As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic woman who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After doing her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She is in class a total of 15 hours per week, plus 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get six hours of sleep per night, but that is okay with her. She lives one hour from campus and commutes each day. Using Healthy People 2020 and your text as a guide:
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- What additional information would you like to gather from Maria?
- What are Maria’s real and potential health risks?
- Why is Maria’s culture important when obtaining the health assessment?
- Pick one of Maria’s health risks. Would you classify Maria’s problem as first-level priority, second-level priority, third-level priority, or a collaborative problem? What would be one reasonable short-term goal for this risk?
- APA FORMAT REQUIRED
Solution Preview
1.What additional information would you like to gather from Maria?
Besides gathering a comprehensive medical history, (including any medical conditions, medications, surgeries, family history, smoking status, drinking status)I would like to know about current diet and whether or not she exercises and if so, what her protocol is. I would also like to know what support systems, ages of her children and resources she has available and what she does to relax and does she allow free time for…
2. What are Maria’s real and potential health risks?
Maria’s lack of sleep as well as her stress may cause her fatigue as well as weight gain. Her current diet may also be leading to her weight gain if it is unhealthy. If she is sedentary for majority of the day (driving, sitting in class, sitting to study, etc.) this can lead to other health…
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