Response to pereda

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please try to ensure use of reviewed journal articles, not references from websites. 160 words minimum APA format


Cultural, Spiritual, Nutritional, & Mental Health Disorders

 Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.

One of the specific issues that this 32 y/o pregnant lesbian is likely facing is the lack of finances. The patient reported that she became pregnant via a sperm bank. The patient’s finances were likely depleted in the process, leaving her struggling economically (Rausch et al., 2021). The patient is also a single lesbian who lacks any support system, thus straining her financial condition. The patient is also at risk of developing depression since she will likely face isolation from her family members due to her lifestyle choices (Rausch et al., 2021).

Furthermore, the patient has no partner to help her and note any changes in her mood. The patient, however, appears to be an independent woman doing well and following up with her prenatal care from her obstetrician. However, this patient needs a support system if she develops complications since it might be difficult for her to access a healthcare facility independently (Rausch et al., 2021). In addition, the patient also needs help at the time of her baby’s birth since being along predisposes her to emotional problems due to issues such as sleep deprivation.

The other issues related to the health of the patient are her spirituality. Lesbianism, pregnancy outside the marriage institution and technological issues such as getting a child via sperm bank is highly frowned upon by the church (Rausch et al., 2021). This patient is likely to be condemned by the church, which might interfere with her well-being. The patient might also fear being judged by her clinicians due to her lifestyle, which might negatively impact her health (Rausch et al., 2021). The current patient’s stressor is her discharge which is most likely linked to bacterial vaginosis. However, the prognosis of this condition is good; hence she will complete recovery if she receives the appropriate treatment.

 Utilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment. 

The social determinant impacting nutrition is the domain that will be assessed in this case since the other 4-domains are so broad. Social factors such as educational level, health status and immediate neighborhood are the factors that affect nutrition. For instance, the educational level will determine the patient’s need for a healthy diet (Del Brutto et al., 2022). On the other hand, the immediate environment will impact the patient’s access to nutritious food (Del Brutto et al., 2022). It is critical to discuss nutrition for this patient since the mother’s food directly impacts fetal development. The lack of proper nutrition is associated with numerous health complications. Hence, it is critical to assess for malnutrition in this patient using Mini-Nutritional Assessment Short Form (MNA-SF) (Del Brutto et al., 2022). The assessment will also seek to evaluate the dietary balance of the patient.

 Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?

Evaluating the anatomy and physiology of psychiatric mental health is critical in highlighting the probable mental health disorders. It is, therefore, crucial to conduct a focused assessment to determine if the patient has any underlying mental issues. The focused assessment should focus on systems that could show signs of mental problems. For instance, this patient presents with old scars on her body. The scars could be a red flag for this patient since they can suggest previous mental problems that prompted her to try and harm herself (Burke et al., 2019). Suppose the patient has a previous history of mental disorders. In that case, it is critical to monitor her condition throughout the pregnancy since her symptoms are likely to be triggered in this case.


Burke, T. A., Piccirillo, M. L., Moore‐Berg, S. L., Alloy, L. B., & Heimberg, R. G. (2019). The stigmatization of nonsuicidal self‐injury. Journal of clinical psychology, 75(3), 481-498.

Del Brutto, O. H., Rumbea, D. A., Mera, R. M., Recalde, B. Y., & Sedler, M. J. (2022). Social determinants of health (social risk) and nutritional status among community-dwelling older adults living in a rural setting: the Atahualpa project. Journal of Primary Care & Community Health, 13, 21501319221087866.

Rausch, M. A., Wikoff, H. D., & Newton, T. (2021). Support for Lesbian Couples Navigating Fertility Treatment: An Ecological Systems Perspective. Journal of LGBTQ Issues in Counseling, 15(2), 224-239.

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