Ann Rails
Reason for admission:
The nurse provides community health
consultation to a domestic violence shel-
ter. Ann Rails is a 38 years old female re-
cently hospitalized for evaluation of back
pain and leg pain, numbness in her legs
bilaterally, left leg weakness and an un-
steady gait. Ann was discharged to a
women's domestic violence shelter af-
ter she disclosed to her nurse that she
was afraid to go home to an abusive -Community Assessment
husband. Ann's discharge plan, in addi-
-Disease/Illness Prevention
tion to safety, protection, and supportive -Education/ Counseling
services from the women domestic vio- -Health Promotion
lence shelter included pain management -Resource Identification
and restoration of a normal gait. Most -Risk Reduction
recent vital signs: BP 124/82 mmHg, -Self-management
Temp 98.2 F (36.8 C), P 84 beats per
-Social determinants of health
minute, RR 22 breaths per minute, SaO2
96%. Medical history: Other than Ann's
recent hospitalization, her past medical
history is otherwise non-significant. Med-
ications: No known allergies (NKA). Hy-
drocodone 5 mg po as needed for pain;
Acetaminophen 325 mg one -two tabs
every four hours po as needed for pain,
Gabapentin 300 mg three times daily po
for nerve pain. Surgical history: Negative.
Social history: Prior to her hospitaliza-
tion, Ann lived with her husband and their
2 dogs. Ann did not work outside of th
Antel Musaka
Reason for admission:
13-year-old entering the 6th grade in
middle school. Antel experienced cere-
bral anoxia during a prolonged labor and
, Swift River Community Health Test Questions with 100% Verified Answers
delivery which resulted in cerebral pal-
sy, quadriplegia, and developmental de-
lay. Although his physical development
is delayed, Antel uses a communication
board and is on grade level with his in-
tellectual development. Six months ago,
Antel underwent a posterior spinal fu-
sion to treat scoliosis and ensure prop-
er alignment in his adapted wheelchair.
Antel attends school and participates -Community Assessment
in academic, physical, and occupation-
-Culture/ Beliefs/ Spirituality
al therapies. Antel has been treated for -Disease/Illness Prevention
many years for gastroesophageal reflux. -Education/ Counseling
He has a percutaneous endoscopic gas- -Health promotion
trostomy (PEG) tube for feedings and -Resource Identification
medications, but he can eat by mouth. -Self-Management
Antel has a history of aspiration pneu-
-Social Determinants of health
monia and drools a lot. Antel has a his-
tory of seizure activity and receives car-
bamezepine via the PEG tube. Antel has
multiple pressure areas on his body due
to his random spastic movements, func-
tional immobility, and lack of voluntary
coordination. Antel lives at home with
his parents. His mother is his sole care
provider, although she tried to encour-
age Antel's father to assist in care. Antel'
Arthur Silverstein
Reason for admission:
Arthur Silverstein, a 68-year-old home-
less veteran recently hospitalized for
posttraumatic stress disorder (PTSD).
He was a prisoner and war (POW) and
was abused while being held captive. He
has experienced intermittent homeless-
ness and alcohol use disorder since his
wife died 18 years ago. Arthur experi-
ences flashbacks and nightmares from