Nursing Check-Up Writing Sample

What is going on with Henok

According to my assessment of what you have said, it appears you are depressed because you mentioned that you have not been sleeping well. The condition manifests since you’re going through a period of unrest and worry, which might be tied to dissatisfaction. These are signs of depression (Riemann et al., 2020). At your age, the feeling of dissatisfaction is unique. You appear to have been engaged in impulsive actions such as hair bleaching, skydiving, and contemplating the purchase of a motorbike, which might indicate a craving for excitement and uniqueness. You have also expressed guilt over possibly improper contact with a female coworker, which might indicate you seek acceptance or admiration beyond your married life. Also, the fact you have not told your spouse about your plans to purchase a beach property shows a probable lack of open communication and emotional closeness in your relationship. Sleeping difficulties, feelings of failure, and mourning your late father may contribute to your depression. I advise that you accept your situation and get help as soon as possible.

How to overcome these feelings

You need support to prevent the problem from going further because it can harm you. I will examine your life experiences to ascertain why you are here today. It is critical to affirm your sentiments and reassure you that it’s natural to feel restless and anxious through significant life transitions, such as approaching middle age and reflecting on one’s successes. I assure you that you are not alone in these feelings and that it is normal to feel this way. We shall investigate the possible underlying reasons for his depression together. It looks like you are having concerns about self-esteem and identity. You feel like you are a failure, bleaching his hair, and you go further purchasing a beach property without telling your wife. These activities might be interpreted as seeking external affirmation and reclaiming a sense of enthusiasm and purpose in his life. The kind of pressure will result in progressive depression because you will try to impress society (Riemann et al., 2020). As a counsellor, I encourage you to consider your feelings and views about your self-worth and identity. I will assist in identifying any negative thinking patterns or beliefs that may be causing this depression. You may, for example, have unreasonable expectations of yourself or feel compelled to live up to societal or cultural expectations. You have unsolved concerns from your history, such as missing your late father. I encourage you to express and process your feelings healthily through writing or speaking with a trusted friend or family member is essential.

I will touch on your activities contributing to your sadness, such as his guilt for obtaining a female coworker’s phone number, as you must avoid engaging in an impulsive or dangerous activity to cope with your emotions. I encourage you to adopt healthy coping techniques, such as participating in hobbies or activities he enjoys, spending quality time with his wife and children, or obtaining professional assistance through counselling or therapy. Exploring your communication and interpersonal dynamics with his wife is another critical aspect of assisting you. There is a need for open and honest communication in a marriage, and I urge you to speak openly with your wife about your feelings and desires, including purchasing the beach home. Develop good communication skills and techniques for constructively expressing your feelings and concerns (Prime et al., 2020). It is important to observe self-care, which includes getting enough sleep, eating well, and engaging in regular physical exercise.

Referral for Henok

Henok appears to be going through a midlife crisis, which includes restlessness, anxiety, changes in looks, impulsive actions, guilt, and desire for his late father. Henok will benefit from seeking help from a mental health expert, such as a psychologist, to explore and processing his feelings, thoughts, and actions in a safe and non-judgmental setting (Tackett et al., 2019). Couples counselling with his wife will as well be beneficial in addressing any potential communication concerns stemming from his recent choices, such as acquiring a beach home without alerting his wife.


Henok, You appear to have gone through a lot recently. It’s critical to remember that it’s normal to feel restless and nervous sometimes and that this does not imply that you’re a failure. You appear to have made substantial changes in your life, such as attempting new activities like skydiving and considering purchasing a motorbike. It’s also fantastic that you’re taking care of your physical health by visiting a doctor. It is also critical to prioritize your mental and emotional well-being. Consider speaking with a counsellor or therapist to assist you in processing your emotions and worries. Remember that it is never too late to make great changes in your life, and it is ideal for determining what offers you fulfilment. I reached a conclusion based on the client’s subjective data analysis, which is crucial in understanding the patient’s problem (Linton et al., 2023). I used my vast knowledge as a counsellor to note Henok’s problem. In addition, I researched the possible symptoms of depression, which enabled me to conclude that the patient was getting depressed further.


