What is the pathophysiology behind cardiovascular diseases
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**files (1)** – ## NUR650Diss1-7.pdf **## NUR650Diss1-7.pdf** NUR650 Discussions Submission Instructions: Your initial post should be at least 500 words, formatted and cited in the current APA style Provide support for your work from at least 2 academic sources less than 5 years old. Wk1 Tom’s Paren…
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– ## NUR650Diss1-7.pdf
**## NUR650Diss1-7.pdf**
NUR650 Discussions
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in the current APA style
Provide support for your work from at least 2 academic sources less than 5 years old.
Wk1 Tom’s Parents are Fighting
After studying Module 1: Lecture Materials & Resources, discuss the following:
Tom is a 16-year-old who comes to you to evaluate his lack of attention because his grades are
progressively getting worse. When you ask about stress in his life, he notes that his parents are
always fighting, and this upsets him. He believes that they fight more when they have been
drinking, and he believes that his father is the heavier drinker of the two, but he cannot quantify
either parent's use.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for group treatment of this patient’s family problem based on
US group therapy best practices?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three support groups near you that promote
positive health outcomes for this patient. What was your rationale for choosing these
three agencies?
W2 Harriet Needs Surgery
After studying Module 2: Lecture Materials & Resources, discuss the following:
Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has
been attending AA and NA meetings regularly and does not report urges to drink or use drugs
during the 4 years you have been her psychiatric mental health nurse practitioner. She needs
carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per day.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem, based on the
US clinical guidelines?
[https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources)
• Discuss one curative factor the group would observe during the initial, middle and
termination phases in group therapy?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in past
discussion posts). What was your rationale for choosing these three agencies?
W3 Motivational Interview with Mary
After studying Module 3: Lecture Materials & Resources, discuss the following:
Mary is 27 years old and has had a history of alcohol dependence for several years. Mary has a
daughter Kylie, aged 3 years, who displays signs of fetal alcohol syndrome. Social work services
have been involved with Mary and Kylie since her birth, culminating in Kylie being looked after
by the local authority as a result of Mary arriving to collect Kylie from the local nursery while
significantly under the influence of alcohol. Mary has demonstrated ambivalence regarding her
ability to control her alcohol use. Mary has referred herself to a local counseling agency as
suggested by the social worker and her PCP.
• Discuss how you might use the principles of motivational interviewing with Mary.
• Provide a detailed overview of how the interview may progress. Include each step of
motivational interviewing in your discussion.
• Describe how a provider would recognize this patient is ready to change. Use principles
of motivational interviewing to support your answer.
W4 Richard is Motivated
After studying Module 4: Lecture Materials & Resources, discuss the following:
Richard is a 62-year-old single man who says that his substance dependence and his bipolar
disorder both emerged in his late teens. He says that he started to drink to “feel better” when his
episodes of depression made it hard for him to interact with his peers. He also states that alcohol
and cocaine are a natural part of his manic episodes. He also notes that coming off the cocaine
and binge drinking contribute to low mood, but he has not responded well to referrals to AA and
past inpatient stays have led to only temporary abstinence. Yet, Richard is now trying to forge a
closer relationship with his adult children, and he says he is especially motivated to get a better
handle on both his bipolar disorder and his substance use. He has been more compliant with his
mood stabilizing and antidepressant medication, and his psychiatric provider would like his dual
diagnoses addressed with psychotherapy.
• What diagnostic information would be most critical to collect in the first visit?
[https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources)
• Which diagnostic measures are recommended by the US clinical guidelines for the
treatment of this patient’s family problem?
• Which evidence based harm reduction strategies would you recommend to treat this
patient?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W5 Pretty Serious Partying
After studying Module 5: Lecture Materials & Resources, discuss the following:
Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-
year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with
the father of Robby, her firstborn. She indicates "pretty serious partying" with the likely father of
the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per
week, plus intermittent methamphetamine use.
• Which clinical information would be most critical for you to collect in the first visit?
• What are the greatest risk factors for substance use disorder for this patient?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W6 Toneika
After studying Module 6: Lecture Materials & Resources, discuss the following:
Tomeika is a three-year-old girl. She was recently diagnosed with autism spectrum disorder
(ASD).
Tomeika is able to make many vocalizations and is able to say one recognizable word. Tomeika
will say “juice”, which she pronounces as “oos.” Throughout the day, Tomeika cries and falls to
the floor to gain access to food, obtain a favorite toy, or when she wants to be picked up. Her
parents, Mr. and Mrs. Williams, would like for Tomeika to communicate her desires with words,
but do not know how to help her. Tomeika recently began attending an early childhood special
education classroom for learners with ASD in the County Public School System for six hours a
day, four days a week. On Wednesdays, Tomeika and her peers do not go to school. Instead, on
this day, Tomeika’s interventionist, Mrs. Dell, has parent conferences in her students’ homes.
