The importance of USPSTF Screening Recommendations in Primary Care. 

The discussion must address the topic.

350 words in your initial post. 

Turnitin is less than 15%. 

Minimum of two scholarly references in APA format within the last five years published 

USPSTF (U.S. Preventive Services Task Force) 

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A 58-year-old obese man complains of pain in his left knee. The pain seems to be unrelenting. He says his knee is better when he rests, but it gets stiff when he rests too long. He denies other symptoms, significant history, or allergies.

  • From the information provided, list your differential diagnoses in the order of most likely to possible but unlikely.

2 scholarly article

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A 28-year-old female presents with a severe headache for the past 9 hours. She states the pain is over the left temporal area and is throbbing in nature. These symptoms have occurred before but not as bad.

  • What are some clinical assessment tools or techniques that you could use to help diagnose this patients condition?
  • In order of importance, describe three (3) questions that you would like to ask this patient and give a brief explanation of why?

2 scholarly article

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What strategies, besides the use of learning styles, can a nurse educator consider when developing tailored individual care plans, or for educational programs in health promotion? When should behavioral objectives be utilized in a care plan or health promotion?

At least 200 words with 3 references including in-text citations required following APA 2007 style 

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Fear, according to the DSM-5-TR, is the emotional response to a real or perceived imminent threat, whereas anxiety is the anticipation of future threat (APA, 2022). All anxiety disorders contain some degree of fear or anxiety symptoms (often in combination with avoidant behaviors), although their causes and severity differ. Trauma-related disorders may also, but not necessarily, contain fear and anxiety symptoms, but their primary distinguishing criterion is exposure to a traumatic event. Trauma can occur at any point in life. It might not surprise you to discover that traumatic events are likely to have a greater effect on children than on adults. Early-life traumatic experiences, such as childhood sexual abuse, may influence the physiology of the developing brain. Later in life, there is a chronic hyperarousal of the stress response, making the individual vulnerable to further stress and stress-related disease. 

For this Assignment, you practice assessing and diagnosing patients with anxiety disorders, PTSD, and OCD. Review the DSM-5-TR criteria for the disorders within these classifications before you get started, as you will be asked to justify your differential diagnosis with DSM-5-TR criteria. 

To Prepare:

  • Review this weeks Learning Resources and consider the insights they provide about assessing and diagnosing anxiety, obsessive-compulsive, and trauma- and stressor-related disorders.
  • Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also, review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document. 
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient.

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In this weeks assignment, you will evaluate two products you believe may resolve your selected issue. The purpose of your evaluation is to find the product that would be the best fit for your health care workplace and would best resolve the existing issue. Remember each weekly assignment builds on the last assignment and will culminate in the Week 5 assignment.

Select two products currently available in the market from the category you identified in Week 3. For example, if you selected EHRs, then identify two specific EHR products, such as Cerner and Epic. If you chose two barcode scanners, you might compare Zebra and Honeywell.

Note: You may use the product websites for information to support your assignment and the websites do count as references.

Format your assignment as any one of the following formats:

       12- to 15-slide powerpoint presentation with speaker notes or narration

       Infographic or concept map

       3 to 5 minute podcast

Explain the following related to each product in your assignment:

  • How would each product mitigate the clinical or administrative issue? 
  • How will each product affect patients, staff, and the organization? 

Determine the functionality of the two products as related to the following:

  • ease of use (how easy are they to use?)
  • clarity (are there clear instructions?)
  • time element (is the product time consuming to use?)
  • educational needs (what education needs to be provided to patient or nurse?)
  • cost (how expensive is the product?)

Includea minimum of 3 peer-reviewed sources. The product websites count toward this requirement. 

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 In this assignment, you will complete a comprehensive psychiatric assessment interview of an child/adolescent adult who is 18 years of age suicidal a college student having auditory hallucinatinations and a family history of schizophrenia. Recently diagnosed as schizoaffective disorder You can use a patient youve seen in clinical or someone in your personal life. Your assessment should be comprehensive, and you should refer to course texts to inform items for inclusion in your assessment. Keep in mind that you will be responsible for covering those areas addressed in the reading assignments up to this point.  

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Health care reforms and immigrants

Several US states with large numbers of undocumented immigrants have undertaken health reforms to address the health needs of this population. The medical community is clear that metropolitan authorities have an ethical reason to address the health needs of immigrants because immigration has consequences in the practice of medicine as well as the delivery of health services (Montoya-Williams et al., 2020). The health reforms are motivated by the idea that the lack of insurance or health programs for immigrants has implications for health-seeking behavior and adverse physiological consequences. 