Laposha, I., & Smallfield, S. (2022). Self-care: An occupational therapy student perspective. Journal of Occupational Therapy Educationp. 6.

Linton, S. C., Kwon, S., De Boer, C., Zeineddin, S., Figueroa, A., DeTella, M., … & Ghomrawi, H. M. (2023). Discordance between Subjective and Objective Assessments of Activity after Pediatric Appendectomy. Journal of Surgical Research283, 751–757.

Prime, H., Wade, M., & Browne, D. T. (2020). Risk and resilience in family well-being during the COVID-19 pandemic. American Psychologist75(5), 631.

Riemann, D., Krone, L. B., Wulff, K., & Nissen, C. (2020). Sleep, insomnia, and depression. Neuropsychopharmacology45(1), 74-89.

Tackett, J. L., Brandes, C. M., King, K. M., & Markon, K. E. (2019). Psychology’s Replication Crisis and Clinical Psychological Science. Annual Review of Clinical Psychology15, 579–604.

Of Mice And Men University Essay Example

Of Mice and Men, by John Steinbeck, is a story about humanity and its imperfections. The book focuses on George and Lennie, who are the protagonists and have a special friendship: virtually every other character remarks that they have never witnessed such a tight connection between two migrant laborers before. The book’s main focus is on the two main characters as they struggle to escape from their repressive, destitute conditions and build up enough of a financial cushion to jointly own land (Heavilin 3). The strength of John Steinbeck’s vision lies in the fact that we, the readers, are brought into this world and taken into the journey of these two men, Lennie and George, and experience their aspirations, hopes, and courage. Of Mice and Men is a text that teaches us the value of friendship and companionship while preaching about the perils of believing in dreams, the challenges that stand in the way of ambition, and the importance of the nature of dreams, dignity, loneliness, and sacrifice.

Of Mice and Men presents the predatory nature of human existence. The story of Of Mice and Men has a somber message about human existence. Almost everyone in the show, from George and Lennie to Candy and Crooks to Curley’s wife, admits to feeling lonely and alone at some point. Curley’s wife says: “…Well, I wasn’t gonna stay no place where I couldn’t get nowhere or make something of myself… so I married Curley” (Steinbeck 88). They would both prefer the company of a friend but would take a stranger’s ear if they had to choose. This comes up during a conversation with Candy, Crooks, and Lennie, Curley’s wife reveals that she is unhappy in her marriage. Also, George and Lennie describe the loneliness that they experience while working on the ranch. He says, “Guys like us, that work on the ranches, are the loneliest guys in the world. They got no family. They don’t belong no place” (Steinbeck 103). Loneliness is the antithesis of George and Lennie’s friendship. Isolation has rendered the characters helpless. George and Lennie’s friendship continues to flourish despite the skepticism of others. In fact, Candy joins them in hoping to purchase the small property, and Crooks later expresses interest in joining the growing fellowship. At this point in history, it appears more possible than ever before that alienation and loneliness can be eradicated from the modern world. This finding adds to the mounting evidence that loneliness is fundamental to the human experience.

