This document outlines the requirements for a multi-part nursing assignment, including: - Each part must be a minimum of 1-3 pages and address specific topics or questions. - Responses must be in narrative paragraph form, cited using APA style, and answer the questions objectively without introductions. - Parts 5 and 6 require answering the same questions from two different perspectives. - References ranging from 3-5 years old are required for each part. - Files must be named according to the corresponding part and submitted separately.

1. 1) Minimum 9 full pages (
Follow the 3 x 3 rule: minimum three paragraphs per part)
Parts 5 and 6 are the same question, however, you must answer
both questions with references and different writing always
addressing them objectively, that is as if you were two different
people. Similar responses in wording or references will not be
accepted.
Part 1: Minimum 1 page
Part 2: minimum 1 page
Part 3: Minimum 3 pages
Part 4: minimum 1 page
Part 5: minimum 1 page
Part 6: minimum 1 page
Part 7: minimum 1 page
Submit 1 document per part
2)¨******APA norms

2. All paragraphs must be
narrative
and cited in the text- each paragraph
Bulleted
responses are not accepted
Don't write in the first person
Don't copy and paste the questions.
Answer the question objectively, do not make
introductions to your answers, answer it when you start the
paragraph
Submit 1 document per part
3)****************************** It will be verified by
Turnitin (
Identify the percentage of exact match of writing with any other
resource on the internet and academic sources, including
universities and data banks)
********************************It will be verified by
SafeAssign (
Identify the percentage of similarity of writing with any other
resource on the internet and academic sources, including
universities and data banks)
4) Minimum 3 references per part not older than 5 years
Part 3: Minimum 5 references per part not older than 5 years

3. 5) Identify your answer with the numbers, according to the
question. Start your answer on the same line, not the next
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
6) You must name the files according to the part you are
answering:
Example:
Part 1.doc
Part 2.do
_____________________________________________________
_____________________________
Part 1: Pathophysiology
1. Discuss how elimination complexities can affect the lives of
patients and their families.
2. Discuss the nurse's role in supporting the patient's
psychological and emotional needs.
3. Provide an example.
Part 2: Pathophysiology

4. 1. Discuss how functional patterns help a nurse understand the
current and past state of health for a patient.
2. Using a condition or disease associated with an elimination
complexity, provide an example.
Part 3: Pathophysiology
Based on this information, formulate a conclusion based on your
evaluation, and complete the Critical Thinking Essay
assignment, as instructed below.
Health History and Medical Information
Health History
Mr. C., a 32-year-old single male, is seeking information at the
outpatient center regarding possible bariatric surgery for his
obesity. He currently works at a catalog telephone center. He
reports that he has always been heavy, even as a small child,
gaining approximately 100 pounds in the last 2-3 years.
Previous medical evaluations have not indicated any metabolic
diseases, but he says he has sleep apnea and high blood
pressure, which he tries to control by restricting dietary sodium.
Mr. C. reports increasing shortness of breath with activity,
swollen ankles, and pruritus over the last 6 months.
Objective Data:

5. Height: 68 inches; weight 134.5 kg
BP: 172/98, HR 88, RR 26
3+ pitting edema bilateral feet and ankles
Fasting blood glucose: 146 mg/dL
Total cholesterol: 250 mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Serum creatinine 1.8 mg/dL
BUN 32 mg/dl
Critical Thinking Essay
In a critically evaluate Mr. C.'s potential diagnosis and
intervention(s). Include the following:
1. Describe the clinical manifestations present in Mr. C.
2. Describe the potential health risks for obesity that are of
concern for Mr. C.
a. Discuss whether bariatric surgery is an appropriate
intervention.

6. 3. Assess each of Mr. C.'s functional health patterns using the
information given.
a. Discuss at least five actual or potential problems can you
identify from the functional health patterns and provide the
rationale for each. (Functional health patterns include health-
perception, health-management, nutritional, metabolic,
elimination, activity-exercise, sleep-rest, cognitive-perceptual,
self-perception/self-concept, role-relationship,
sexuality/reproductive, coping-stress tolerance.)
4. Explain the staging of end-stage renal disease (ESRD) and
contributing factors to consider.
5. Consider ESRD prevention and health promotion
opportunities.
a. Describe what type of patient education should be provided to
Mr. C. for prevention of future events, health restoration, and
avoidance of deterioration of renal status.
6. Explain the type of resources available for ESRD patients for
nonacute care and the type of multidisciplinary approach that
would be beneficial for these patients.
a. Consider aspects such as devices, transportation, living
conditions, return-to-employment issues.
Part 4: Primary of care of children
Topic: Otitis media

7. Focusing on the pediatric patient
1. Explain the pediatric condition, include:
a. Pathophysiology
b. Physical exam findings
c. 3 Differential diagnoses and rationale
d. Management plan to focus on pharmacotherapy agents based
upon evidence-based practice guidelines
2. Discuss the current evidence-based recommendations by
leading pediatric experts and professional organizations.
3.Discuss on guidelines for pediatric healthcare providers
prescribing medications to the young pediatric patient.
Part 5: Advance Family Practicum
Parts 5 and 6 are the same question, however, you must answer
both questions with references and different writing always
addressing them objectively, that is as if you were two different
people. Similar responses in wording or references will not be
accepted.

8. Topic: Health care reform and role of NP
According to these resources and others, answer:
1. How Healthcare reform is impacting primary care from your
role as NP?
https://www.ajmc.com/contributor/sophia-
bernazzani/2016/03/how-healthcare-reform-is-
impactingprimarycare
2. What the health is going from 2018 to now?
Healthcare reform 101: What health is going on in 2018?
https://www.youtube.com/watch?v=cwTWhwWLzHQ
3. How the transformation of health care and the change of roles
in health care affect NPs and patients?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427/pdf/or
nur3612.pdf
Part 6: Advance Family Practicum

9. Parts 5 and 6 are the same question, however, you must answer
both questions with references and different writing always
addressing them objectively, that is as if you were two different
people. Similar responses in wording or references will not be
accepted.
Topic: Health care reform and role of NP
According to these resources and others, answer:
1. How Healthcare reform is impacting primary care from your
role as NP?
https://www.ajmc.com/contributor/sophia-
bernazzani/2016/03/how-healthcare-reform-is-
impactingprimarycare
2. What the health is going from 2018 to now?
Healthcare reform 101: What health is going on in 2018?
https://www.youtube.com/watch?v=cwTWhwWLzHQ
3. How the transformation of health care and the change of roles
in health care affect NPs and patients?

10. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427/pdf/or
nur3612.pdf
Part 7: APRN
1. Describe your vision of your role as an APRN (Write in the
first person)