[https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources)
During the conferences, Mrs. Dell discusses educational programming, learner progress, areas of
concern, and also provides training to parents.
• Which diagnostic information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem based on
current US clinical practice guidelines?
• Which complementary and alternative medication treatments would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W7 Hip Fracture
After studying Module 7: Lecture Materials & Resources, discuss the following:
The patient is a 71-year-old widowed man who is seen regularly in the clinic for health
maintenance and follow-up of his chronic insomnia and anxiety. He has regular prescriptions for
triazolam (Halcion) and clonazepam (Klonopin) for these problems. Recently he has been
reporting frequent episodes of losing his balance and falling, and eight weeks ago was
hospitalized for a hip fracture sustained during one of these falls resulting in hip surgery. On this
visit, he also complains of becoming increasingly confused.
• What information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient?
• Identify potential obstacles for change. Which educational approach would the PMHNP
provide to overcome these obstacles?
• How would you teach the patient about the Beers list and Halcion?
• Discuss a medication in detail that could be safely substituted to treat insomnia in
geriatric patients.
[https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources)
**## NUR650Diss1-7.pdf**
NUR650 Discussions
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in the current APA style
Provide support for your work from at least 2 academic sources less than 5 years old.
Wk1 Tom’s Parents are Fighting
After studying Module 1: Lecture Materials & Resources, discuss the following:
Tom is a 16-year-old who comes to you to evaluate his lack of attention because his grades are
progressively getting worse. When you ask about stress in his life, he notes that his parents are
always fighting, and this upsets him. He believes that they fight more when they have been
drinking, and he believes that his father is the heavier drinker of the two, but he cannot quantify
either parent's use.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for group treatment of this patient’s family problem based on
US group therapy best practices?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three support groups near you that promote
positive health outcomes for this patient. What was your rationale for choosing these
three agencies?
W2 Harriet Needs Surgery
After studying Module 2: Lecture Materials & Resources, discuss the following:
Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has
been attending AA and NA meetings regularly and does not report urges to drink or use drugs
during the 4 years you have been her psychiatric mental health nurse practitioner. She needs
carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per day.
• What information would be most critical for the group leader to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem, based on the
US clinical guidelines?
[https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-1-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-2-lecture-materials-and-resources)
• Discuss one curative factor the group would observe during the initial, middle and
termination phases in group therapy?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in past
discussion posts). What was your rationale for choosing these three agencies?
W3 Motivational Interview with Mary
After studying Module 3: Lecture Materials & Resources, discuss the following:
Mary is 27 years old and has had a history of alcohol dependence for several years. Mary has a
daughter Kylie, aged 3 years, who displays signs of fetal alcohol syndrome. Social work services
have been involved with Mary and Kylie since her birth, culminating in Kylie being looked after
by the local authority as a result of Mary arriving to collect Kylie from the local nursery while
significantly under the influence of alcohol. Mary has demonstrated ambivalence regarding her
ability to control her alcohol use. Mary has referred herself to a local counseling agency as
suggested by the social worker and her PCP.
• Discuss how you might use the principles of motivational interviewing with Mary.
• Provide a detailed overview of how the interview may progress. Include each step of
motivational interviewing in your discussion.
• Describe how a provider would recognize this patient is ready to change. Use principles
of motivational interviewing to support your answer.
W4 Richard is Motivated
After studying Module 4: Lecture Materials & Resources, discuss the following:
Richard is a 62-year-old single man who says that his substance dependence and his bipolar
disorder both emerged in his late teens. He says that he started to drink to “feel better” when his
episodes of depression made it hard for him to interact with his peers. He also states that alcohol
and cocaine are a natural part of his manic episodes. He also notes that coming off the cocaine
and binge drinking contribute to low mood, but he has not responded well to referrals to AA and
past inpatient stays have led to only temporary abstinence. Yet, Richard is now trying to forge a
closer relationship with his adult children, and he says he is especially motivated to get a better
handle on both his bipolar disorder and his substance use. He has been more compliant with his
mood stabilizing and antidepressant medication, and his psychiatric provider would like his dual
diagnoses addressed with psychotherapy.
• What diagnostic information would be most critical to collect in the first visit?
[https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-3-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-4-lecture-materials-and-resources)
• Which diagnostic measures are recommended by the US clinical guidelines for the
treatment of this patient’s family problem?
