Congestive Heart Failure Case Study 6 Assignment Questions

Congestive Heart Failure Case Study 6 Assignment Questions

Congestive Heart Failure Case Study 6 Assignment Questions

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Case study attached.

Congestive Heart Failure case study 6 questions

  1. Listening to the patient’s heart with stethoscope reveals a high pitched, blowing systolic murmur heard directly under the left nipple. The patient has no prior history of heart murmur. Explain what is causing this new murmur.

high-pitched, blowing heart murmur suggests that the patient has regurgitant heart valve – i.e. blood flows backward through the valve due to inadequate closure of valve; the fact that it’s under the left nipple suggests its the bicuspid valve is not closing appropriately

From this location, Roger’s systolic murmur is most likely from the mitral valve.  During systole, the mitral valve should be closed, therefore if we are hearing a murmur, the valve must be insufficient, or not closing properly.  If we were viewing this valve via Doppler echo, we would see a large blue plume of color moving from the left ventricle into the left atrium. Congestive Heart Failure Case Study 6 Assignment Questions.

  1. Is the cause of murmur in any way related to the patient’s heart attack?

the anterior intraventricular artery is also blocked; this causes ischemia and ultimately infarction of the the left ventricular wall

From this location, Roger’s systolic murmur is most likely from the mitral valve.  During systole, the mitral valve should be closed, therefore if we are hearing a murmur, the valve must be insufficient, or not closing properly.  If we were viewing this valve via Doppler echo, we would see a large blue plume of color moving from the left ventricle into the left atrium. Congestive Heart Failure Case Study 6 Assignment Questions.

  1. While listening to the patient’s breathing with a stethoscope, you hear some wheezing and inspiratory rales (crackling noises). Explain these findings.

the patient has a 40-pack-year smoking history that puts him at increased risk of developing chronic bronchitis and emphysema; both which alters the breath sounds heard w/ stethoscope; left ventricular heart failure slows rate of venous return of blood from pulmonary vein to left atrium

  1. A chest X-ray taken two weeks after his collapse showed markedly enlarged cardiac silhouette and generalized haziness at the bases of the lungs. Explain why the heart  is enlarged and lungs “hazy” on the chest X-ray.

in order to stabilize cardiac output, left ventricle must fill with more blood during ventricular diastole to make up for all the blood that is being pumped backwards into the left atrium

hazy appearance is due to the fluid/pulmonary edema in the lungs; fluid appears lighter on Xray

Congestive Heart Failure case study 6 questions

  1. The patient is stabilized and ultimately discharged from the hospital. Three months after the heart attack, he comes back to his physician for a checkup. He complains of dyspnea (shortness of breath) at rest and difficulty breathing while lying down (orthopnea). He says he can only sleep when he is propped up by two large pillows. Explain why is the patient having these symptoms.

The heart is still performing at sub optimal level; when lying down blood rushes to lungs and makes his heart failure worse; patient is also experiencing poroxysmal nocturnal dyspnea which involves shortness of breath when laying down asleep; elevating the head with pillows helps the patient sleep

  • When Roger lays down at night, he eliminates the effect of gravity.
    • rate of venous blood flow returning to right atrium increases.
    • rate of venous blood flow returning to the left atrium is also increased.
    • increases the pre-load placed upon left ventricle.
    • Fluid begins to collect in lungs – difficulty breathing
    • Congestive Heart Failure Case Study 6 Assignment Questions
    • Raises heart above the majority of his systemic circulation
    • Lowers rate of venous return
    • Relieves shortness of breath
  1. Discuss what other organs were affected by Roger’s illness, and how these organs are interconnected with each other.

Congestive Heart Failure Case Study 6 Assignment Questions.

My community is Bakersfield, California I was thinking of interviewing in regards to lack of mental health facilities and planning locally.

This is a Collaborative Learning Community assignment.

This assignment consists of both an interview and a PowerPoint (PPT) presentation.


Select a community of interest. It is important that the community selected be one in which a CLC group member currently resides. Students residing in the chosen community should be assigned to perform the physical assessment of the community.

  1. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
  2. Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines for NRS 427VN CLC – Community Assessment And Analysis Presentation

Interviews can take place in-person, by phone, or by Skype. Complete the “Provider Interview Acknowledgement Form” and submit with the group presentation.

Develop one set of interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Compile key findings from the interview, including the interview questions used, and submit with the group presentation.

APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This NRS 427VN CLC – Community Assessment And Analysis Presentation assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this NRS 427VN CLC – Community Assessment And Analysis Presentation assignment to Turnitin.

When submitting this NRS 427VN CLC – Community Assessment And Analysis Presentation assignment, include the interview questions, the interview findings, completed “Provider Interview Acknowledgement Form,” and the community assessment PPT presentation.

Locate and complete the Self-Assessment of the AACN Essentials located in Doc Sharing (Week 2). Follow the directions on the form. Note your total score. Next, review the article cited below:

Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., … Meeks-Sjostrom, D. (2009). Walk the talk: Promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77–93. Click to link.

Answer the following:

  1. If you are willing, please share your total score on the AACN Essentials Self-Assessment
  2. Candidly identify and share with your classmates areas where knowledge, skills or abilities (KSAs) are lacking?
  3. Describe the relationship between the Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for your improvement? AACN Essentials Self-Assessment and Patient-Centred Care Paper.

Part One:

Using the directional terms in the table from your textbook, describe how you, or someone close by you, is sitting or standing. Include at least 5 of the terms describing body positioning and movement. Then describe the opposite (for example, if you said your foot was plantar flexed, use dorsiflexed) for all of the terms you used, and make a guess whether you would be comfortable in that position.

Your response should be posted to the Discussion Area below. By the end of the week, begin commenting on at least 2 of your peers’ responses. Ask questions, further the discussion of the topic, reinforce a response, or add another dimension to the discussion. Always use constructive language.

Part Two

Think of a few examples or do some research into examples where the prefix or suffix of a root word changes the meaning from one term to another. Why is it critical for medical professionals to understand and use prefixes and suffixes carefully? Assignment: Describing Body Positioning and Movement Discussion Paper.

For your initial post to this Counseling Using STIPS Notes Discussion Essay Paper, develop a case note about a client session you recently completed. Use the Signs and Symptoms, Topics of Discussion, Interventions, Progress and Plan, and Special Issues (STIPS) format as presented in the Prieto and Scheel’s 2002 article, “Using Case Documentation to Strengthen Counselor Trainees’ Case Conceptualization Skills.” Maintain confidentiality by altering all names or specific identifying information.

Your post and responses are expected to be substantive in nature and to reference the assigned readings, as well as other theoretical, empirical, or professional literature to support your views and writings. Reference your sources using standard APA guidelines.

The client is a 37 year old AA female with anxiety and moderate depression. He name is Lola.

Must use this reference


Prieto, L. R., & Scheel, K. R. (2002). Using Case Documentation to Strengthen Counselor Trainees’ Case Conceptualization Skills. Journal of Counseling & Development, 80(1), 11. Retrieved from

Define epistemology and describe the 3 models of how certain we are that our perceptions mirror reality. Which position do you hold, and why? What are the different methods of knowing (see Entwistle chapter 5)? What are the limitations of these (or any) methods of knowing? What methods of knowing are appropriate for Christians, and why?

Entwistle, D. (2015). Integrative approaches to psychology and Christianity: An introduction to worldview issues, philosophical foundations, and models of integration (3rd ed.). Eugene, OR: Wipf and Stock Publishers. ISBN: 9781498223485.

Must Use only this reference for main source and the Bible or journal article.

At least 500 words in response to the provided questions. You must support your assertions with at least 3 citations in current APA format.

1.  The germinal period _____.

a. 67. The germinal period _____.

begins with fetal weight gain




b.  begins with implantation



c. is the time it takes to germinate your answer to this question



d.  begins at fertilization and ends with implantation


1 points   

Integrative Approaches to Psychology and Christianity Assignment QUESTION 68

1.  This is the first stage of prenatal development (from conception to implantation), characterized by rapid cell division.

a.  Embryonic



b.  Fetal stage



c.  Critical period



d.  Germinal period


1 points   

Integrative Approaches to Psychology and Christianity Assignment QUESTION 69

1.  From implantation through the 8th week, the major body organs and systems develop. This period of pregnancy is called:

a. Embryonic


b. Fetal


c.  Zygotic


d. Germinal

1 points   


1. The fetal period lasts from _____.

a.  conception to birth


b.  implantation to birth


c.  implantation to 8 weeks


d.  8 weeks to birth

1 points   


1.  Jeremy was born with serious heart, face, and finger deformities. He is also showing signs of delayed motor development and lowered intelligence. Jeremy is most likely suffering from _____.