The novel also symbolizes class conflict. George and Lennie have a goal in mind, but they lack the resources to make it a reality. Their social status places additional constraints on them beyond those they impose on themselves. The cold, pragmatic realities of today’s world inevitably crush their ideals. American capitalism and the resulting class structure are the root cause of the conflicts between the characters. The ranch owner’s son, Curley, has a haughty demeanor and is always looking to pick a fight. This goes beyond simple character flaws. His social standing has emboldened him to act this way, and his true power is not in his combat prowess but in his capacity to dismiss any employee he chooses. Carlson, the ranch’s only skilled worker, shares these traits with his peers, and they can be seen when he orders a dog to be shot. He says,” That dog of Candy’s is so God damn old he can’t hardly walk…Why’n’t you get Candy to shoot his old dog and give him one of the pups to raise up?” (Steinbeck 37). Carlson knows he is indispensable in the technician role and treats his coworkers cruelly due to his superiority complex. Lennie’s disability is a metaphor for the powerlessness of the average person in today’s consumerist, consumer-driven, competitive economy. Steinbeck uses this to portray the anguish and despair of the Great Depression. The 1930s saw a dramatic surge of interest among American authors in the plight of the impoverished (Heavilin 5). Steinbeck’s novel was a sympathetic representation of the life of the poorest class of working people, revealing society’s inequities and economic inequalities in the hopes of changing their condition when previously American fiction had been preoccupied with the issues of middle-class people.

The topic of racism is also represented in the novel by Crook. Crook says, “Cause I’m black. They play cards in there, but I can’t play because I’m black. They say I stink. Well, I tell you, you all of you stink to me” (Steinbeck 69). This is during a conversation with Lennie when Crook explains why he is not wanted in the Bunkhouse. Racism, which also causes personal isolation, touches on some aspects of the issue of loneliness. The ranch’s only black guy, Crooks, is shunned by his white neighbors and forced to spend his days alone. However, prejudice towards black people is temporarily overcome for a short time when Crooks agrees to help with the farm purchase. The bitter dignity and honesty on display in Crooks is a reflection of Steinbeck’s own judgment of the inadequacies of American society during the Great Depression to provide for everyone equitably regardless of race (Heavilin 5).

Mental disability is another societal ethical dilemma evident in Lennie’s character. It is evident when Crook teases Lennie that “S’pose George don’t come back no more. S’pose he took a powder and just ain’t coming back. What’ll you do then”( Steinbeck 72). Once Lennie’s temper flared, Crooks retreated out of fear for his safety. Lennie can cause harm, but Steinbeck shows that the evil, fear, and wrath of others drive him to behave violently. For instance, Crooks’ torment of Lennie stems from his own feelings of rejection on account of his race. Lennie’s mental handicaps show another method in which individuals set themselves apart from one another. Lennie is shunned by the ranch staff, with the exception of George, who finds his disability endearing. As the ranch employees see Lennie’s brute strength and his lack of self-control, they become suspicious and afraid of him. Because of this, Steinbeck’s depiction of Lennie’s disability is entirely sympathetic; the other characters have only themselves to blame for Lennie’s provocations because he is only a child living in a world of self-centered adults. The tragic necessity of Lennie’s demise as the story draws to a close is intended to convey the message that it is impossible for the innocent to thrive in today’s contemporary society.

There is the theme of shattered dreams in the novel. Every one of John Steinbeck’s characters has a dream of their own, but none of them ever get the chance to make those dreams come true. George and Lennie both want to be free farmers with their own plot of land. He is so committed to the plan that he has identified a plot of land he believes would be suitable for their needs. Lennie is most excited about caring for the fluffy rabbits they plan to keep. With the discovery of Curley’s wife’s body, George, Candy, and Lennie understand that their goal of fellowship on the farm is over, and their partnership crumbles. The reality is that the dream was doomed from the start because brotherly love cannot thrive in a society dominated by isolation, homelessness, and poverty. Curley’s wife also wanted to be a movie star “He says he was gonna put me in the movies. Says I was a natural. Soon’s he got back to Hollywood he was gonna write to me about it” (Steinbeck 88). Curley later died after a fight with Lennie without accomplishing her dreams. Crooks long for acceptance on par with legitimate members of society. The man is well-versed in the protections guaranteed by the Constitution. He has good memories of the white kids who used to visit his family’s chicken ranch when he was a kid, and he wishes he could have those same relationships again, which he never experienced. The companionship provides support for the dream, but the brutality of their lives eventually puts a stop to both. This shows how life in society can be when people have dreams they want to achieve, but there are disparities in each aspect that tend to hinder the success of these dreams.

