the cause. Similar to angina, the discomfort is typically more intense, lasts longer, and is not relieved by relaxing or taking nitroglycerin. One in three persons who suffer from heart problems do not experience any chest pain.
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a client states that her newborn must be cold because the hands and feet are blue. the nurse explains that this is which common and temporary conditions?
When a client states that her newborn must be cold because the hands and feet are blue, then the nurse explains that this is common and temporary conditions called : Acrocyanosis.
What do you mean by acrocyanosis?Acrocyanosis is the bluish discoloration of the extremities due to reduced amount of oxygen delivered to the peripheral part. It is a persistent disorder without episodic triphasic color response but is usually painless.
Acrocyanosis is a functional peripheral vascular disorder that is characterized by dusky mottled discoloration of the hands, feet and sometimes the face. It is caused by vasospasm of the small vessels of the skin due to cold.
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which statements made by the nurse indicate how insulin pens simplify self-administered insulin for clients? select all that apply.
The statements made by the nurse which indicates how insulin pens simplify self-administered insulin for clients include the following below:
"The cylinder of the insulin pen contains a prefilled reservoir of insulin.""The dose of insulin in an insulin pen is displayed in a window of the syringe.""Insulin pen automatically reset the dose window to zero, following the injection."Who is a Nurse?This is referred to as a healthcare professional who specializes in taking care of the sick and ensuring that adequate recovery is achieved in other to reduce the risk of complications.
Insulin on the other hand is a hormone which is produced by the pancreas and controls the amount of glucose in your bloodstream by storing excess as glycogen etc.
Insulin pens simplify self-administered insulin for clients because the cylinder of the insulin pen contains a prefilled reservoir of insulin and display the dosage at the window of the syringe for prompt guidance.
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which of the following happens during inflammation? a. the capillaries supplying blood to the area become more leaky (i.e., permeable). b. prostaglandins deaden nerve endings, alleviating pain. c. neutrophils release histamine. d. all of the above
Option A, During inflammation, the capillaries supplying blood to the area become leakier.
If the sore is enlarged, red, and painful, inflammation may be present. Inflammation is, broadly speaking, the immune system's response to an irritant. Fragments of fingers and other foreign objects. B. Bacteria may be the cause of irritation.
Pathogens, such as bacteria, viruses, or fungi. Explicit wounds such as scratches or injury from foreign items effects of radiation or chemicals.
Acute inflammation is transient inflammation that occurs after injury or infection. In the affected area, it often manifests as redness, swelling, warmth, and pain.
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6. the nurse is preparing to administer oral ampicillin to a child who weighs 40 kg. the safe dose for children is 50-100 mg/kg/day divided in doses administered every 6 hours. what would be the low single safe dose and high single safe dose per day be for this child?
500 to 1,000 mg per dose be the low single safe dose and high single safe dose per day be for this child.
What is the ampicillin used for?Ampicillin is used to treat bacterial infections in the mouth, sinuses, lungs, sexual system, urinary system, and gastrointestinal tract. It is also used to treat meningitis, an infection of the membrane that includes the brain and spinal cord.
Briefing:The nurse would build up a proportion to calculate the low dose as follows in order to determine the dosage:
50 mg/1 kg = x mg/40 kg;
Solve for x by cross-multiplying:
1 × x = 50 × 40;
x = 2,000 mg
4 daily doses divided = 500 mg.
In order to establish the dosage, the nurse would build up a proportion to calculate the low dose as follows:
100 mg/1 kg = x mg/40 kg;
solve for x by cross-multiplying:
1 × x = 100 × 40;
x = 4,000 mg
4 daily doses divided = 1,000 mg.
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true or false? while the u.s. healthcare system does some things well, it ranks at or near the bottom on important health outcome measures such as life expectancy, infant mortality, and adult obesity rates.
Yes, the claim is true; but, despite the fact that the American healthcare system excels in some areas, overall health outcome indicators like average lifespan, infant mortality, or adult obesity rates show that it is at and near the bottom of the pack.
What is meant by a healthcare system?A health system is the collective term for all organisations, institutions, & resources (components) involved in producing health actions. A health system is centered on people's health because its primary goal is to protect and improve their health. An organization of people, institutions, & resources that provides health care services to satisfy the requirements of target populations is known as a health system, health care system, or healthcare system. The World Health Organization defines a health system as all organizations, individuals, and behaviors whose principal goal is to promote, restore, or maintain health. This includes more direct activities that improve health and those that have an impact on the factors that influence health.