a. DNA syndrome


b. premature birth
c.  fetal alcohol syndrome


d.  prenatal exposure to nicotine

1 points   


1.  Which of the following is CORRECT regarding brain development?

a. The weight of an infant’s brain is half that of an adult’s and it reaches full adult weight by age 16.
b.  The number of neurons in the infant brain at birth is about one-eighth the number in the adult brain.


c.  Axon and dendrite connections increase.


d.  Myelination peaks at age 12. Integrative Approaches to Psychology and Christianity Assignment

1 points   


Pearson Education, Inc., Allyn and Bacon: Boston, MA 02116


Theories of Marriage and Family

Text: Family Therapy Concepts and Methods

ISBN: 0-2-5-54320-0; 13: 978-0-205-54320-5


Michael P. Nichols

Theories of Marriage and Family

Multiple Choice Questions (Enter your answers on the enclosed answer sheet)

1) Family sculpting and choreography are applications of this early approach to group treatment which consists of dramatic enactments from the lives of group members and uses a number of techniques to stimulate emotional expression and clarify con- flicts.

A) psychodrama

B) T-group

C) psychoeducation 0) encounter group

2) The first to apply group concepts to family treatment was

A) Murray Bowen

B) Carl Whitaker

C) John Elderkin Bell 0) Virginia Satir

3) Reflecting the recent recognition that some problems are in fact problems of indi- viduals and not caused by families, Carol Anderson and colleagues developed this family therapy approach to treating families with schizophrenics.

A) family group counseling

B) psychodrama

C) solution-focused therapy

D) psychoeducation

4) Leaders of family therapy who are social workers include all except whom?

A) Virginia Satir

B) Carl Whitaker

C) Monica McGoldrick 0) Braulio Montalvo

PSY 509 Theories of Marriage and Family Quiz Questions

5) Lyman Wynne’s term for the facade of family harmony that characterized many schizophrenic families is:

A) pseudomutuality

B) pseudoharmony

C) pseudocomplementarity 0) pseudohostility

Theories of Marriage and Family

6) Hospital clinicians began to acknowledge and include the family in an individual’s treatment when:

A) they noticed when the patient got better, someone in the family got worse

B) they realized the family was footing the bill for treatment

C) they realized the family continued to influence the course of treatment anyway

D) Aand C

7) Gregory Bateson and his colleagues at Palo Alto introduced this concept to describe the patterns of disturbed family communication which cause schizophrenia.

A) double bind

B) schizophrenogenesis

C) pseudohostility

0) none of the above

8) This family therapist’s personal resolution of emotional reactivity in his family was as significant for his approach to family therapy as Freud’s self-analysis had been for psychoanalysis.

A) Murray Bowen

B) Salvador Minuchin

C) Jay Haley

0) Carl Whitaker

9) This family therapist believed in the existence of an interpersonal unconscious within

each family.

A) Virginia Satir

B) Nathan Ackerman

C) Ivan Boszormenyi-Nagy 0) Murray Bowen

10) The techniques of structural family therapy fall into two general categories, joining

and _

A) disengaging maneuvers

B) taking an “I” position

C) restructuring techniques 0) paradoxical interventions

11) Group-oriented therapists promote communication by concentrating on process rather than content.



Theories of Marriage and Family

12) The tendency of families to resist change in order to maintain a steady state is known as:

A) complementarity

B) paradox

C) negative feedback

0) the black box concept

13) While the communications family therapists share the common goal of altering self-reinforcing and destructive patterns of communication in families, their interven- tion strategies differed. For example, Haley favored the use of while Satir sought change by making family rules explicit and by teaching principles of clear communication.

A) paradox

B) interpretations

C) positive connotations

D) behavioral contracts

14) According to communications theory, healthy families are able to adapt to changing circumstances through use of:

A) positive feedback

B) negative feedback

C) homeostasis

D) therapeutic double-binds

15) A conflict created when a person receives contradictory messages on different levels of abstraction in an important relationship, and cannot leave or comment is known as a:

A) double-bind

B) reframe

C) quid pro quo

0) complementarity

16) The goal of family group therapy is to:

A) promote individuation offamily members

B) promote verbalization and understanding of unmet needs

C) improve family relationships

D) all of the above

55 Theories of Marriage and Family

17) The family theory of the etiology of schizophrenia which focused on disturbed pat- terns of communication was founded by Gregory Bateson, Theodore Lidz, and:

A) Lyman Wynne

B) Mara Selvini-Palazzoli

C) Carl Whitaker

D) Virginia Satir

18) According to Bateson’s research on the disorder, they believed that _

was a disturbance of the entire family, not the individual.