Steinbeck reveals idealism and reality in the cases of George, Slim, and Crooks. In Of Mice and Men, John Steinbeck depicts two average guys trying to get away from their unfortunate circumstances. George tells Slim, the mule driver, “I seen the guys that go around on the ranches alone. That ain’t no good. They don’t have no fun. After a long time they get mean”(Steinbeck 41). Unfortunately for them, the human community cannot make it to their planet, and they have a skewed view of what a farm should be like. Even if they had been able to purchase the farm, they probably still wouldn’t have been able to live in the luxury they had hoped for or with the unity between themselves that is essential to their ideal. Their ideal of happiness in the present day is unrealistic and fails to take into account the complexity of the human experience. Crooks also says, “Nobody never gets to heaven, and nobody gets no land. It’s just in their head. They’re all the time talkie’ about it, but it’s jus’ in

their head”( Steinbeck 75). When Crooks talks about ownership, he talks about material possessions and the ideal of happiness his friends fantasize about (Heavilin 8). This shows that in today’s world, society protects itself from a hostile environment by escaping into its dreams. Society is helpless in the face of forces beyond its control, and Steinbeck writes with genuine empathy for the people who are harmed by these forces.


In addition to its lessons on the necessity of friendship and companionship, Of Mice and Men also serves as a cautionary tale on the dangers of idealistic thinking and the obstacles to success in the pursuit of one’s goals. Throughout the novel, several themes and characters represent the society ethical dilemmas that contemporary society experiences. Through the predatory nature of human existence, society depends on someone to survive. The class conflict uses the example of poor George and the rich ranch son Curley to show how life in society is different for each, depending on how much they have on their plate. Other themes include racism which discriminates people of color like Crooks from society, shattered dreams as a result of homelessness, isolation, and poverty, and reality vs. idealism in the dreams that George and Lennie wanted and how it was different from the life they were living. I believe that contemporary society needs to have realistic dreams that include ideal happiness and can accommodate the complexity of the human experience.

Works Cited

Heavilin, Barbara A. “the wall of background”: Cultural, Political, and Literary Contexts of Steinbeck’s Of Mice and Men.” steinbeck review 15.1 (2018): 1-16.

Steinbeck, John. Of mice and men. Penguin, 1994. Of Mice and Men (

Older Adults With Multiple Chronic Conditions Have Access To Self-Care And Best Practice Information From The Libraries Free Sample

Initial Idea Chosen: Self-care and Best Practice Information Access by Multiple Chronic Conditions Older Adults Patients

Older adults with Multiple Chronic Conditions (MCC) face complex challenges, mainly due to the complexity of their healthcare regimens. In addition, these seniors face significant barriers to self-care resulting from physical, cognitive, and mental impairments accompanying their conditions. Therefore, access to relevant and trustworthy information is critical to help this population optimize their self-care to mitigate the effects of MCC. For these reasons, this final project research focuses on exploring older adults’ access to self-care and best practice information from the libraries. The study will examine the library’s role in providing useful information to older adults with MCC to improve their self-care. Research articles, such as those by De Maria et al. (2022), LeBlanc et al. (2022), and Jin et al. (2022), explore the importance and effectiveness of self-care for older adults with chronic conditions; therefore, libraries can play an essential role in providing relevant and reliable information to promote self-care among this group.

This project will target older adults aged 65 and older living in the United States and Canada, focusing on seniors with MCC, such as diabetes, heart disease, hypertension, and cancer. This population is expected to grow in the coming years due to aging demographic trends, hence the need for better information access to promote self-care. The information service that will be examined in the study will be existing services and resources provided by libraries, such as online and print materials and specialized programs specifically designed for older adults with MCC.

