Must be in APA format with at least 3 scholarly articles within the past 5 years.
Review the provided case study to complete this week’s discussion.
Include the following sections:
- Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
- Select one drug to treat the diagnosis(es) or symptoms.
- List medication class and mechanism of action for the chosen medication.
- Write the prescription in prescription format.
- Provide an evidence-based rationale for the selected medication using at least one scholarly reference. Textbooks may be used for additional references but are not the primary reference.
- List any side effects or adverse effects associated with the medication.
- Include any required diagnostic testing. State the time frame for this testing (testing is before medication initiation or q 3 months, etc.). Includes normal results range for any listed laboratory tests.
- Provide a minimum of three appropriate medication-related teaching points for the client and/or family. Nursing homework help
- Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations:
- Cite a scholarly source in the initial post.
- Cite a scholarly source in one faculty response post.
- Cite a scholarly source in one peer post.
- Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
- Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
- Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions, and offering new insights, applications, perspectives, information, or implications for practice.
- Peer Response: Respond to at least one peer on a topic other than the initially assigned topic.
- Faculty Response: Respond to at least one faculty post.
- Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.
- Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
- Reference Citation: Use current APA format to format citations and references and is free of errors.
- Wednesday Participation Requirement: Provide a substantive response to the graded discussion topic (not a response to a peer or faculty), by Wednesday, 11:59 p.m. MT of each week.
- Total Participation Requirement: Provide at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.
|The client is a 25-year-old, Latino male referred by his primary care provider for a psychiatric evaluation at an outpatient clinic.
Client’s Chief Complaints:
“I think I might be depressed.”
History of Present Illness
The client reports increasing depressive symptoms with onset three months ago. He is experiencing stress related to unemployment, financial strain, and needing to sell his home quickly because he cannot afford the mortgage. He reports depressed mood, low energy, low motivation, anhedonia, poor concentration, loneliness, low self-esteem, hopelessness, and decreased appetite with 12 lb. weight loss over the past month. He reports difficulty falling and staying asleep due to anxiety and restlessness, difficulty making decisions, and self-isolation. He endorses stress related to the abovementioned stressors, as manifested by restlessness, worry, and muscle tension. He reports that his current mental state is impeding his ability to apply for new employment and prepare his home for the impending sale. Nursing homework help
Past psychiatric history: no previous history; this is the client’s first contact with a mental health provider.
Past Medical History: none
· Father is alive and well.
· Mother is alive, has had depression “all her life”
· One brother, age 18, alive and well
· Lives alone
· does not have any friends
· alcohol use 1-2 times/week.
· no marijuana or illicit drug use
· attended one year of college.
Trauma history: Client reports was bullied in middle school due to his poor grasp of the English language at that time. No reports of nightmares or flashbacks.
Review of Systems
· appetite diminished, weight loss 15 lbs
· sleeps 5-6 hours at night, difficulty falling asleep with frequent night waking.
· No headache
· No palpitations, tremors
Allergies: NKDA, allergic to grass, perennial trees, dust mites, and cockroaches . Nursing homework help
Height: 65″, weight: 205 lb.
General: Well-nourished male appears stated age
Mental status exam:
Appearance: appropriate dress for age and situation, well nourished, eye contact poor, slumped posture
Alertness and Orientation: alert, fully oriented to person‚ place‚ time‚ and situation,
Speech: soft, flat
Affect: constricted, congruent with stated mood
Thought Process: logical‚ linear
Thought content: Self-defeating thoughts endorses thoughts suggestive of low self-worth. No thoughts of suicide‚ self-harm‚ or passive death wish
Perceptions: No evidence of psychosis, not responding to internal stimuli.
Memory: Recent and remote WNL
Judgement/Insight: Insight is fair, Judgement is fair
Attention and observed intellectual functioning: Attention intact for the purpose of assessment. Able to follow questioning.
Fund of knowledge: Good general fund of knowledge and vocabulary
Musculoskeletal: normal gait
Primary diagnosis: Major Depressive Disorder, single episode, moderate with anxious distress (F32.1)