What is an example of a health care system and what is are current healthcare system?A woman care for just a sick child living at home is only one example, along with private healthcare providers, behavior modification programs, vector control initiatives, health insurance companies, and laws governing workplace safety and health.
The US healthcare system is classified as a mixed system because it combines publicly paid government programs like Medicare and Medicaid (covered below) with privately financed market programs like private health insurance plans.
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the nurse is caring for a client with multiple sclerosis (ms). the client tells the nurse the hardest thing to deal with is the fatigue. when teaching the client how to reduce fatigue, what action should the nurse suggest?
Answer: Resting in an air-conditioned room whenever possible
Explanation
the nurse is taking a health history of a toddler with a suspected congenital heart defect. which response by the mother could indicate that the child is experiencing hypercyanotic spells?
The mother's comment, "he likes to stop & squat wherever he walks," may point to the child's hypercyanotic periods.
What is the point of a squat?You may lose weight by doing squats because they burn calories. Additionally, they lessen your probability of suffering knee and ankle injuries. The motion you make when exercising fortifies the tendons, bones, and ligaments that surround your leg muscles. Your knees & ankles are partially relieved of weight.
What constitutes a squat's most crucial component?The most important action in a squat is keeping your spine neutral or slightly stretched as you descend. Your form breaks once your lower back rounds into flexion (imagine a wonderful curvy C), and the stress placed on your lower back and muscles is quite harmful.
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a 76-year-old resident of an assisted living facility who has a history of heart failure has presented to her primary care provider for a scheduled appointment. which of the woman's statements suggests that her heart failure is worsening?
Answer:
Electrocardiogram (ECG)
Explanation:
a patient comes to the office for an annual physical and at the end of the examination the patient complains of low back pain that has been bothering him for a few weeks. which modifier should be used with the e/m code for the low back pain to explain the need for two e/m codes at the same visit?
25 modifier should be used with the e/m code for the low back pain to explain the need for two e/m codes at the same visit.
There are some back pain sources that are not connected to underlying illnesses. Examples include excessive use, such as working out or lifting too much, sitting and lying down for an extended period of time, sleeping in an uncomfortable position, or donning a backpack that is too small. When discs, muscles, ligaments, tendons, or the spine experience mechanical or structural issues, back pain may result. Sprain: An injury to the ligaments supporting the spine that frequently results from twisting or lifting incorrectly. a muscular or tendon injury known as a strain. The following list of back pain symptoms may be present: Shooting, burning, or aching pain that doesn't go away or comes back despite the use of over-the-counter medications, ligaments ,icing, massage, or physical therapies. recurring tightness or stiffness, particularly after lying, sitting, or standing for an extended period of time
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a malpractice lawsuit was filed after a nurse restrained the client for screaming at and attempting to strike anyone who was within striking distance. the nurse followed agency procedures that were consistent with joint commission standards. for which reason is this malpractice lawsuit most likely to be unsuccessful?
The lawsuit against the nurse who restrained the client for screaming at and attempting to strike anyone who was within striking distance will be unsuccessful because the nurse did not breach duty.
In this question, it is stated that a lawsuit was filed against a nurse because the nurse restrained a client for screaming and attempting to strike anyone who was within the striking distance. The nurse followed every agency's procedure which is compatible with Joint Commission standards. The lawsuit will be unsuccessful because the nurse did not breach duty.
In order to control the client and maintain the values and morals for the duty, the nurse only followed the procedure known to the joint commission and due to this, there was no breach of the duty. Hence, the lawsuit will be unsuccessful.
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the nurse is planning interventions for a client with impaired vision. which intervention should the nurse select when assisting this client with meals?
The nurse is preparing intervention for a client who has vision impairment. She will use the format of a clock face to describe the placement of food on lunch trays.
What causes vision impaired?Cataracts and untreated refractive errors are the main causes of vision loss and blindness. However, loss of vision can afflict individuals of any age. The majority of persons with impaired vision and blind are over the aged of 50. The person's eyesight cannot be corrected to a "normal" level if they have vision impairment. Loss of eyesight, which occurs when the eye cannot see objects as well as it once could, may contribute to vision impairment.
What are the types of visual impairments?Loss of central vision The cells that are in charge of visual acuity & peripheral vision loss are concentrated in the central region of the retina. The visual field is reduced in those with poor peripheral vision, who also tend to have blurry vision & visual abnormalities after head trauma.
