Mrs. Villarreal (79) drives her husband, Francisco (82), to the hospital after demonstrating an inability to speak, difficulty breathing and grabbing his chest. Mr. Villarreal dies at the hospital of a massive heart attack. Mrs. Villarreal is frantic, begins wailing, and throws herself to the floor asking God, “why?” The social worker is called to […]

Mrs. Kelly, a resident in a long-term facility, enjoys reading and doing crossword puzzles. One day as Morgan, a nursing assistant, is helping her get to the sunroom for her book club, he notices that she is agitated. When he asks if anything is bothering her, she tells him that she lost her glasses and […]

A client arrives to the clinic seeking mental health services. Belinda is 32 years old and lost her mother to complications of diabetes 2 years ago. Since the mother’s death, Belinda has been unable to return to work. She reported sleep and appetite disturbance, decreased energy, no interest in any leisure activity, socially isolated and […]

A 67-year-old Caucasian female who has history of Type 2 diabetes mellitus (DM) presents to your office for a cat bite to her right thumb. She was bitten by a neighborhood cat 3 days ago. Her thumb is red, inflamed, and painful. Yesterday the nurse practitioner saw the patient in the clinic; the bite area […]

A 35 year old man presents with complaints of sudden onset of pain originating in his right latetal back. He states that he has vomited twice this morning, and he is unable to get comfortable. Examination reveals right costal vertebral angle tenderness (CVAT), hypoactive bowel soundd, and painful testicles on palpation. The MOST appropriate intervention […]