• Which evidence based harm reduction strategies would you recommend to treat this
patient?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W5 Pretty Serious Partying
After studying Module 5: Lecture Materials & Resources, discuss the following:
Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-
year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with
the father of Robby, her firstborn. She indicates "pretty serious partying" with the likely father of
the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per
week, plus intermittent methamphetamine use.
• Which clinical information would be most critical for you to collect in the first visit?
• What are the greatest risk factors for substance use disorder for this patient?
• Which harm reduction strategies would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W6 Toneika
After studying Module 6: Lecture Materials & Resources, discuss the following:
Tomeika is a three-year-old girl. She was recently diagnosed with autism spectrum disorder
(ASD).
Tomeika is able to make many vocalizations and is able to say one recognizable word. Tomeika
will say “juice”, which she pronounces as “oos.” Throughout the day, Tomeika cries and falls to
the floor to gain access to food, obtain a favorite toy, or when she wants to be picked up. Her
parents, Mr. and Mrs. Williams, would like for Tomeika to communicate her desires with words,
but do not know how to help her. Tomeika recently began attending an early childhood special
education classroom for learners with ASD in the County Public School System for six hours a
day, four days a week. On Wednesdays, Tomeika and her peers do not go to school. Instead, on
this day, Tomeika’s interventionist, Mrs. Dell, has parent conferences in her students’ homes.
[https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-5-lecture-materials-and-resources)
[https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-6-lecture-materials-and-resources)
During the conferences, Mrs. Dell discusses educational programming, learner progress, areas of
concern, and also provides training to parents.
• Which diagnostic information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient’s family problem based on
current US clinical practice guidelines?
• Which complementary and alternative medication treatments would you recommend?
• Identify your city. Then refer this patient to three agencies near you that would support
positive health outcomes for this patient. (These agencies must not have been used in
past discussion posts). What was your rationale for choosing these three agencies?
W7 Hip Fracture
After studying Module 7: Lecture Materials & Resources, discuss the following:
The patient is a 71-year-old widowed man who is seen regularly in the clinic for health
maintenance and follow-up of his chronic insomnia and anxiety. He has regular prescriptions for
triazolam (Halcion) and clonazepam (Klonopin) for these problems. Recently he has been
reporting frequent episodes of losing his balance and falling, and eight weeks ago was
hospitalized for a hip fracture sustained during one of these falls resulting in hip surgery. On this
visit, he also complains of becoming increasingly confused.
• What information would be most critical for you to collect in the first visit?
• What is the primary goal for the treatment of this patient?
• Identify potential obstacles for change. Which educational approach would the PMHNP
provide to overcome these obstacles?
• How would you teach the patient about the Beers list and Halcion?
• Discuss a medication in detail that could be safely substituted to treat insomnia in
geriatric patients.
[https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources](https://stu.instructure.com/courses/50346/pages/module-7-lecture-materials-and-resources)
[>Marketing homework help](https://www.sweetstudy.com/fields/business-finance-marketing) As the project comes to a close, the project manager is responsible for reviewing the project and communicating its successes and challenges through each phase. This is typically done in a final document that ad…
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Order on TutorsGallery →[>Marketing homework help](https://www.sweetstudy.com/fields/business-finance-marketing)
As the project comes to a close, the project manager is responsible for reviewing the project and communicating its successes and challenges through each phase. This is typically done in a final document that addresses how the project was adapted to the business’s needs, both during the project and in the future. There are various ways to complete this type of document, and it may differ based on industry or company.
In this assessment, you will create a project closure report in which you review the completed assignments and assessments from this course and reflect on how the project adapted to the business’s needs.
**Do Not complete this assignment without first reviewing the Scenario as noted below and the assignments you completed throughout the course that relate to the ABC e-commerce application. There is no need to make anything up; it all happened here in class.**
#### **Assessment Preparation**
On the [PM/490 Scenario](https://multimedia.phoenix.edu/cms/202551344) page, **review** the scenario from the previous weeks before reading the Week 5 addition.
#### **Assessment Deliverable**
**Complete** the
**pm490_v2_wk5_project_closure_report – Dec 2025.docx**
week 4
Based on the variety of customers and stakeholders involved in this project, along with expected ambiguity in client requirements for the deliverables, the project management office (PMO) decided to use a hybrid project management methodology. This requires following an agile methodology that uses incremental and iterative approaches to gather client feedback throughout the development stages.