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a healthcare-associated infection (traditionally known as a nosocomial infection) is a healthcare-associated infection (traditionally known as a nosocomial infection) is always caused by pathogenic bacteria. always present, but is inapparent at the time of hospitalization. acquired during the course of hospitalization. always caused by medical personnel only a result of surgery
A nosocomial infection is a healthcare-associated infection which is usually: acquired during the course of hospitalization. always caused by medical personnel only a result of surgery.
The correct answer choice is option b
What is meant by nosocomial infection?Nosocomial infection can simply be defined as any infection which is contracted or acquired in the process of recieving treatment for a health condition in a medical center.
However, these infections were not present before the arrival of the patient to the clinic but comes into the body or invades the body system usually, frequently and most of the time when health care tools are not properly cleaned.
In conclusion, we can now confirm from above that nosocomial infection are contacted in the health care center.
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a client with bacterial pneumonia becomes increasingly restless and confused. temperature is 100 f, and pulse, blood pressure, and respirations are increased since the last assessment 6 hours ago. which action should the nurse take first?
Assess the patients oxygen saturation. Bacterial pneumonia is a lung illness caused by specific bacteria. Streptococcus (pneumococcus) is the most frequent, although other bacteria can also cause it.
According to the findings of this study, among acutely infected nursing home patients, a reduction in oxygen saturation of more than 3% from baseline, as well as a single oxygen saturation of 94, should indicate pneumonia. A 4-percentage-point drop from baseline or a single oxygen saturation of 94 or above shows that pneumonia is improbable.
If you're young and otherwise healthy, these bacteria can live in your throat without interfering with your breathing. However, if your body's defences (immune system) become compromised for any reason, the bacteria can enter your lungs. This causes the air sacs in your lungs to become infected and irritated. They get clogged with fluid, resulting in pneumonia. The majority of pneumonia cases develop when your body's natural defences fail, allowing bacteria to penetrate and flourish within your lungs. White blood cells rapidly increase in order to eliminate the invading organisms. They, together with bacteria and fungus, populate the air sacs in your lungs (alveoli). Breathing may be difficult.
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a 32-year-old warehouse worker presents for evaluation of low back pain. he notes a sudden onset of pain after lifting a heavier-than-usual set of boxes. he also states that he has numbness and tingling in the left leg. what test should the nurse perform to assess for a herniated disc?
A straight leg raise test should the nurse perform to assess for a herniated disc.
The straight leg raise test, also known as the Lasegue test, is a basic procedure used during the physical examination of a patient suffering from lower back pain.
This test can be positive in various conditions, the most common of which is lumbar disc herniation. Facet joint cysts or hypertrophy are two other causes of a positive straight leg raise test. This activity explains the pathophysiology of low back pain and emphasizes the interprofessional team's role in managing patients with a positive straight leg raise test.
The patient must be in a specific position for the straight leg raise test. It also necessitates movement in specific joints. Some contraindications to performing the straight leg raise test include:
The patient does not consent to the test.
Due to underlying issues such as serious spinal disease, advanced scoliosis, and so on, the patient is unable to lie down straight.
The patient has advanced knee or hip joint disease, which makes the procedure extremely painful for the patient.
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the nurse is caring for a client postoperatively from a spinal tumor resection. the nurse assesses that the client has partial paralysis. what anticipated problems should the nurse include in the client's care plan? select all that apply.
The client's care plan should take into account the client's spasticity, reduced range of motion, and bone demineralization and contractures.
What is the procedure for removing spinal tumors?General anesthesia is used to accomplish spinal tumor resection. The cancer is removed, the wound is typically closed with staple or nylon stitch, and a sample of the tumor is submitted to a lab for evaluation. An small incision to expose the spine and nerves.
What negative effects might a spinal tumor operation have?Depending on the treatment, recovery following spine surgery could take weeks or even longer. A momentary loss of feeling or other issues, such as bleeding or nerve tissue injury, could occur.
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after teaching a pregnant client about potential complications of amniocentesis that must be reported immediately, the nurse determines that the client understands the instruction when she says that she will report which problem?
vaginal bleed, Hemorrhage caused by placental penetration, amniotic fluid infection, and uterine discomfort resulting in early delivery are all potential side effects of amniocentesis.
What does it imply if your period is late but your genital area is bleeding?There are a number of reasons why you can be bleeding even when it is not your period. Your bleeding may be caused by an infection, an underlying medical condition, medicine, or a hormonal imbalance, among other things.
What triggers virulent bleeding?A uterine infection (pelvic inflammatory disease) recent uterine surgery or damage. noncancerous growths in the womb, such as adenomyosis, uterine fibroids, or cervical polyps. Cervical inflammation or infection (cervicitis)
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Prepare a companywide email informing employees that they will be required to have a new picture taken for their identification card.
