NUR4750 Critical Thinking Exercise 2

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Baker College *

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4750

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Philosophy

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Feb 20, 2024

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Running head: CRITICAL THINKING EXERCISE 2 1 Critical Thinking Exercise 2 Stacia Sharpe Baker College 03/27/2021

CRITICAL THINKING EXERCISE 2 2 Critical Thinking Exercise 2 1). Describe the physiologic actions that catecholamines and cortisol have in common and in what ways they differ. Catecholamines are a group of chemicals that include epinephrine, norepinephrine, and dopamine. These all function both as neurotransmitters and as hormones in the body (Brooks, 2017). Cortisol is a single chemical whose main functions include the regulation of metabolism, along with the regulation of other hormones (Brooks, 2017). Catecholamines and cortisol are both chemical messengers in the human body, and both are involved in the human stress response (Brooks, 2017). This is what makes them similar. 2). You are caring for a 29-year-old woman who is married and has two small children, ages 1 and 3, at home. She is recuperating from a left lower lobectomy for bronchogenic carcinoma. Although her chest x-rays show full lung expansion, she has a persistent air leak. Therefore, she continues to need a chest tube to suction and must remain hospitalized. Six days post-op, she is sad, depressed, and not eating. She states that she does not feel she will ever get better or go home. How would you use your knowledge of the coping process to help her? Coping, is the patient's ability to institute, maintain and regain psychological homeostasis when this homeostasis is disrupted for one reason or another (Huether, et al., 2020). Coping can be adaptive, and it can also be useless and maladaptive. Hers is maladaptive, so as the RN I need to try and help her change this. First, I would sit down and listen to her. I would ask her why she feels that she will not get better or go home. I would validate her fear. I would then assess her support system. Does her family come to visit? I would encourage frequent visits. I would also suggest a visit from her clergy, if she is religious, or a counselor. I would also help her look for an online support group, being she is hospital bound. It can be helpful to speak to someone who has been through the same or similar thing.

CRITICAL THINKING EXERCISE 2 3 3). Mr. Thompson is a construction worker and has been employed by the same southeast firm for more than 30 years. He is fair skinned and has blue eyes. Discuss Mr. Thompson’s relative risk for developing skin cancers. The first risk factor is that he is fair skinned, Caucasians have a greater risk of developing skin cancer than non-whites (Huether, et al., 2020). Next is his eye color, people who have blue eyes with fair skin are at a greater risk (Huether, et al., 2020). Men are also approximately two times more likely to develop basal cell carcinomas and three times more likely to develop squamous cell carcinomas than women (Huether, et al., 2020). His age also plays a factor, even though his age is not listed I can guess he is probably close to 50 (Huether, et al., 2020). If he started working at this firm at the age of 18 with 30 years there, it would put him at 48. With him being a construction worker, I can guess he works outside most of the time. People who work outdoors during the day or who choose to spend much of their leisure time outdoors are exposed to UV light, which increases their risk of skin cancer (Huether, et al., 2020). These are the factors I can see from the information given.

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CRITICAL THINKING EXERCISE 2 4 References Brooks, L. (2017, April 25). The Differences between Catecholamines and Cortisol. Retrieved March 27, 2021, from https://sciencing.com/lipase-5081990.html Huether, S.E., McCance, K.L., & Brashers, V.L. (2020). Understanding pathophysiology. (7th ed.). Elsevier: St. Louis, MO.

NUR4750 Critical Thinking Exercise 2

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