1. Brian, a college sophomore with a grade-point average of 3.4, is…

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Question Answered step-by-step 1. Brian, a college sophomore with a grade-point average of 3.4, is… 1. Brian, a college sophomore with a grade-point average of 3.4, is brought to the emergency department after a suicide attempt. He has been extremely depressed since the death of his girlfriend 5 months previously when the car he was driving crashed. His parents are devastated, and they believe that taking one’s own life prevents a person from going to heaven.    Brian has epilepsy and has had more seizures since the auto accident. He says he should be punished for his carelessness and does not care what happens to him. He has stopped going to classes and no longer shows up for his part-time job of tutoring young children in reading. a. What might be a possible DSM-5 (medical) diagnosis? b. What are some factors that you should assess regarding aspects of Brian’s overall health and other influences that can affect mental health? c. If an antidepressant medication could help Brian’s depression, explain why this alone would not meet his multiple needs. What issues do you think have to be addressed if Brian is to receive a holistic approach to care? d. Formulate two potential nursing diagnoses for Brian. e. Would Brian’s parents’ religious beliefs factor into your plan of care? If so, how? Health Science Science Nursing RNSG 2213 Share QuestionEmailCopy link Comments (0)

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evidence based, peer-reviewed resources to support your ideas.Case Study:Sean is a 6-year-old Korean-American male that presents to your pediatric clinic for a well-child visit. His measurements are as follows: Height = 40 inches; weight = 35 lbs. Sean's vision was assessed and found to be 20/20; his hearing was assessed as passing down to 20 decibels. Sean is in the 1st grade and earning A and B grades. No behavior problems have been reported in school. He lives in a single family home with his mother, father, 3-year-old sister, 14-year-old sister, and the family dog. He frequently visits his grandmother, who is a smoker.Sean's mother reports that he is very active but can sustain attention for long periods with video games. He can also pay attention and stay on task with schoolwork and homework. He follows a routine at home but does not become very upset if it is not followed. She reports that he is slow to adapt to new things but will eventually settle in without much difficulty. He can be moody several times a week but this is a small part of his overall personality. Sean participates in a recreational soccer league for 12 weeks in the fall and in a recreational basketball league for 8 weeks in the winter. He also attends Sunday school each week and is in the cub scouts. Sean's past medical history includes pyloric stenosis, tonsillitis x3, mild intermittent asthma that began at age 3 years, and short stature. He does not take any regular medications but the family is considering the possibility of evaluating him for growth hormone to make him taller. Sean does not want to have any painful procedures at this time.Sean's family medical history includes: -Mother: Korean, Age 35, Ht. 5 ft. 1 inch, Wt. 125 pounds, Celiac disease; precocious puberty; inflammatory bowel disease -Father: Korean, Age 38, Ht. 5 ft. 6 in., Wt. 166 pounds, Lactose intolerance; B-Thalassemia; -Maternal grandmother: Hypertension; hyperlipidemia; bacterial endocarditis -Maternal grandfather: Hypertension; hyperlipidemia -Paternal grandfather and grandmother: UnknownAnswer the following questions: -There are four main principles with medical ethics: Beneficence, autonomy, non-maleficence, and justice. What is the definition of each ethical principle? Give an example of each. -Physical parameters: Take Sean's height and weight and plot them on a growth curve. Report his percentiles for both height and weight. Calculate BMI. What is the average height for a Korean male?  Analyze and describe Sean's proportions regarding whether he is over, under, or average weight and height compared to the norm for children his age in America and Korea. -What evidence (case study and above parameters) is there to support whether Sean's condition is medical or hereditary? -What are the physical benefits and risks of administering growth hormone? What are the psychosocial benefits and risks of administering growth hormone? -Are there any burdens cost and time with regard to administering growth hormone? -What are Sean's rights as a minor in the United States? At what age can Sean successfully make his own choices? How can you deal with ethical rights without infringing on the legal rights of the parents? -Use what you learned about medical ethics to support or discourage the use of growth hormones for Sean. Do the benefits outweigh the risks? Justify your answer using medical ethicsThe 2017 Korean National Growth Charts for children and adolescents: development, improvement, and prospects (Fig. 12). National Center for Biotechnology Information. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976563/
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