Mary is a 52-year-old female that comes into the clinic as a referral from her PCP. She has been on fluoxetine, sertraline, escitalopram and duloxetine for her anxiety and it made her symptoms worse and more irritable. When talking with her she has had periods in her life where she was on top of the world. Could do anything and felt like she was the best out there. Her thoughts would race, she would be more talkative, did not need to really sleep due to all the ideas that she was having. She has had this last greater than 4 days but no more than 6 days. The symptoms did not greatly impact her life and was able to hold a job but completely noticeable to others. She will then hit a major depression that is debilitating and has had to take off of work due to the depressive episodes. What criteria does she fit best: 

Mary is a 17-year-old female that comes to the clinic with concerns of depression. She has been depressed for greater than two years and she has not felt relief from this depression for greater than two months. You diagnose her with persistent depressive disorder and start her on fluoxetine. She presents back to the clinic in one month and she is chipper, much happier and states she has not felt this good in years and has started different projects and feels like she has so much energy she does not need to sleep. She is also wearing generous amounts of makeup and not dressed for the weather. What is something to consider with this presentation: 

The nurse is caring for a patient with Raynaud’s disease who is employed as a construction worker, has hypertension, and smokes 1/2 to 1 pack of cigarettes per day. What teaching points should the nurse include in discharge instructions? (Select all that apply.)

The nurse outlines behaviors that aid in the prevention of cardiovascular disease, which are: (Select all that apply.)

The attached graphs show the responses to a prolonged exercise trial. The blue line the untrained sedentary female. The pink line is the same female after 1 year of endurance training.  1) Describe how carbohydrate metabolism changed after 1 year period of endurance training? Use the graph and your knowledge of physiology to justify your answer. (2pts) 2) Describe how fat metabolism changed after 1 year period of endurance training?  Use the graph and your knowledge of physiology to justify your answer.(2pts) Metabolic Adaptations Worksheet Graphs-1.pdf

A 35-year-old woman has sudden painful loss of vision in her right eye. She comes to your office the next day, and a neuro-ophthalmologic examination documents 20/60 vision in the right eye, with a depressed monocular visual field. In the left eye, vision is 20/20 and the visual field is normal. Funduscopic examination shows optic disc swelling and an afferent pupillary defect of the right eye; the left eye is normal. Which of the following is the most likely diagnosis?

Configure the host name for the routers and switches per the Hostname column in IP table above On R1, R2 and R3, setup enable password: class On R2 and R3 setup line vty 0 4 password: cisco Configure PC1, and PC2 FastEthernet0 interface per the IP table. Including Default Gateway and DNS Once you have completed the above task, please type “completed” in the text box below and proceed to the next section.

Review the routing table of R2. How many OSPF routes should be present in the routing table, and why? Please attach a screenshot of R2’s routing table. (2.5 points)

Review the routing table of R1. How many OSPF routes should be present in the routing table, and why? Please attach a screenshot of R1’s routing table. (2.5 points)

When considering the feasibility of an all-RN staff, a nursing administrator determines what fact concerning the RN’s role? (Select all that apply.)