In this hybrid approach, the WBS will be used to create the product backlog. At this time, 25% of the deliverables have not been started, 50% are in progress, and 25% have been completed.
week 5
The ABC, Inc. project has ended. As the project manager, you must complete a project closure report in which you detail the changes that occurred throughout the project timeline, and any lessons learned that can assist in future projects. The company wants to know about the successes, challenges, and an evaluation of how the changes affected the project performance.
– [\
\
pm490_v2_wk5_project_closure_report-Dec2025.docx](https://www.sweetstudy.com/files/pm490-v2-wk5-project-closure-report-dec2025-docx "pm490_v2_wk5_project_closure_report-Dec2025.docx")
Discussion 100 words Replies 50 words each – [\ \ IMG_5817.jpeg](https://www.sweetstudy.com/files/img-5817-jpeg-10516001 "IMG_5817.jpeg") – [\ \ IMG_5856.jpeg](https://www.sweetstudy.com/files/img-5856-jpeg-10516003 "IMG_5856.jpeg") – [\ \ IMG_5857.jpeg](https://www.sweetstudy.com/files/img…
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Order on TutorsGallery →Discussion 100 words
Replies 50 words each
– [\
\
IMG_5817.jpeg](https://www.sweetstudy.com/files/img-5817-jpeg-10516001 "IMG_5817.jpeg")
– [\
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IMG_5856.jpeg](https://www.sweetstudy.com/files/img-5856-jpeg-10516003 "IMG_5856.jpeg")
– [\
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IMG_5857.jpeg](https://www.sweetstudy.com/files/img-5857-jpeg-10516005 "IMG_5857.jpeg")
– [\
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IMG_5859.jpeg](https://www.sweetstudy.com/files/img-5859-jpeg "IMG_5859.jpeg")
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IMG_5860.jpeg](https://www.sweetstudy.com/files/img-5860-jpeg "IMG_5860.jpeg")
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IMG_5858.jpeg](https://www.sweetstudy.com/files/img-5858-jpeg-10516013 "IMG_5858.jpeg")
– [\
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IMG_5820.jpeg](https://www.sweetstudy.com/files/img-5820-jpeg "IMG_5820.jpeg")
need mock email completed asap
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In-depth study guidance and analytical solution covering Applied Sciences Assignment.
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[>Management homework help](https://www.sweetstudy.com/fields/business-finance-management)
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2 paragraghs responding to student, and adding info or disagreeing professionally, see attachment **files (1)** – ## CaseScenario4Identifyanycontraindicationstovaccinating.pdf **## CaseScenario4Identifyanycontraindicationstovaccinating.pdf** Case Scenario 4 Ms. Lee presents with her 12-month-old dau…
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Order on TutorsGallery →2 paragraghs responding to student, and adding info or disagreeing professionally, see attachment
**files (1)**
– ## CaseScenario4Identifyanycontraindicationstovaccinating.pdf
**## CaseScenario4Identifyanycontraindicationstovaccinating.pdf**
Case Scenario 4
Ms. Lee presents with her 12-month-old daughter because she has had a runny nose for
2 days and has a “fever” of 99° F. After reviewing her immunization records, you note
that she has not received any immunizations since her 4-month well-infant exam.
• Are there contraindications for vaccinating this toddler today?
• What vaccinations should the APRN order for this toddler today per CDC guidelines?
• What type of anticipatory guidance should the APRN provide for Ms. Lee regarding
vaccine schedule?
• What are some strategies the APRN can use to overcome vaccine hesitancy?
Identify any contraindications to vaccinating this toddler today.
There are no contraindications to vaccinating this child today. A low-grade fever of 99 F
and mild illness with runny nose symptoms are not listed by the CDC as reasons to
withhold vaccines. Parents should withhold vaccines only if their child has moderate or
severe acute illness or high fever. Another contraindication is a previous severe allergic
reaction to vaccine component or dose. If this child has no allergies or previous bad
reactions to vaccines and is experiencing only minor upper respiratory symptoms, it is
safe to administer recommended vaccines today (Centers for Disease Control and
Prevention [CDC], 2025; Burns et al., 2020).
What vaccinations should the APRN order for this toddler today per CDC guidelines?
Because this child has not received any vaccinations since his 4-month visit, the APRN
will place him on a catch-up immunization schedule. The vaccines that should be
administered include:
DTaP – 3rd dose
Haemophilus influenza type b – catch-up dose
Pneumococcal conjugate vaccine(PCV15 or PCV20) – catch-up dose
Inactivated poliovirus vaccine(IPV) – 3rd dose
MMR – 1st dose
Varicella – 1st dose
Giving this patient these vaccinations will allow him to be on track to reach a normal
CDC vaccination schedule and will protect him against harmful and infectious diseases
(CDC, 2025; Burns et al., 2020).
