Explain your answer

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Sep 22, 2022

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Parts  3 and 4  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.
 Parts  5 and 6  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.
APA format
1) Minimum 7 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page
You must strictly comply with the number of paragraphs requested per page.  
The number of words in each paragraph should be similar
           Part 1: minimum  2 pages
           Part 2: minimum  1 page
           Part 3: minimum  1 page
           Part 4: minimum  1 page
           Part 5: minimum  1 page
           Part 6: minimum  1 page
Submit 1 document per part
2)¨******APA norms
        The number of words in each paragraph should be similar
         All paragraphs must be narrative and cited in the text- each paragraph
         The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information. 
         Bulleted responses are not accepted
         Don’t write in the first person 
         Don’t copy and paste the questions.
         Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
Submit 1 document per part
3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)
4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)
Part 1:  Minimum 6 references- 3 references per case (APA format) per part not older than 5 years  (Journals, books) (No websites) 
All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.
5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
 Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
Q3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to
6) You must name the files according to the part you are answering: 
Example:
Part 1.doc 
Part 2.doc
__________________________________________________________________________________
Part 1: Advanced pathophysiology
 
Case 1: Gastrointestinal Function:
R.H. is a 74-year-old black woman, who presents to the family practice clinic for a scheduled appointment. She complains of feeling bloated and constipated for the past month, some-times going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation. Furthermore, she reports frequent heartburn (3–4 times each week), most often occur-ring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend’s advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise.
1. Define constipation and name the risk factors that might lead to develop constipation  (One paragraph) 
a. List recommendations you would give to a patient who is suffering from constipation.
Based on the clinical manifestations on R.H. case study
2. Explain signs and symptoms presented that are compatible with the constipation diagnosis.  (One paragraph) 
a. Complement with signs and symptoms not present on the case study.
3. Sometimes as an associate diagnosis and a complication, patients with constipation could have anemia.  (One paragraph) 
a. Would you consider that possibility based on the information provided on the case study?
Case 2:Endocrine Function:
C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone.
1. Based on C.B. clinical manifestations  (One paragraph) 
a. Compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.
b.  In which race and ethnic groups is DM more prevalent? 
2. If C.B. develop a bacterial pneumonia on her right lower lobe  (One paragraph) 
a. How would you expect her Glycemia values to be? 
3. What would be the best initial therapy non-pharmacologic and pharmacologic to be recommended to C.B?  (One paragraph) 
Part 2: Nursing role transition to practice
1. Describe a situation of ethical dilemma that you have experienced in practice 
2. Explain how it was resolved 
3. Explain your actual vision your situation and 
a. Would you do something different?
 Parts  3 and 4  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 3: Biology Lab
Watch the videos below 



Read 
https://www.scientificamerican.com/article/the-idea-that-trees-talk-to-cooperate-is-misleading/
1. Do trees really communicate? (Three paragraphs)
a. Explain your answer
 
Part 4: Biology Lab
Watch the videos below 



Read 
https://www.scientificamerican.com/article/the-idea-that-trees-talk-to-cooperate-is-misleading/
1. Do trees really communicate? (Three paragraphs)
a. Explain your answer
 Parts  5 and 6  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 5: Facilitative communication
Topic: Developing a Helping Relationship
1. Define the concepts of  (One paragraph)
a. Warmth
b. Empathy 
c. Explain how these qualities might be expressed in a helping relationship, particularly as it relates to clients who have a very different experience/background from you (culturally, racially, etc).
2. What is the difference between acceptance and tolerance? (One paragraph)
3. Discuss two common mistakes (that are not appropriate in a professional helping relationship) that may be challenging for you to avoid. (One paragraph)
a. Why?
Part 6: Facilitative communication
Topic: Developing a Helping Relationship
1. Define the concepts of  (One paragraph)
a. Warmth
b. Empathy 
c. Explain how these qualities might be expressed in a helping relationship, particularly as it relates to clients who have a very different experience/background from you (culturally, racially, etc).
2. What is the difference between acceptance and tolerance? (One paragraph)
3. Discuss two common mistakes (that are not appropriate in a professional helping relationship) that may be challenging for you to avoid. (One paragraph)
a. Why?
 

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