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Exam (elaborations)

NR 305 Week 1 Discussion Topic

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NR 305 Week 1 Discussion Topic

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NR 305 Week 1 Discussion Topic




Healthy People Initiative (graded)

The topic this week asks you to apply what you have learned to the following case
study. As the school nurse working in a college health clinic, you see many
opportunities to promote health. Maria is a 40-year-old Hispanic who is in her
second year of nursing school. She complains of a 14-pound weight gain since
starting school and is afraid of what this will do to both her appearance and health
if the trend continues. After conducting her history, you learn that she is an
excellent cook and she and her family love to eat foods that reflect their Hispanic
heritage. She is married with two school-age children. She attends class a total of
15 hours per week, plus she must be present for 12 hours of labs and clinical. She
maintains the household essentially by herself and does all the shopping, cooking,
cleaning, and chauffeuring of the children. She states that she is lucky to get 6
hours of sleep per night, but that is okay with her. She lives 1 hour from campus
and commutes each day. Using Healthy People 2020 and your text as a guide,
answer the following questions.
▪ What additional information would you like to gather from
Maria?
▪ What are Maria's real and potential health risks?
▪ Why is Maria's culture important when obtaining the health
assessment?
▪ Pick one of Maria's health risks.
▪ What would be one reasonable short-term goal for this risk?
▪ What nursing interventions would you incorporate into Maria's
plan of care to assist her with meeting your chosen goal?
▪ Please provide rationale for your selections..



Professor and Classmates,

While assessing Maria, a 40-year-old, married Hispanic mother of two, nursing school
sophomore that appears to be concerned with a recent weight gain of 14 pounds, I would ask for
additional information. I would ask Maria for her general health history as well as her family
health history. I would assess her baseline weight and height; body mass index. I would question
her activity level and if she exercises, how often? I would want to know her eating patterns, any
dieting? I would also want to inquire if she had any food intolerances, or allergies. If she was
taking any medications or supplements. I would ask if she was a current or previous smoker, any

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