What type of anticipatory guidance should the APRN provide for Ms. Lee regarding the
vaccine schedule?
The APRN should begin by informing Ms. Lee that her child has fallen behind on
vaccines and will need several catch-up vaccinations. The next few appointments will be
needed to become up-to-date on vaccines. Informing parents how vaccines prevent life-
threatening diseases such as measles, whooping cough (pertussis), and pneumococcal
disease, describing common vaccine side effects such as mild fever and redness/swelling
where shot was given, reviewing when to call the office or get medical attention for rare
side effects such as fever over 104 F that doesn’t go away or signs of an allergic reaction
are all anticaptory guidelines that must be explained to the guardian/caretaker. Stressing
importance of well-child visits to finish catch-up schedule, reassuring the patient
vaccines are safe and have been studied for many years, and letting the parent ask
questions and giving written handouts can help ensure they understand (CDC, 2025;
Burns et al., 2020).
What are some strategies the APRN can use to overcome vaccine hesitancy?
Listening and asking questions
Educating parent on vaccines with factual information
Discussing how vaccines are recommended by the CDC as well as the American
Academy of Pediatrics
Talking about risks associated with not vaccinating vs minimal risk of side effects
Providing handouts and websites for you to educate yourself
**## CaseScenario4Identifyanycontraindicationstovaccinating.pdf**
Case Scenario 4
Ms. Lee presents with her 12-month-old daughter because she has had a runny nose for
2 days and has a “fever” of 99° F. After reviewing her immunization records, you note
that she has not received any immunizations since her 4-month well-infant exam.
• Are there contraindications for vaccinating this toddler today?
• What vaccinations should the APRN order for this toddler today per CDC guidelines?
• What type of anticipatory guidance should the APRN provide for Ms. Lee regarding
vaccine schedule?
• What are some strategies the APRN can use to overcome vaccine hesitancy?
Identify any contraindications to vaccinating this toddler today.
There are no contraindications to vaccinating this child today. A low-grade fever of 99 F
and mild illness with runny nose symptoms are not listed by the CDC as reasons to
withhold vaccines. Parents should withhold vaccines only if their child has moderate or
severe acute illness or high fever. Another contraindication is a previous severe allergic
reaction to vaccine component or dose. If this child has no allergies or previous bad
reactions to vaccines and is experiencing only minor upper respiratory symptoms, it is
safe to administer recommended vaccines today (Centers for Disease Control and
Prevention [CDC], 2025; Burns et al., 2020).
What vaccinations should the APRN order for this toddler today per CDC guidelines?
Because this child has not received any vaccinations since his 4-month visit, the APRN
will place him on a catch-up immunization schedule. The vaccines that should be
administered include:
DTaP – 3rd dose
Haemophilus influenza type b – catch-up dose
Pneumococcal conjugate vaccine(PCV15 or PCV20) – catch-up dose
Inactivated poliovirus vaccine(IPV) – 3rd dose
MMR – 1st dose
Varicella – 1st dose
Giving this patient these vaccinations will allow him to be on track to reach a normal
CDC vaccination schedule and will protect him against harmful and infectious diseases
(CDC, 2025; Burns et al., 2020).
What type of anticipatory guidance should the APRN provide for Ms. Lee regarding the
vaccine schedule?
The APRN should begin by informing Ms. Lee that her child has fallen behind on
vaccines and will need several catch-up vaccinations. The next few appointments will be
needed to become up-to-date on vaccines. Informing parents how vaccines prevent life-
threatening diseases such as measles, whooping cough (pertussis), and pneumococcal
disease, describing common vaccine side effects such as mild fever and redness/swelling
where shot was given, reviewing when to call the office or get medical attention for rare
side effects such as fever over 104 F that doesn’t go away or signs of an allergic reaction
are all anticaptory guidelines that must be explained to the guardian/caretaker. Stressing
importance of well-child visits to finish catch-up schedule, reassuring the patient
vaccines are safe and have been studied for many years, and letting the parent ask
questions and giving written handouts can help ensure they understand (CDC, 2025;
Burns et al., 2020).
What are some strategies the APRN can use to overcome vaccine hesitancy?
Listening and asking questions
Educating parent on vaccines with factual information
Discussing how vaccines are recommended by the CDC as well as the American
Academy of Pediatrics
Talking about risks associated with not vaccinating vs minimal risk of side effects
Providing handouts and websites for you to educate yourself