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NR 601 Week 1 Case Study Discussions Physical Examination (Part 2) NEW

Discussion Part Two (graded)

  Physical examination

Vital Signs:

Height:  5 feet 7 inches   Weight: 170 pounds Waist Circumference – 32 inches BP 130/84 T 98.0 po P 92 regular R 22, non-labored

HEENT: normocephalic, symmetric. Evidence of prior cataract surgery in both eyes. PERRLA, EOMI, cerumen impaction bilateral ears. Several broken teeth, loose partial plate.

NECK: Neck supple; non-palpable lymph nodes; no carotid bruits.

LUNGS: Decreased breath sounds bases bilaterally, clear to auscultation HEART: RRR with regular without S3, S4, murmurs or rubs.

ABDOMEN: Bloated appearance, active bowel sounds, LLQ tenderness and 6 cm x 7 cm mass.

PV: Pulses are 2+ BL in upper and lower extremities; no edema NEUROLOGIC: Negative

GENITOURINARY: no CVA tenderness

MUSCULOSKELETAL: gait fluid and steady. No muscle atrophy or asymmetry. Full ROM all joints. Strength 5/5 and equal bilaterally. Hips: Discomfort on flexion in both hips; extensor and flexor strength symmetrical.

Knees: Left knee discomfort with weight bearing. No redness, warmth or edema. Full ROM in both knees with symmetrical extensor and flexor strength. Crepitus on extension of left knee.

Hands: No redness or swelling. Bilateral joint tenderness of the distal interphalangeal and proximal interphalangeal joints of the 2nd and 3rd digits.

Calf circumference-31 cm; Mid-arm circumference- 22 cm

PSYCH: normal affect

SKIN: Pale. Areas of healing ecchymosis: Left knee- 3 cm x 2 cm x 0 cm. Right knee -2 cm x 2.5 cm x 0 cm.

 Discussion Part Two:

Summarize the history and results of the physical exam. Discuss the differential diagnosis and rationale for choosing the primary diagnosis. Include one evidence-based journal article that supports your rationale and include a complete treatment plan that includes medications, possible referrals, patient education, ICD 10 Codes, and plan for follow-up.

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PSY 330 Week 2 DQ 2 Heritability

One of the goals of behavioral genetics is to identify the heritability of a particular behavior.  Heritability is the amount of variance in observed behaviors among people that can be explained by genetics.  Review this week’s reading and discuss the strengths and weaknesses of some of the methods used to determine heritability in humans.  Address the use of adoption studies and twin studies, as well as shared environmental factors and unique environmental factors.  

PSY 330 Week 3 Assignment Final Project Outline

Final Project Outline

Review the Final Project guidelines and, using the approved topic that was identified in Week One, construct an outline of your Final Project.  Your outline should be a minimum of one to two pages (excluding title and reference pages) and include each of the required headings/sub-headings listed for your Final Project as well as a two-to three-sentence description of each.  Additionally, a reference page must be included with at least six peer-reviewed sources that were published within the last 5 years, cited according to APA guidelines as outlined in the Ashford Writing Center.  These sources will also be used for the Final Project.  Each section of the outline should specify which sources will apply to that area.

This outline is a tool to ensure you are on the right track for your Final Project.  The more detail and information you provide in this assignment, the more feedback you will receive from your instructor.  

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

PSY 330 Week 3 DQ 1 Behaviorism

Imagine you have completed the certification process and you are now a practicing therapist who specializes in behavior modification.  A new client calls you to make an appointment and discloses that she has a severe phobia of dogs.  She has been terrified of them since childhood.  Her fiancé has a dog and will not part with it, which requires her to get treatment before they are married.  Take one of the following approaches to develop a strategy for her behavior change:

Option A: Utilize classical conditioning techniques to develop a strategy for changing the behavior of the client. Be specific in identifying the unconditioned stimulus, the unconditioned response, the conditioned stimulus, and the conditioned response. Your response should also indicate the most likely cause of this disorder from a behaviorist perspective. Your initial post should be a minimum of 250 words and utilize one peer-reviewed source which was published within the last five years, cited according to APA guidelines as outlined in the Ashford Writing Center.  Indicate in your post which option you are responding to.    

Option B: Utilize operant conditioning techniques to develop a strategy for changing the behavior of the client. Be specific in identifying the reinforcement for the unwanted behavior and the method(s) of reinforcement you will use. Your response should also indicate the most likely cause of this disorder from a behaviorist perspective. Your initial post should be a minimum of 250 words and utilize one peer-reviewed source which was published within the last five years, cited according to APA guidelines as outlined in the Ashford Writing Center.  Indicate in your post which option you are responding to.

PSY 330 Week 3 DQ 2 Psychodynamic Theory

The psychodynamic model provides a general guideline for the development of normal and abnormal behavior.  Overall, the model is comprised of numerous theories and approaches that follow a general trend for behavior formation.  Evaluate each of the theories contained in the psychodynamic approach as they are presented in your course text.  Explain what normal and abnormal behavior would be within the perspective of each theory.  Provide a reasoned interpretation of what unifies the various theories within the psychodynamic model.

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