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J.R. is a nurse practitioner in a clinic on a large, isolated Indian reservation. The clients in his community have a disproportionately high rate of alcoholism and suicide. Poverty is widespread. He believes the most important component of his job is to promote wellness among his clients. J.R. reaches out to the people of the community by providing wellness clinics and educational forums. He uses a holistic approach to health care, incorporating traditional Indian healing practices along with Western medicine.Do you think is appropriate that J.R. is adapting his practice incorporating traditional Indian healing practices along with Western medicine? Support your answer with evidence base practice recommendation. An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals. Name the different family developmental stages and give examples of each one. Describe family structure and function and the relationship with health care.

The advanced practice nurse is updating the plan of care of nursing home patients with hypertension. Briefly describe the therapeutic actions of drugs affecting blood pressure (diuretics, ACE inhibitors, ARBs, CCB, sympathetic nervous system drugs). What important teaching points should be addressed for patients receiving antihypertensive drugs?

J.G. is a nurse practitioner working in a health clinic. Her clinic provides care to a majority of Hispanic migrant farmworkers during the summer months. Farmworkers in the area are susceptible to health problems because they are in a low-income bracket and may be exposed to unsanitary working and housing conditions. The workers do not tend to seek preventive care because of finances, transportation, and fear of deportation in many instances. She struggles with the delivery of fragmented services within the migrant community because individuals move around frequently. In her encounters with the patients she serves, she has to stress early the importance of screening and follow-up care. She must also carefully assess the level of health literacy when providing education. In addition, She remains culturally sensitive to the beliefs and practices of the population she serves. Create a list of health hazards associated with the migrant population in general and the one referred on the case. Which would be your recommendations to the migrant population to prevent injuries related to those hazards and how to improve their health. Discuss how you would advise young adults in selecting contraceptive methods. Do you have any personal, religious reservations, or discomforts that would interfere with your ability to advise clients and ask them how they would address these personal conflicts? Have students develop a smoking cessation plan for a client. Evaluate the impact of poverty on older adults.