A companywide email for informing employees that they will be required to have a new picture taken for their identification card can be written as below.
Why do you inform team about new process update?Clear communication is very essential for a smooth transition to new processes. As you introduce new processes, it is very important to explain why the change was necessary, what goals you hope to achieve with the changes and how these new processes will benefit the employees
Hello team,
As you all know we have made some changes in the identification card and they have to be renewed.
You all are advised to take a new picture for the identification card and submit it by tomorrow.
Team Manager
ABC
(company Name)
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the nurse has had a client place the backs of both her hands against each other while flexing her wrists 90 degrees with fingers pointed downward and wrists dangling. the presence of pain or tingling during this test suggests what health problem to the nurse?
Carpal tunnel syndrome is caused by stress on the median nerve. The carpal tunnel is a narrow tube on the palms side of the hand that is surrounded by bone structures.
Whenever the median nerve is crushed, it can cause weakness, burning, and paralysis in the hand and arm. The most prevalent warning indicators of Carpal tunnel syndrome are finger discomfort, tingling, and numbness (all but the pinky). Other signs and symptoms may include: A sensation that your fingers are stuffed or bloated.
Carpal tunnel syndrome might be caused to repetitive actions, such as typing, or other wrist movements that you undertake repeatedly. This is especially true for actions made with your hands lower than your wrists. Conditions such as hypothyroidism, obesity, rheumatoid arthritis, and diabetes are examples. Texting, drawing, and crocheting are all activities that can aggravate carpal tunnel syndrome. These tasks necessitate the regular usage of your wrists and hands. If you do not take adequate breaks from these activities, inflammation in your wrist can worsen, putting more pressure on the median nerve.
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You should check the resraints position every
Answer:
every 15 minutes or as directed by whomever is giving the instructions
Explanation:
a nurse is assessing a newborn using apgar scoring. the newborn demonstrates the following: a heart rate of 90 bpm; a good, lusty cry; grimaces on irritation; flaccid, limp muscle tone; and a pink body with acrocyanosis. how should the nurse score this client
Nurse score this client as 5.
A normal resting heart rate for adults tiers from 60 to 100 beats according to minute. Commonly, a decrease heart rate at relaxation implies extra efficient coronary heart feature and better cardiovascular fitness. As an example, a properly-skilled athlete may have a ordinary resting heart charge towards 40 beats according to minute.
Imbalance of a substances within the blood called electrolytes — which includes potassium, sodium, calcium and magnesium .
Coronary heart rate is important due to the fact the coronary heart's feature is so crucial. The coronary heart circulates oxygen and nutrient-rich blood at some stage in the body.
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with the increased risk of drug toxicity among chronically ill older adults, which statement by the nurse explains why the older adult's kidney is vulnerable to toxic injury?
A role of nitric oxide (NO) in the increased sensitivity of the aging kidney to injury has been established.
What is drug toxicity ?Drug toxicity is characterised as a wide range of negative effects brought on by the use of drugs at therapeutic or non-therapeutic dosages.
The rate of cellular apoptosis in the kidney increases with age, resulting in fewer functional nephrons and a decrease in GFR and creatinine clearance ratio. This decrease in renal functional reserve makes the kidney more vulnerable to AKI.The mechanisms-based (on-target) toxicity, immunological hypersensitivity, off-target toxicity, and bioactivation/covalent modification are a few of the causes of drug toxicity that can be grouped in different ways.Learn more about Drug toxicity here:
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you meet with the nurse administrator responsible for improvement when issues in the process of care are identified by those on the wards. she listens carefully to your concern, but in the end says she can only try to help improve nursing issues, and not those that extend to pharmacy or transport. the primary reason your meeting is unlikely to lead to an adequate solution is:
The primary reason your meeting is unlikely to lead to an adequate solution is the nurse administrator did not have the appropriate span of responsibility to engage the system components needed to solve the problem.
Nurse administrator supervise nurses and alternative health care team members. They recruit, rent and train nurses. alternative responsibilities embody building work schedules and conducting performance reviews.
They have responsibility of recognizing patients' symptoms, taking measures inside their scope of apply to administer medications, providing different measures for symptom alleviation, and collaborating with different professionals to optimize patients' comfort and families' understanding and adaptation.
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true or false: dietitians should recommend only organic foods for clients and patients attempting to lose weight. true false question. true false
Dietitians should recommend only organic foods for clients and patients attempting to lose weight is a false statement.
