Which was NOT a suggested way to help prevent cancer in young adults in the video from the PBS show Horizon?

Case Study Question 2 of 6 A 23-year-old male with bipolar disorder has a health maintenance appointment with the telehealth nurse. Nurses’ Notes   4/1 Telemedicine visit. Client appeared onscreen in a positive mood, was well groomed; shaved; clothes neat, and non- wrinkled. His speech had a normal cadence, was organized, and logical. No slurring or stuttering. Occasional tongue thrusting noted while speaking that was reported to have started 1 day ago. Fine hand tremor noted when client smoothed hair back during conversation. Client reports that he is still attending school and is doing well. He is working a part time job on weekends for local restaurant.  States that he has been taking his meds as directed, he has no thoughts of self- harm, but he has had difficulty sleeping more than a few hours per night.  He complains that he has gained weight (10 lbs /4.53 kg) recently and has not had the energy to work out. Self-obtained home vital signs of 128/72, HR 82, RR 20. Medications   Medication Dosage/Frequency/ Route         Time   Lithium Carbonate 900 mg twice per day by mouth 0800 1800   Risperidone 2 mg once daily at bedtime by mouth 2100     Laboratory Report      Lab Results Reference range Cholesterol (Total) 220 240 mg/dL high BUN 15 10-20 mg/dL Creatine (Serum) 1.2 0.9 to 1.4 mg/dL Glucose (fasting) 125 Normal 126mg/dL Preterm infants 40mg/dL-60mg/dL HgbA1C 5.7% Normal 6.5% Hematocrit 44 Males: 42-52%;Females: 35-47% Hemoglobin 15 Males: 13-18 g/dL; Females:12-16 g/dL WBC 6 4.5 – 10.5 x 103 cells/mm3 Platelets 180,000 140,000 to 450,000/ mm3 Potassium(serum) 4.2 3.5 to 5 mEq/L Sodium (serum) 140 135 to 145 mEq/L Lithium level 0.8 0.8-1.2 mEq/L Which clinical finding is most concerning?

Case Study Question 4 of 6 A 23-year-old male with bipolar disorder has a health maintenance appointment with the telehealth nurse. Nurses’ Notes   4/1 Telemedicine visit. Client appeared onscreen in a positive mood, was well groomed; shaved; clothes neat, and non- wrinkled. His speech had a normal cadence, was organized, and logical. No slurring or stuttering. Occasional tongue thrusting noted while speaking that was reported to have started  1 day ago. Fine hand tremor noted when client smoothed hair back during conversation. Client reports that he is still attending school and is doing well. He is working a part time job on weekends for local restaurant.  States that he has been taking his meds as directed, he has no thoughts of self- harm, but he has had difficulty sleeping more than a few hours per night.  He complains that he has gained weight (10 lbs / 4.53 kg) recently and has not had the energy to work out. Self-obtained home vital signs of 128/72, HR 82, RR 20. Medications   Medication Dosage/Frequency/ Route         Time Lithium Carbonate 900 mg twice per day by mouth 0800 1800 Risperidone 2 mg once daily at bedtime by mouth 2100   Laboratory Report        Lab Results Reference range Cholesterol (Total) 220 240 mg/dL high BUN 15 10-20 mg/dL Creatine (Serum) 1.2 0.9 to 1.4 mg/dL Glucose (fasting) 125 Normal 126mg/dL Preterm infants 40mg/dL-60mg/dL HgbA1C 5.7% Normal 6.5% Hematocrit 44 Males: 42-52%;Females: 35-47% Hemoglobin 15 Males: 13-18 g/dL; Females:12-16 g/dL WBC 6 4.5 – 10.5 x 103 cells/mm3 Platelets 180,000 140,000 to 450,000/ mm3 Potassium(serum) 4.2 3.5 to 5 mEq/L Sodium (serum) 140 135 to 145 mEq/L Lithium level 0.8 0.8-1.2 mEq/L   The nurse concludes the client is most likely experiencing tardive dyskinesia. Which (2)  interventions should the nurse anticipate to be included in the plan of care?

Case Study Question 5 of 6 A 23-year-old male with bipolar disorder has a health maintenance appointment with the telehealth nurse. Nurses’ Notes   4/1 Telemedicine visit. Client appeared onscreen in a positive mood, was well groomed; shaved; clothes neat, and non- wrinkled. His speech had a normal cadence, was organized, and logical. No slurring or stuttering. Occasional tongue thrusting noted while speaking that was reported to have started 1 day ago. Fine hand tremor noted when client smoothed hair back during conversation. Client reports that he is still attending school and is doing well. He is working a part time job on weekends for local restaurant.  States that he has been taking his meds as directed, he has no thoughts of self- harm, but he has had difficulty sleeping more than a few hours per night.  He complains that he has gained weight (10 lbs / 4.53 kg) recently and has not had the energy to work out. Self-obtained home vital signs of 128/72, HR 82, RR 20. Medications   Medication Dosage/Frequency/ Route         Time Lithium Carbonate 900 mg twice per day by mouth 0800 1800 Risperidone 2 mg once daily at bedtime by mouth 2100 Discontinued 4/1 Laboratory Report      Lab Results Reference range Cholesterol (Total) 220 240 mg/dL high BUN 15 10-20 mg/dL Creatine (Serum) 1.2 0.9 to 1.4 mg/dL Glucose (fasting) 125 Normal 126mg/dL Preterm infants 40mg/dL-60mg/dL HgbA1C 5.7% Normal 6.5% Hematocrit 44 Males: 42-52%;Females: 35-47% Hemoglobin 15 Males: 13-18 g/dL; Females:12-16 g/dL WBC 6 4.5 – 10.5 x 103 cells/mm3 Platelets 180,000 140,000 to 450,000/ mm3 Potassium(serum) 4.2 3.5 to 5 mEq/L Sodium (serum) 140 135 to 145 mEq/L Lithium level 0.8 0.8-1.2 mEq/L   The prescriber discontinues the risperidone, and the nurse teaches the client about the treatment plan. For each possible action, select if the following client education is indicated or not indicated. 

What aspect of health care delivery is improved when nurses implement evidence-based practices in clinical settings?

What type of question asks for general information about a clinical issue before a searchable foreground question can be posed?

What community-level effect results from health disparities in populations with systematically experienced social or economic obstacles?

What approach does performance improvement use to identify opportunities for enhancing patient care quality?

What relationship exists among nursing theory, research, and practice in professional nursing?

What role do grand theories, middle-range theories, and practice theories serve in theory-based nursing practice?