A 52-year-old male presents with persistent fatigue, unexplained weight loss of 15 pounds over the past 3 months, and intermittent abdominal discomfort. He reports occasional changes in bowel habits, including periods of diarrhea followed by constipation. He denies any overt blood in his stool but notes that his stool has been dark at times. His […]
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A 70-year-old female presents with a 6-month history of irritability, mood swings, and emotional instability. She feels “up and down” for no apparent reason and has been increasingly frustrated with her family. She also reports feeling excessively fatigued and has been unable to concentrate on tasks. Her daughter reports that she has become more forgetful
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A 24-year-old male presents with a 2-month history of low mood, lack of interest in activities, and feelings of hopelessness. He reports fatigue, changes in appetite (loss of 10 pounds), and difficulty sleeping. He has withdrawn from his social circle and has been avoiding activities he previously enjoyed. He denies any substance use, though he
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A 48-year-old female presents with a 3-month history of excessive worry, difficulty concentrating, and persistent insomnia. She reports feeling “on edge” most days and has frequent muscle tension. She is unable to control her worry about work and personal issues, even though there is no clear threat. Her appetite has decreased, and she has lost
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A 39-year-old male with a history of HIV, diagnosed 3 years ago, presents with persistent diarrhea for the past month. He reports watery, non-bloody stools occurring 6-8 times a day, along with abdominal cramping and fatigue. He is on antiretroviral therapy (ART) but admits to occasional nonadherence. His last CD4 count, two months ago, was
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A 45-year-old female from Southeast Asia presents with a chronic cough lasting 6 weeks, unintentional weight loss of 10 pounds, and intermittent night sweats. She denies hemoptysis but reports mild shortness of breath. She has a history of diabetes mellitus type 2 and lives in a household with multiple family members. She works as a
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A 28-year-old male presents to the clinic with complaints of fever, fatigue, and joint pain for the past week. He reports recent onset of a sore throat, but denies cough, shortness of breath, or chest pain. He has no significant medical history, does not smoke, and consumes alcohol socially. He recently returned from a camping
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Understanding that prescribing medication is not the same for all individuals is imperative to becoming a safe and effective psychiatric nurse practitioner. In clinical practice, you will see many patients in different stages of their lives and need to consider these in developing your prescribing treatment plan. For this Assignment, you will choose a vulnerable
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Describe the influence “levels of evidence” have on practice changes. Identify the most reliable level of evidence and provide an example of the type of practice change that could result from this level of evidence. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA
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Statistical significance refers to the likelihood that the results of a study are not due to chance, while clinical significance refers to the practical importance of the results in terms of their impact on patient care. In other words, statistical significance is a measure of the strength of the evidence, while clinical significance is a
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