Who is a dietitian?A dietician is an individual that is professionally trained to identify and treat disease conditions that are related to malnutrition which may require nutritional therapy.
Individuals that often require weight loss are obese patients and both organic and conventional foods can be used.
Organic foods are those food products that are grown without the use of fertilizers while conventional foods makes use of fertilizers.
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following surgery for a mitral valve replacement, a patient was required to take coumadin. this medication is classified as an
According to the research, the correct answer is anticoagulant. Following surgery for a mitral valve replacement, a patient was required to take coumadin. This medication is classified as an anticoagulant.
What is an anticoagulant?It is a drug with an inhibitory effect on blood coagulation being used for the treatment of thrombosis due to its ability to hinder the blood coagulation process.
In this sense, coumadin is an anticoagulant medication that prevents the formation of clots or thrombi in the blood or prevents them from increasing in size.
Therefore, we can conclude that according to the research, coumadin is classified as an anticoagulant since it prevents clot formation associated with heart disease.
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a client who is receiving anticonvulsant therapy develops a serious skin reaction involving red wheals and blisters on the face, neck, and extremities. which drug would the nurse likely expect the client to report being prescribed?
Many skin conditions such as red wheals and blisters on the face, neck, and extremities. are treated with oral antibiotics.
What tends to happen if you take an anticonvulsant in excess?
Anticonvulsant toxicity manifests itself as central nervous system depression, motor tics, and ataxia. Numerous agents are relatively harmless in the presence of toxicity, and yet severe toxicity can result in seizures, coma, and death.
Dicloxacillin, erythromycin, and tetracycline are examples of common antibiotics for a client who is receiving anticonvulsant therapy to develop a serious skin reaction involving red wheals and blisters on the face, neck, and extremities.
Therefore, antibiotics can help reduce the symptoms of serious skin reactions.
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the nurse instructs a client with chronic kidney disease who is receiving hemodialysis about dietary modifications. the nurse determines that the client understands these dietary modifications if the client selects which items from the dietary menu?
The diet of a hemodialysis patient with chronic kidney disease must include controlled amounts of sodium, potassium, calcium, phosphorus, and fluids.
Can dialysis patients consume vegetables?
Because these types of dialysis can eliminate more potassium, you may need to eat more potassium-rich foods. Leafy green vegetables are a good way to add potassium to your diet and reduce the need for a potassium supplement.
Renal dietitians and nurses advise most hemodialysis patients to eat high-quality protein since it generates less waste for removal during hemodialysis. Meat, poultry, fish, and eggs are good protein sources.
Therefore, Cut out processed meats high in sodium and phosphorus, such as hot dogs and canned chili.
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a client has been diagnosed with major depression. the client reports that the client often wakes up during the night and has trouble returning to sleep. the nurse interprets this finding as suggesting what?
The nurse interprets this finding as suggesting Middle insomnia
What is major depression ?Depression is a mood illness that results in a constant sense of melancholy and boredom. It affects how you feel, think, and behave and can cause a variety of emotional and physical issues. It is also known as major depressive disorder or clinical depression.
Depression has a variety of causes. It can happen for a multitude of reasons and has a wide range of triggers. An traumatic or stressful life event, like a death in the family, divorce, illness, job loss, or financial difficulties, can be the culprit for some people.For the majority of depressed individuals, medication and psychotherapy are helpful. Medication to treat symptoms may be prescribed by your primary care physician or psychiatrist. But many depressed individuals also gain from consulting a psychiatric, psychological, or other mental health expert.Learn more about Major depression here:
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a nursing instructor is teaching about mood disorders and informs the class that bipolar disorder is divided into types/groups related to demonstrated characteristics. what are these groups/types? select all that apply.
A nursing instructor is teaching about mood disorders and informs the class that bipolar disorder is divided into types/groups related to demonstrated characteristics. Threats about her future.
people with the bipolar disorder each episode of intense depression and episodes of mania – overwhelming joy, excitement or happiness, large energy, a reduced need for sleep, and reduced inhibitions. The revel in bipolar is uniquely personal. No humans have precisely the same level.
Bipolar disorder is broadly believed to be the end result of chemical imbalances within the mind. The chemical substances chargeable for controlling the brain's features are called neurotransmitters and include noradrenaline, serotonin, and dopamine.
To diagnose bipolar sickness, a medical doctor performs a physical exam, asks approximately your signs, and recommends blood testing to decide if any other situation, which includes hypothyroidism, is inflicting your signs and symptoms. If the health practitioner does not discover an underlying reason for your signs, she or he plays a psychological evaluation.
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