Case Scenario and Critical Thinking Questions

Case Scenario and Critical Thinking Questions

Question 1

Obesity exposes an individual to many health risks that can be devastating to his/her wellbeing. Befitting examples of such health risks include but not limited sleep apnea, hypertension, elevated cholesterol levels, and heart attack (Centers for Disease Control, 2017). In the case scenario of Mr. C, the health risks that are manifest include sleep apnea, hypertension, diabetes and elevated cholesterol levels.

The bariatric surgery that Mr. C is seeking is appropriate given that he meets the requirements for this type of surgery. According to ((American Society for Metabolic and Bariatric Surgery, 2017)) a BMI of greater than 140kg/m2 or a BMI of 135 kg/m2 with two co-morbidities such as diabetes type 2, sleep apnea and hypertension is indicative of the need for bariatric surgery. In this case, Mr. C has a BMI of 146.5 kg/m2 and comorbidities like sleep apnea and hypertension, which make him a perfect candidate for this surgery.

Question 2

An appropriate administration schedule for Mr. C would require him to take Magnesium hydroxide at the following times of the day 10 a.m., 3 p.m., 9 p.m., and 10 p.m. As for ranitidine, Mr. C’s schedule indicates that he takes it at bedtime (10 p.m.). On the contrary, Mr. C will take the Sucralfate medication at the following times of the day 6 a.m., 11 a.m., 5 p.m. and 10 p.m. With such a schedule, it is beyond doubt that Mr. C is adhering to the prescriptions to the practical details.

Question 3

An assessment of Mr. C’s functional health patterns is worthwhile given that it will facilitate the uncovering of health problems associated with his current health status(Weber, 2008). On the health perception and health management pattern, Mr. C demonstrates an understanding for the need of seeking health services whenever he is sick and has a sound knowledge base of the medical interventions (bariatric surgery) that could be beneficial to him.

Concerning the nutritional-metabolic pattern, Mr. C has no metabolic disorders, but he is a candidate of obesity, which depicts his bad nutritional habits. Moreover, he has a diagnosis of peptic ulcers disease, which demands that he takes prescribed medications, namely, Magnesium hydroxide, ranitidine, and sucralfate that affect his dietary practices.

As for the elimination pattern, there is no significant information to suggest his having any health problems relating to this pattern.

The findings on the Activity-exercise pattern indicate that Mr. C can perform his activities of daily living, for instance, working at a telephone catalogue.

He has sleep apnea, which is due to the obesity and such Mr. C has an impaired Sleep-rest pattern.

On the cognitive-perceptual pattern, Mr. C is alert throughout the session and shows no signs of hallucinations and illusions.

The self-perception-self-concept pattern reveals that Mr. C has been considering himself heavy since childhood. Additionally, he has a disturbed body image as evidenced by his pursuit to correct the obesity.

An evaluation of Mr. C’s role-relationship pattern establishes that he is single and his work at the telephone catalogue center may not involve interacting with people most of the time.

From the information provided, there are no indicators to suggest the impairment of Mr. C’s sexuality-reproductive pattern.

Lastly, coping-stress tolerance pattern is significant in this case since the diagnosed peptic ulcers diseases are possibly due to the stress that Mr. C is having about his body image.

Question 4

The findings of this assessment depict that Mr. C has several health problems. One of the problems noted is imbalanced nutrition more than body requirements related to an increase in the intake of nutrients. Such is the case given that Mr. C has a BMI of over 40 kg/m2 that is way above the normal ranges (16.5-24.5 kg/m2).

Secondly, Mr. C has the actual health problem of ineffective breathing pattern. The health challenge is due to the decreased capacity of the lungs to expand. It is evident in Mr. C through the sleep apnea that he reports.

Additionally, he has the health problem of disturbed sleeping pattern related to ineffective breathing pattern. The disturbed sleeping pattern is evident through Mr. C’s report of having sleep apnea, which is instrumental in disrupting his sleep.

Another health challenge of this patient is disturbed body image related to eating disorder. That is the case given that Mr. C has much determination to lose weight.

Finally, Mr. C is at risk of impaired social interaction given his displeasure with his self-image. Such is the case given that he stays alone and where he works he has limited or no interaction with other people. As such, this makes him a risk factor for this problem.


American Society for Metabolic and Bariatric Surgery,. (2017). Who is a Candidate for Bariatric Surgery? – American Society for Metabolic and Bariatric SurgeryAmerican Society for Metabolic and Bariatric Surgery. Retrieved 21 January 2017, from

Centers for Disease Control,. (2017). The Health Effects of Overweight and Obesity | Healthy Weight | Retrieved 21 January 2017, from

Weber, J. (2008). Nurses’ handbook of health assessment (1st ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams and Wilkins.Retrieved 21 January 2017, from’s%20functional%20health%20patterns&f=false