The focus of the study will be to examine the extent to which older adults with MCC use library resources and services to access self-care information. Various aspects of accessing library services will be examined, including the ease of use and convenience of access to library services and the effectiveness and relevance of the information provided to support self-care behaviors. Moreover, the study will explore the barriers that prevent older adults with MCC from accessing library services and suggest recommendations for service improvements.

Older adults with multiple chronic conditions (MCC) often experience challenges in accessing self-care information and implementing best practice guidelines. A qualitative descriptive study by De Maria et al. (2022) found that during the COVID-19 pandemic, patients with MCC and their caregivers faced difficulties in maintaining self-care practices, such as exercise and medication adherence, and dietary modifications. Similarly, in a mixed-methods study of older adults living with long-term conditions, LeBlanc et al. (2022) discovered that social relationships significantly influenced their self-care behaviors and health outcomes.

To address these challenges, it is important to understand the information behavior models that underpin the search and use of self-care and best practice information. The Technology Acceptance Model (TAM) suggests that individual perceptions of technology’s usefulness and ease of use determine their intention to use it (Davis, 1989). By extension, this model can be applied to searching and using online resources, such as library databases, for accessing self-care information. Wilson’s model of information behavior (Wilson, 2000) highlights that information-seeking is a dynamic process influenced by individual characteristics, context, and the task at hand. The model emphasizes the importance of external factors, such as feedback and support, in shaping information-seeking behavior.

A multi-methods or mixed-methods approach can capture the complexity of self-care information behavior among older adults with MCC. This involves using two or more quantitative or qualitative methods to better understand the research problem (Creswell & Plano Clark, 2017). For example, a mixed-methods study could use surveys to assess the level of technology acceptance among older adults with MCC and qualitative interviews to explore their perceptions and experiences of accessing self-care information from libraries. This approach can provide a richer and more nuanced understanding of the factors influencing self-care information behavior among this population, enabling tailored interventions to address their specific needs.

In conclusion, older adults with MCC face challenges accessing self-care information and implementing best practice guidelines. Understanding the information behavior models that underpin their search and use of information can inform the development of interventions that better support their self-care practices. A multi-methods or mixed-methods approach effectively explores this complex issue, providing a more holistic understanding of the factors that influence self-care information behavior among older adults with MCC. The proposed study investigates the library’s effectiveness in providing information to support self-care behaviors for older adults with MCC. This study will benefit these seniors by improving their access to relevant information, ultimately helping them to optimize their self-care behaviors. This study will also help the libraries understand this particular population’s needs better and implement strategies and services to promote self-care effectively.


Creswell, J. W., & Plano Clark, V. L. (2017). Designing and conducting mixed methods research. Sage publications.

Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319–340.

De Maria, M., Ferro, F., Vellone, E., Ausili, D., Luciani, M., & Matarese, M. (2022). Self‐care of patients with multiple chronic conditions and their caregivers during the COVID‐19 pandemic: A qualitative descriptive study. Journal of Advanced Nursing78(5), 1431-1447.

De Maria, M., Ferro, F., Vellone, E., Ausili, D., Luciani, M., & Matarese, M. (2022). Self-care of patients with multiple chronic conditions and their caregivers during the COVID-19 pandemic: A qualitative descriptive study. Journal of Advanced Nursing, 78(5), 1431-1447.

Jin, Y., Bhattarai, M., Kuo, W. C., & Bratzke, L. C. (2022). Relationship between resilience and self‐care in people with chronic conditions: A systematic review and meta‐analysis. Journal of Clinical Nursing.

LeBlanc, R. G., Chiodo, L., & Jacelon, C. S. (2022). Social relationship influence on self‐care and health among older people living with long term conditions: A mixed‐methods study. International Journal of Older People Nursing, 17(4), e12450.

LeBlanc, R. G., Chiodo, L., & Jacelon, C. S. (2022). Social relationship influence on self-care and health among older people living with long term conditions: A mixed-methods study. International Journal of Older People Nursing, 17(4), e12450.