solved Melissa Wolford (M. W.) is a 46-year-old female being evaluated

Melissa Wolford (M. W.) is a 46-year-old female being evaluated at her local walk-in clinic for dyspnea on exertion (DOE). She has noticed a gradual increase in shortness of breath (SOB), fatigue, and daytime sleepiness since “gaining a few pounds” several years ago. She has no known history of illness or disease and does not have a primary care provider. M. W. claims she is rarely ill, except for the occasional cold or seasonal allergies, which she treats using over-the-counter remedies. M. W. is otherwise healthy and appears in no distress. She is currently unemployed, having left her former position as a teacher several years ago to stay home with her only child, who has required around-the-clock care since birth. Her husband is self-employed, and the family currently carries minimal health insurance except for their child, who is a Medicaid recipient. Vital signs are T 99.5°F (37.5°C), P 92 and regular, R 22 and unlabored at rest, BP 170/94, with SaO2 of 96% on room air. Her height is 165.1 cm (65 in), and she weighs 90.7 kg (200 lb). She complains of occasional headaches, which are relieved with rest and ibuprofen. M. W. states she has smoked one pack per day of low-tar cigarettes since the age of 17 and has two or three mixed alcoholic drinks per week, drinking almost exclusively on the weekends. She denies the use of recreational drugs but states her husband “smokes weed.” She does not exercise and has a sedentary lifestyle except when assisting her child with activities of daily living. Her diet is mostly fried foods, diet soft drinks, and very few vegetables or fruits. M. W. states she has been “eating more since quitting her job several years back” and has “a sweet tooth for candy and cakes.” 1.What aspects of the Health Promotion Model did M. W. exhibit by coming to the walk-in clinic for evaluation of her dyspnea on exertion? 2.List four (4) risk factors identified in M. W.’s health history and physical assessment that the nurse should address during this clinic visits. Choose two 2 risk factors that are preventable lifestyle-related risk factors that M. W. can change with mutually agreed-on interventions. 3.List three (3) nursing interventions to address each of M. W.’s risk factors that the nurse can discuss with M. W. before including them in an individualized plan of care. Yoost, B. L., & Crawford, L. R. (2020). Fundamentals of nursing: Active learning for collaborative practice. St. Louis, MO: Elsevier.