t is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.Evaluate the Health History and Medical Information for Mr. M., presented below.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 InformationHealth HistoryMr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.Case ScenarioOver the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.Objective DataTemperature: 37.1 degrees CBP 123/78 HR 93 RR 22 Pox 99%Denies painHeight: 69.5 inches; Weight 87 kgLaboratory ResultsWBC: 19.2 (1,000/uL)Lymphocytes 6700 (cells/uL)CT Head shows no changes since previous scanUrinalysis positive for moderate amount of leukocytes and cloudyProtein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/LCritical Thinking EssayIn 750-1,000 words, critically evaluate Mr. M.'s situation. Include the following:Describe the clinical manifestations present in Mr. M.Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.When performing your nursing assessment, discuss what abnormalities would you expect to find and why.Describe the physical, psychological, and emotional effects Mr. M.'s current health status may have on him. Discuss the impact it can have on his family.Discuss what interventions can be put into place to support Mr. M. and his family.Given Mr. M.'s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Vulnerable populations, including the uninsured, immigrants, and working poor, are at greater risk of developing health problems. Historically, nurse practitioners have cared for this growing population. The purpose of this Assignment is for you to gain an understanding of the psychosocial needs of vulnerable female populations and issues impacting culturally competent delivery of women’s health care. This paper, excluding title page and references, written in 6th edition APA format. Please review the grading rubric in course resources. Directions Select a vulnerable female population such as gender identity; domestic violence; incarcerated women; immigrant, migrant or refugee women; adolescents; or homeless women. Introduce the group and why you selected it. Outline the relevant group statistics related to the population as well as the impact of the group on women’s health. Analyze the psychosocial needs of the selected group. Discuss the issues impacting culturally competent care delivery for the group. Describe the associated culturally and ethically competent care methods the Nurse Practitioner will employ in caring for the population. Save your paper in the following format: Lastname Course Assignment Number. Example: Henry MN576 Assignment 1

Assignment: Evidence-Based Project, Part 4: Critical Appraisal of ResearchRealtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.To Prepare:Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.The Assignment (Evidence-Based Project)Part 4A: Critical Appraisal of ResearchConduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.Part 4B: Critical Appraisal of ResearchBased on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.RubricPart 4A: Critical Appraisal of Research Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Critical Appraisal Tool Worksheet Template. Be sure to include: · An Evaluation Table--Excellent 45 (45%) - 50 (50%)Good 40 (40%) - 44 (44%)Fair 35 (35%) - 39 (39%)Poor 0 (0%) - 34 (34%)Part 4B: Evidence-Based Best Practices Based on your appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.--Excellent 32 (32%) - 35 (35%)Good 28 (28%) - 31 (31%)Fair 25 (25%) - 27 (27%)Poor 0 (0%) - 24 (24%)Written Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.--Excellent 5 (5%) - 5 (5%)Good 4 (4%) - 4 (4%)Fair 3.5 (3.5%) - 3.5 (3.5%)Poor 0 (0%) - 3 (3%)Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation.--Excellent 5 (5%) - 5 (5%)Good 4 (4%) - 4 (4%)Fair 3.5 (3.5%) - 3.5 (3.5%)Poor 0 (0%) - 3 (3%)Written Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.--Excellent 5 (5%) - 5 (5%)Good 4 (4%) - 4 (4%)Fair 3.5 (3.5%) - 3.5 (3.5%)Poor 0 (0%) - 3 (3%)Total Points: 100