The Family Nurse Practitioner provides essential guidance and information for understanding how to diagnose and manage typical (and some atypical) patient cases. With contributions from noted experts on the topic, this new edition contains updated cases to reflect today's patient-centered approach, and includes the most recent advances in patient care. From neonatal to geriatric, all the cases demonstrate real-life scenarios and present appropriate solutions on a case-by-case basis to reflect the nuance required in practice.

The revised edition emphasizes pharmacological management, with a new section on mental health care and additional cases on chronic conditions. Greater consideration is given to race, gender, ethnicity and their impact on management options.

Written for students and academics of nursing and nurse practitioners,The Family Nurse Practitioner is the ideal text for developing and expanding one's knowledge and comprehension of the diagnosis and management of patient care.

Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN, is a Nurse Practitioner at the Mansfield Kaseman Health Clinic in Rockville, MD, USA.

Contributors xi

Preface xv

Acknowledgments xvii

Introduction xix
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Abbreviations and Acronyms xxi

Section 1 The Neonate 1

Case 1.1 Cardiovascular Screening Exam 3
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 1.2 Pulmonary Screening Exam 7
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 1.3 Skin Screening Exam 11
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 1.4 Oxygenation 15
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 1.5 Nutrition and Weight 19
By Mikki Meadows-Oliver, PhD, RN, FAAN

Section 2 The Infant 23

Case 2.1 Nutrition and Weight 25
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 2.2 Breastfeeding 29
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 2.3 Growth and Development 33
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 2.4 Heart Murmur 37
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 2.5 Cough 41
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 2.6 Diarrhea 45
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 2.7 Fall from Height 49
By Mikki Meadows-Oliver, PhD, RN, FAAN

Section 3 The Toddler/Preschool Child 53

Case 3.1 Earache 55
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 3.2 Bedwetting 57
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 3.3 Burn 61
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 3.4 Toothache 63
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 3.5 Abdominal Pain 67
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 3.6 Lesion on Penis 71
By Mikki Meadows-Oliver, PhD, RN, FAAN

Section 4 The School-Aged Child 75

Case 4.1 Rash without Fever 77
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 4.2 Rash with Fever 79
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 4.3 Red Eye 83
By Andrew Konesky, MSN, APRN

Case 4.4 Sore Throat 85
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 4.5 Disruptive Behavior 89
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 4.6 Cough and Difficulty Breathing 93
By Nancy Cantey Banasiak, DNP, PPCNP-BC, APRN

Case 4.7 Left Arm Pain 95
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 4.8 Nightmares 97
By Mikki Meadows-Oliver, PhD, RN, FAAN

Case 4.9 Gastrointestinal Complaint 101
By Allison Grady, MSN, APNP

Case 4.10 Food Allergies 103
By Allison Grady, MSN, APNP

Case 4.11 Obesity 107
By Mikki Meadows-Oliver, PhD, RN, FAAN

Section 5 The Adolescent 111

Case 5.1 Drug Use 113
By Anna Goddard, PhD, APRN, CPNP-PC

Case 5.2 Weight Loss 115
By Anna Goddard, PhD, APRN, CPNP-PC

Case 5.3 Menstrual Cramps 119
By Vera Borkowski, MSN, APRN, FNP-C

Case 5.4 Missed Periods 121
By Vera Borkowski, MSN, APRN, FNP-C

Case 5.5 Birth Control Decision-Making 123
By Jessica Chan, MSN, APRN, PPCNP-BC

Case 5.6 Vaginal Discharge 125
By Betsy Gaffney, MSN, APRN, FNP-BC

Case 5.7 Sexual Identity 127
By Betsy Gaffney, MSN, APRN, FNP-BC

Case 5.8 Knee Pain 129
By Jessica Chan, MSN, APRN, PPCNP-BC

Section 6 Womens Health 133

Case 6.1 Preconception Planning 135
By Sara Smoller, RN, MSN, ANP-BC

Case 6.2 Bleeding in the First Trimester of Pregnancy 137
By Meredith Scannell, PhD, MSN, MPH, CNM, CEN, SANE-A

Case 6.3 Night Sweats 139
By Ivy M. Alexander, PhD, APRN, ANP-BC, FAANP, FAAN and Annette Jakubisin-Konicki, PhD, ANP-BC, FNP-BC, FAANP

