Community Swift river Exam Complete
Questions And Answers | 100% Verified
Gina Smith, 56-year-old female who has experienced a number of significant life
changes over the past year as a result of her alcohol and IV drug addiction. Medical
history: Six months ago, Gina was hospitalized for alcohol addiction. At that time, she
was experiencing gastric pain, elevated liver enzymes, and was prescribed disulfiram
(Antabuse). Gina is taking fluoxetine for depression and anxiety. Medications: NKDA.
Fluoxetine (Prozac), one tablet by mouth daily. Social history: Gina lost her job as a
graphic artist because she came to work intoxicated on two occasions. Due to her
unemployment and addictions, she did not pay her rent and was evicted from her
apartment. Gina has been forced to spend nights either in the shelter or "couch surfing."
Due to the stress of being unemployed and homeless, Gina began to drink alcohol
again because it "numbs the pain." In Gina's struggle to find work to pay for her alcohol
CORRECT ANSWERS Community Assessment- Increased
Culture/Belief's/Spirituality- Normal
Disease/Illness Prevention- Increased
Education/Counseling- Increased
Self-management- Increased
Social Determinants of Health- Increased
Surveillance- Normal
Health Promotion- Increased
Resource Identification- Increased
Risk Reduction- Increased
Genevieve (Genny) Osaka, 14-month-old infant. When she was 4-months old, she was
in a motor vehicle accident while unrestrained leading to a C-4 spinal fracture and spinal
cord injury. Genny lives with her mother who is a single parent and is an expert in her
care. Genny has been relatively healthy since the accident. Genny has a tracheostomy
and is on mechanical ventilation. She has a jejunostomy tube for feedings and
medications, is on an intermittent urinary catheterization program, and receives
suppositories to ensure regular bowel movements. Genny makes eye contact. She is
delayed in her speech and has no movement or sensation below the level of her injury.
Genny's mother is eager to return to work since the accident and has found a childcare
facility that provides care to children requiring highly skilled care. Genny's mother plans
to look for a job once Genny is settled into the new childcare. The mother and c
CORRECT ANSWERS Community Assessment- Normal
Culture/Beliefs/ Spirituality- Normal
Disease/Illness Prevention- Increased
Education/ Counseling- Increased
Health Promotion- Increased
Resource Identification- Increased
Risk Reduction- Normal
Self-Management- Increased
, Social Determinants of Health- Increased
Surveillance- Normal
Edward Martin , 44-year-old male recently discharged from an outpatient partial
hospitalization for paranoid schizophrenia. He was experiencing delusions and causing
a public disturbance. Edward was diagnosed with paranoid schizophrenia at age 28 and
had one suicide attempt via overdose at age 32. Edward has had episodic
hospitalizations for hallucinations and delusions resulting from non-adherence to his
medication regimen. Edward's comorbidities include generalized anxiety disorder and
hypertension. Medications: NKDA. Risperdal (risperidone) 3 mg one tablet twice daily
by mouth Xanax (alprazolam) 0.5 mg one tablet daily by mouth. Melatonin one tablet
daily one hour before bed Lisinopril 10 mg one tablet daily by mouth Surgical history:
Appendectomy age 10 Social history: Edward lives alone and receives medication-
monitoring services. He has worked at the meat packing plant for seven years. He
received short-term di CORRECT ANSWERS Community Assessment- Increased
Culture/Beliefs/Spirituality- Normal
Disease/Illness Prevention- Increased
Education/Counseling- Increased
Health Promotion- Increased
Resource Identification- Increased
Risk Reduction- Increased
Self-Management- Increased
Social Determinants of Health- Increased
Surveillance- Increased
Maria Sanchez , 20-year-old female, G1 T1 P0 A0 L1. Maria had an uncomplicated
pregnancy and normal spontaneous vaginal delivery at 39 weeks. She delivered a 3500
Gram male infant, Juan. Maria is at the clinic for her 6-week post-partum visit. Maria
shares with the nurse she is feeling anxious and overwhelmed. Maria states she
attempted to breastfeed but quit because "Juan ate all of the time and cried most of the
day." Maria's grandmother requested the Curanderos visit the house to guide Le
Cuarentena. Maria explains Le Cuarentena is a period of 40 days after a baby is born
during which time the mother should do nothing but take care of herself and the baby.
Maria said, "grandmother told me Juan has colic because I did not eat the right hot
foods after Juan was born and that the breastfeeding trouble was too much during the
Le Cuarentena." Maria tearfully expresses, "I failed as a mother." Medications: NKDA
Prenatal CORRECT ANSWERS Community Assessment- Increased
Culture/Beliefs/Spirituality- Increased
Disease/Illness Prevention- Increased
Education/Counseling- Increased
Health Promotion- Increased
Resource Identification- Increased
Risk Reduction- Increased
Self-management- Increased
Social Determinants of Health- Increased
Surveillance- Normal
Questions And Answers | 100% Verified
Gina Smith, 56-year-old female who has experienced a number of significant life
changes over the past year as a result of her alcohol and IV drug addiction. Medical
history: Six months ago, Gina was hospitalized for alcohol addiction. At that time, she
was experiencing gastric pain, elevated liver enzymes, and was prescribed disulfiram
(Antabuse). Gina is taking fluoxetine for depression and anxiety. Medications: NKDA.