A) depression

B) alcoholism

C) schizophrenia

D) A and C

19) According to the authors, the communication theorists tend to describe families

as in their theoretical statements, though they tended to treat them as

____ in their clinical work.

A) complementary/symmetrical

B) open systems/closed systems

C) closed systems/open systems

D) symmetrical/complementary

20) The stages of a family’s life from separation from one’s parents to marriage, having

children, growing older, retirement, and finally death, are known as the:

A) homeostasis

B) family structure

C) function of the system

D) family life cycle

21) Constructivism first found its way into psychotherapy in the work of:

A) George Kelly

B) Michael White

C) Kenneth Gergen

D) Paul Watzlawick

22) A biological model of living systems as whole entities which maintain themselves through continuous input and output from the environment, developed by l.udwiq von Bertalanffy is known as

A) general systems theory

B) cybernetics

C) constructivism

D) ecosystemic communication

23) Which phenomena are NOT a focus of cybernetics, as applied to families?

A) family rules

B) negative feedback

C) sequences of interaction

D) family hierarchy

24) Superficial change in a system which itself stays invariant is termed –‘ while

basic change in the structure of a system is called _

A) first-order; systemic

B) second-order; first-order

C) first-order; second-order

D) cybernetic; second-order

25) Boundaries around the executive subsystem in the family are of particular importance

because the family is seen by structural therapists as crucial to the fam-

ily’s well-being.

A) life cycle

B) quid pro quo

C) network

D) hierarchy

PSY 509 Theories of Marriage and Family Quiz Questions – Written Assignment for Unit One

Be sure to refer to the course syllabus for instructions on format, length, and other information on how to complete this assignment.

Please answer ONE of the following:

1: In 1956 Baetson and his colleagues published their famous report “Toward a Theory of Schizophrenia’; in which they introduced the concept of the double bind. Please define and explain this concept. How, according to them did it relate to Schizophre- nia? Please give at least 2 different examples to illustrate the double bind concept. (pg.20-23)

2: According to the text normal families are described as functioning systems dealing with negative and positive feedback. Define/describe what negative and positive feedback are in context to’normal family systems; and discuss how normal families stay healthy during times of’unbalance’ during transition points in the family life cycle. Give some examples to support your discussion. (pg. 52-53)

3: A family has been referred to you from Child Protective Services, due to allegations of sexual abuse. Discuss how you would approach this from the initial telephone call, first session, ete. and any specific guidelines/rules you would adhere to due to the nature of the case. (pg. 65-74 and 91-93)

Multiple Choice Questions (Enter your answers on the enclosed answer sheet)

1) By training family members in 3 areas–teaching differentiation, avoiding triangulation, and Bowen therapists can enable a single individual to transform

the whole network of his or her family system.

A) avoiding expression of intense emotions

B) increasing contact with dysfunctional family members

C) reopening cut-off family relationships 0) all of the above. AACN Essentials Self-Assessment and Patient-Centred Care Paper

2) According the Bowen theory, the flight from an unresolved emotional attachment to one’s parents is known as:

A) fusion

B) emotional cutoff

C) enmeshment

0) disengagement

3) In Bowen theory, this is a process wherein the projection of varying degrees of immaturity to different children in the same family occurs. The child who is most involved in the family emerges with the lowest level of differentiation, and passes on problems to succeeding generations.

A) multigenerational transmission process

B) nuclear family emotional process

C) societal emotional process 0) family projection process

4) rrns soweruan term describes the level of emotional “stuck-togetherness” or fusion in the family.

A) unconscious need complementarity

B) triangling

C) nuclear family emotional process 0) A and C

5) According to Bowen, are the smallest stable unit of human relations.

A) dyads

B) foursomes

C) triangles

0) none of the above

6) Unlike experiential therapists, Bowenians seek to levels of anxiety in order to increase levels of differentiation of self in the family.

A) decrease

B) identify.

Congestive Heart Failure Case Study 6 Assignment Questions.

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