Cultural, Spiritual, Nutritional, & Mental Health

Disorders

For this Discussion, you will take on the role of a clinician who is building a health history for
the following case.

Case 2

Subjective Data Subjective Data

Chief Complaint “I am here for my annual physical exam and have

(CC) been having vaginal discharge.”

32-year-old pregnant lesbian – her pregnancy has

been without complication thus far. She has been
History of Present Illness (HPI)
receiving prenatal care from an obstetrician. She
received sperm from a local sperm bank.

PMH

PSH
 Current Meds: prenatal vitamins and takes Tylenol
Drug Hx
over the counter for aches and pains on occasion

Allergies
She has a strong family history of diabetes. Gravida
Family Hx
1; Para 0; Abortions 0.

Review of Systems (ROS) Review of Systems (ROS)

General No fatigue, fever, or chills.

Head, Eyes, Ears, Nose & Throat
(HEENT)
Neck No pain or injury

Respiratory

CV

GI

GU
multiple piercings, and tattoos. Old scars related to
Integument
“cutting”
no syncopal episodes or dizziness, no change in
MS/Neuro memory or thinking patterns; no twitches or
abnormal movements.

Objective Data Objective Data

B/P 128/76; Pulse 83; RR 16; Temp 99.0; Ht 5,6; wt
PE
128; BMI 20.98
General
Atraumatic, normocephalic, PERRLA, EOMI,
conjunctiva and sclera clear; nares patent,
HEENT
nasopharynx clear, good dentition. Piercing in her
right nostril and lower lip.
Lungs CTA AP&L

Card S1S2 without rub or gallop

Abd benign, normoactive bowel sounds x 4

GU external genitalia intact, no lesions or masses. White

 copious discharge with an amine odor; no cervical
motion tenderness; adnexa intact.
Ext no cyanosis, clubbing or edema

Integument intact without lesions masses or rashes.

MS

Neuro No obvious deficits and CN grossly intact II-XII

Answer the following questions:

1. Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors
related to the health of the patient you selected.
2. Utilizing the five assessment domains, which ones would you utilize on your
patients in conducting a comprehensive nutritional assessment.
3. Discuss the functional anatomy and physiology of a psychiatric mental health
patient. Which key concepts must a nurse know in order to assess specific
functions?

Submission Instructions:

 Your initial post should be at least 500 words, formatted and cited in current APA
style with support from at least 3 academic sources.

Textbook

Rhoads, J., & Petersen, S. W. (2021). Advanced health assessment and diagnostic reasoning (4th
ed.). Jones & Bartlett Learning.
ISBN-13: 978-1284170313 ISBN-10: 1284170314

Grading Rubric

Your assignment will be graded according to the grading rubric.

 Discussion Rubric

Criteria Ratings Pts

This criterion is
linked to a Learning 5 pts 4 pts 2 pts 1 pts
OutcomeIdentificatio Distinguished Excellent Fair Poor
n of Main Issues, Identify and Identifies and Identifies and Identifies and
Problems, and demonstrate a demonstrate an demonstrate an demonstrate an
Concepts sophisticated accomplished an acceptable unacceptable5 pt
understanding understanding understanding understandings
of the issues, of most of of most of of most of
problems, and issues, issues, issues,
concepts. problems, and problems, and problems, and
concepts. concepts. concepts.

This criterion is 3 pts 2 pts 1 pts 0 pts

linked to a Learning Distinguished Excellent Fair Poor
OutcomeUse of Effectively uses Effectively Ineffectively Ineffectively
Citations, Writing the literature and uses the uses the uses the
Mechanics and APA other resources literature and literature and literature and
Formatting to inform their other other resources other resources
Guidelines work. resources to to inform their to inform their
Exceptional use inform their work. work. An
of citations and work. Moderate use unacceptable
extended Moderate use of citations and 3 pt
use of citations
referencing. of citations extended and extendeds
High level of and extended referencing. referencing.
APA precision referencing. APA style and APA style and
and free of Moderate writing writing
grammar and level of APA mechanics mechanics
spelling errors. precision and need more need serious
free of precision and attention.
grammar and attention to
spelling detail.
errors.

This criterion is
linked to a Learning 2 pts 1 pts 0 pts
OutcomeResponse to Distinguished Fair Poor
Posts of Peers Student constructively Student constructively Student
2 pt
responded to two other responded to one other provided no
s
posts and either extended, post and either extended, response to a
expanded or provided a expanded or provided a peer's post.
rebuttal to each. rebuttal.
 Discussion Rubric

Criteria Ratings Pts

Total Points: 10