Designing institutional-based policies and programs targeting undocumented people is a social aspect. The programs are identified by local stakeholders who implement welcoming policies and strategies in areas where undocumented immigrants reside (Montoya-Williams et al., 2020). The programs also employ community-based participatory research. For example, immigrants disclose information about themselves because of assurance it will only be used for health reasons. Change agents also disseminate information about participating health facilities to ensure undocumented immigrants engage or develop health-seeking behavior.

Most immigrants from Mexico, Guatemala, and other Central American countries should get health insurance or access health in the US because they provide labor. Further, immigrants with temporary visas should also access health because they provide specialized skills and labor to the US. Providing health care is also part of economic inclusion, where the aim is to reduce the number of uninsured Americans. For example, ACA or Obama Care extended insurance coverage to legal immigrants. Employers were required to provide health covers to discretionary immigrants as long as they were providing labor to their companies (Joseph & Marrow, 2017). The program extended health insurance to millions of immigrants and helped promote economic equity by reducing disproportionate or excess spending of personal income on health.

As a result, in order to build better policies, immigration policy reforms must be evaluated seriously. In some cases, though, immigration has shifted native perceptions toward a more positive and open-minded view of diversity. Natives may lose certain aspects of their traditions, but they also have the opportunity to learn about other cultures from immigrants from all over the world and that, far from being a difficulty, becomes a reason for enrichment and openness to plurality.


Joseph, T. D., & Marrow, H. B. (2017). Health care, immigrants, and minorities: lessons from the affordable care act in the US. Journal of Ethnic and Migration Studies43(12), 1965-1984.

Montoya-Williams, D., Fuentes-Afflick, E., & Wallis, K. (2020). The case for research-informed immigrant health policies within health care systems. JAMA network open3(4), e203022-e203022.

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According to the worlds history, the migration of people is expected. The movement of people to developed countries can be prompted by famines, the need for economic opportunities, and war. However, with time, concerns have been raised over the policies put forward to address the migration of people. Specific times call for particular policies for immigrants. For example, after WWII, many immigrants and refugees were allowed into the United States, which helped restore the economic crises that other countries were facing. As a result, the number of immigrants reduced drastically (Kirk O. Hanson, 2019). However, the United States immigration Policy has become contentious over the years. There is no substantial update to the laws of immigration despite the favor that the immigration reforms have to the Americans. Generally, there has been a decline in wars and conflicts worldwide, but the increasing poverty levels and the conflicts persistence have increased the number of refugees. In addition, significant developments in the United States have prompted more economic immigrants. Families have moved to developed countries in search of higher living standards. The superiority of higher education in the United States has been of great interest to most immigrants.

Many developed countries have developed a new set of policies for immigration because of the changed conditions. However, the policymakers in the United States do not seem to agree on how to handle the immigration pressures they face. Policies should be put in place to establish how many immigrants get into the United States and the eligible persons (Dunlap & J.D., 2019). The policies should also specify the difference between refugees, economic immigrants, and US citizens family members. The policies should be clear on the actions to be taken on the individuals who entered the US without authorization, how to treat individuals at the borders seeking entry, and the rights of the individuals authorized to enter the United States.

Some ethical principles that should be addressed include empathy and the need to understand the reason behind the migration into the US. This is because many individuals are affected by environmental changes and collapsing economies worldwide; therefore, individuals seeking entry should not be dismissed because they lack the proper documents. The other principle is non-discrimination (Kirk O. Hanson, 2019). America should offer equal opportunities to allow cultural diversity. Membership rights should also be reviewed, and many residents who have lived in the US for long without documentation should be offered some form of protection. Finally, the US should fulfill its commitment to caring for immigrants and refugees who seek economic survival and security. It is unfortunate that the various principles have been ignored in the immigration policy reform debates.


Kirk O. Hanson. (2019). Ethical Principles for Immigration Reform in 2019. @SantaClaraUniv.

Dunlap, C., & J.D. (2019, February 26). The ethical challenges of immigration activism. Lawfire.

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Soap Note 1 “ADULT”  Wellness check up (10 points)

Follow the  Soap Note:

Use APA format and must include mia minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in’ s Score must be less than 25% or will not be accepted for credit; it must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25%. Copy-paste from websites or textbooks will not be accepted or tolerated and will receive a grade of 0 (zero) with no resubmissions allowed.

Must use the sample templates for your soap note. Keep this template for when you start clinicals. 

The use of templates is ok with regards to Turn it in, but the Patient History, CC, HPI, Assessment, and Plan should be of your own work and individualized to your made-up patient. 

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