Veterans Health Administration

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Reference no: EM133802791

You have accepted a position as an advanced practice registered nurse (APRN) in a Veterans Health Administration (VHA) outpatient primary care clinic. You are scheduled to see Joseph, a 62-year-old with a history of post-traumatic stress disorder, hypertension, and hypercholesterolemia. He was seen 1 month ago for uncontrolled hypertension. At that time, his calcium channel blocker was increased. When talking with Joseph, you learn he is experiencing intermittent shortness of breath. This is your first time meeting Joseph.

Questions

1. To best serve Joseph and other veterans, you understand that the focus of care in the VHA system is preventative care. What other aspects of care does the VHA system focus on?

2. To help determine a possible cause of Joseph's shortness of breath, additional information regarding his time in the military is vital to address possible exposure to environmental toxins. What questions would be appropriate?

3. You want to ask Joseph about his military experience but know his special considerations when approaching this topic. What is the best way to ask Joseph about this?

4. What additional considerations should be incorporated when screening Joseph for possible health-care needs?

Reference no: EM133802791

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