Case 6.4 Pelvic Pain 145
By Meredith Scannell, PhD, MSN, MPH, CNM, CEN, SANE-A

Case 6.5 Vaginal Itching 147
By Sara Smoller, RN, MSN, ANP-BC

Case 6.6 Redness and Swelling in the Breast 149
By Karen M. Flaherty, MSN, MEd, APRN-BC, CBCN

Case 6.7 Sexual Assault 151
By Meredith Scannell, PhD, MSN, MPH, CNM, CEN, SANE-A

Case 6.8 Abdominal Pain 155
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 6.9 Urinary Frequency 157
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 6.10 Headache 159
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 6.11 Fatigue and Joint Pain 161
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 6.12 Muscle Tenderness 165
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 6.13 Insomnia 169
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Section 7 Mens Health 173

Case 7.1 Fatigue 175
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 7.2 Testicular Pain 179
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 7.3 Prostate Changes 181
By Clara Gona, PhD, FNP-BC, RN

Section 8 General Adult Health 183

Case 8.1 Substance Use Disorder (SUD) 185
By Jason R. Lucey, DNP, FNP-BC

Case 8.2 Foot Ulcer 187
By Susan M. Jussaume, MSN, APRN, FNP-BC, AHN-BC

Case 8.3 Abdominal Pain and Weight Gain 191
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 8.4 Burning Leg Pain 195
By Antonia Makosky, DNP, MPH, ANP-BC, ANP

Case 8.5 Difficulty Breathing 197
By Rebecca Hill, DNP, RN, FNP-C, CNE

Case 8.6 Burning Epigastric Pain after Meals 199
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 8.7 Chest Pain and Dyspnea without Radiation 201
By Rebecca Hill, DNP, RN, FNP-C, CNE and Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 8.8 Chest Pain with Radiation 205
By Rebecca Hill, DNP, RN, FNP-C, CNE

Case 8.9 Persistent Cough and Joint Tenderness 207
By Rebecca Hill, DNP, RN, FNP-C, CNE

Case 8.10 Morning Headache 209
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 8.11 Facial Pain 211
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 8.12 Fatigue, Confusion, and Weight Loss 213
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 8.13 Hand Numbness 217
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 8.14 Chronic Diarrhea 221
By Clara M. Gona, PhD, FNP-BC, RN and Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 8.15 Intractable Pain 223
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 8.16 Wrist Pain and Swelling 225
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Section 9 Mental Health 227

Case 9.1 Sad Mood 229
By Sheila Swales, MS, RN, PMHNP-BC

Case 9.2 More Than Depression 231
By Sara Ann Jakub, MA, SYC, LPC and Anna Goddard, PhD, APRN, CPNP-PC

Case 9.3 Postpartum Depression 235
By Nancy M. Terres, PhD, RN

Case 9.4 Anxiety 239
By Sheila Swales, MS, RN, PMHNP-BC

Case 9.5 Trauma 241
By Erin Patterson Janicek, LCSW and Anna Goddard, PhD, APRN, CPNP-PC

Section 10 The Older Adult 245

Case 10.1 Forgetfulness 247
By Amy Bruno, PhD, RN, ANP-BC

Case 10.2 Behavior Change 251
By Sheila L. Molony, PhD, APRN, GNP-BC, FGSA, FAAN

Case 10.3 Tremors 255
By Amy Bruno, PhD, RN, ANP-BC

Case 10.4 Weight Gain and Fatigue 259
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 10.5 Visual Changes 263
By Millie Hepburn, PhD, RN, ACNS-BC, SCRN

Case 10.6 Back Pain 267
By Ivy M. Alexander, PhD, APRN, ANP-BC, FAANP, FAAN

Case 10.7 Acute Joint Pain 273
By Sara Smoller, RN, MSN, ANP-BC

Case 10.8 Itching and Soreness 275
By Sheila L. Molony, PhD, APRN, GNP-BC, FGSA, FAAN

Case 10.9 Knee Pain 277
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN

Case 10.10 Hyperthermia and Mental Status Changes in the Elderly 279
By Suellen Breakey, PhD, RN and Patrice K. Nicholas, DNSc, DHL (Hon), MPH, MS, RN, NP-C, FAAN

Section 11 Resolutions 281

Index 591