Fluoxetine (Prozac), one tablet by mouth daily. Social history: Gina lost her job as a
graphic artist because she came to work intoxicated on two occasions. Due to her
unemployment and addictions, she did not pay her rent and was evicted from her
apartment. Gina has been forced to spend nights either in the shelter or "couch surfing."
Due to the stress of being unemployed and homeless, Gina began to drink alcohol
again because it "numbs the pain." In Gina's struggle to find work to pay for her alcohol
CORRECT ANSWERS Community Assessment- Increased
Culture/Belief's/Spirituality- Normal
Disease/Illness Prevention- Increased
Education/Counseling- Increased
Self-management- Increased
Social Determinants of Health- Increased
Surveillance- Normal
Health Promotion- Increased
Resource Identification- Increased
Risk Reduction- Increased
Genevieve (Genny) Osaka, 14-month-old infant. When she was 4-months old, she was
in a motor vehicle accident while unrestrained leading to a C-4 spinal fracture and spinal
cord injury. Genny lives with her mother who is a single parent and is an expert in her
care. Genny has been relatively healthy since the accident. Genny has a tracheostomy
and is on mechanical ventilation. She has a jejunostomy tube for feedings and
medications, is on an intermittent urinary catheterization program, and receives
suppositories to ensure regular bowel movements. Genny makes eye contact. She is
delayed in her speech and has no movement or sensation below the level of her injury.
Genny's mother is eager to return to work since the accident and has found a childcare
facility that provides care to children requiring highly skilled care. Genny's mother plans
to look for a job once Genny is settled into the new childcare. The mother and c
CORRECT ANSWERS Community Assessment- Normal
Culture/Beliefs/ Spirituality- Normal
Disease/Illness Prevention- Increased
Education/ Counseling- Increased
Health Promotion- Increased
Resource Identification- Increased
Risk Reduction- Normal
Self-Management- Increased
, Social Determinants of Health- Increased
Surveillance- Normal
Edward Martin , 44-year-old male recently discharged from an outpatient partial
hospitalization for paranoid schizophrenia. He was experiencing delusions and causing
a public disturbance. Edward was diagnosed with paranoid schizophrenia at age 28 and
had one suicide attempt via overdose at age 32. Edward has had episodic
hospitalizations for hallucinations and delusions resulting from non-adherence to his
medication regimen. Edward's comorbidities include generalized anxiety disorder and
hypertension. Medications: NKDA. Risperdal (risperidone) 3 mg one tablet twice daily
by mouth Xanax (alprazolam) 0.5 mg one tablet daily by mouth. Melatonin one tablet
daily one hour before bed Lisinopril 10 mg one tablet daily by mouth Surgical history:
Appendectomy age 10 Social history: Edward lives alone and receives medication-
monitoring services. He has worked at the meat packing plant for seven years. He
received short-term di CORRECT ANSWERS Community Assessment- Increased
Culture/Beliefs/Spirituality- Normal
Disease/Illness Prevention- Increased
Education/Counseling- Increased
Health Promotion- Increased
Resource Identification- Increased
Risk Reduction- Increased
Self-Management- Increased
Social Determinants of Health- Increased
Surveillance- Increased
Maria Sanchez , 20-year-old female, G1 T1 P0 A0 L1. Maria had an uncomplicated
pregnancy and normal spontaneous vaginal delivery at 39 weeks. She delivered a 3500
Gram male infant, Juan. Maria is at the clinic for her 6-week post-partum visit. Maria
shares with the nurse she is feeling anxious and overwhelmed. Maria states she
attempted to breastfeed but quit because "Juan ate all of the time and cried most of the
day." Maria's grandmother requested the Curanderos visit the house to guide Le
Cuarentena. Maria explains Le Cuarentena is a period of 40 days after a baby is born
during which time the mother should do nothing but take care of herself and the baby.
Maria said, "grandmother told me Juan has colic because I did not eat the right hot
foods after Juan was born and that the breastfeeding trouble was too much during the
Le Cuarentena." Maria tearfully expresses, "I failed as a mother." Medications: NKDA
Prenatal CORRECT ANSWERS Community Assessment- Increased
Culture/Beliefs/Spirituality- Increased
Disease/Illness Prevention- Increased
Education/Counseling- Increased
Health Promotion- Increased
Resource Identification- Increased
Risk Reduction- Increased
Self-management- Increased
Social Determinants of Health- Increased
Surveillance- Normal
