NR 603 Week 2 Discussion Mental Health Case Study
University:
Chamberlain University
NR 603 Week 2 Discussion Mental Health Case Study
Paper Instructions
Preparing the Assignment
Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.
Include the Following Sections;
Application of Course Knowledge
Use the mental health disorder assigned to you by your course faculty (via email) and create a case study for a primary care client. You may use a client seen in practicum as the basis for the case study or you may create a case after researching your assigned disorder. In your initial post, address each of the following components using your own words:
Subjective data
Chief complaint, history of present illness, demographic data, risk factors, previous medical, surgical, and psychiatric history.
Objective data
- Physical exam findings and mental status exam
- Recommended diagnostic tests
Engagement in Meaningful Dialogue
Responding to a Peer’s Case
Respond to at least one other student’s initial case presentation and include the following;
- Based on the initial case presentation, list your top three differential diagnoses.
- Choose the most likely diagnosis.
- Support your decision with scholarly sources that represent a logical link between the case study and article information. Integrate relevant scholarly sources as defined by program expectationsLinks to an external site..
- Respond to a peer who does not already have a peer response in the discussion.
Leading the Discussion/Final Diagnosis
- Respond to peers and course faculty to further dialogue
- Present the actual diagnosis for your case study. Provide appropriate management options for the diagnosis.
- Use the most current clinical practice guidelines to support your management plan.
- Respond to all students who engage with your case study. Discuss how the peer’s differential diagnoses do or do not fit with the case as presented.
- Respond to all faculty questions.
Professionalism in Communication
- Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
- Present information in a logical, meaningful, and understandable sequence that is relevant to the discussion topic.
Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 10 words). The quote must add substantively to the discussion.
Reference Citation
Use current APA format to format citations and references and is free of errors.
Tuesday Participation Requirement
Provide a substantive response to the graded discussion topic (not a response to a peer or faculty), by Tuesday, 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.
We Work Hard So That You Don’t
We’ll write a 100% plagiarism-free paper in under 1 hour.
Sample Answer
Subjective Data
CC
- Increased nervousness
HPI
S.D. is a 28-year-old African American female who presents to the clinic with a chief complaint of increased nervousness for the past eight months. She reports that her nervousness has gradually increased during this period, making her restless and irritable. In addition, she is constantly fatigued, which makes her unable to concentrate and make decisions. However, she reports that the nervousness makes her have trouble sleeping, worsening her fatigue.
She reports that the symptoms began after she got laid down by her company and has constantly been receiving rejection emails from various companies, which heightens her anxiety. In addition, she feels very uncertain about her future due to ongoing financial constraints. She says she occasionally experiences muscle tension, diarrhea, and sweating that resolve spontaneously. She says she has neither visited any healthcare provider nor taken medications for the symptoms.
Medical History
- She has been diagnosed previously with anemia.
Medications
- She is on iron tablets and combined oral contraceptives.
Psychiatric History
- She has no significant psychiatric history.
Social History
The patient is single and has no children. She drinks wine occasionally. She denies smoking or illicit drug use. Her hobbies are traveling and baking.
ROS
- General Reports constant fatigue. Denies fever, weight changes, or malaise.
- GI Reports diarrhea that resolve spontaneously.
- Musculoskeletal Reports occasional muscle tension.
- Endocrine Reports occasional sweating that resolve spontaneously.
Objective Data
Vitals RR-2; PR-122 beats per minute; BP-134/84; Temperature was 100.1 F.
- Cardiovascular Normal heart rate and rhythm.
- Respiratory Lungs clear on auscultation.
- Gastrointestinal Normoactive bowel sounds. No tenderness or guarding.
- Musculoskeletal Muscle spasms present.
Mental status examination
The patient is well-groomed, alert, and oriented in time, place, and person. She appears anxious and agitated but maintains eye contact during the interview. She has a well-articulated speech, an irritable and dysphoric mood, and a restricted affect. In addition, she has a coherent thought process, though she experiences thought block, but lacks any hallucinations and delusions. Her long-term remote memory is intact, but she has trouble recalling events in the recent past. She also has a narrow attention span and is easily distracted. She has good judgment and full insight into her condition.
Recommended Diagnostic Tests
Several tests will be ordered to rule out medical causes of the patient’s nervousness. They include;
- Thyroid function tests
- Toxicology screens
- Random and fasting blood glucose
- Urinalysis.
The tests exclude several differential diagnoses, including hyperthyroidism, hypothyroidism, hyperglycemia, pheochromocytoma, and drug use (Meuret et al., 2020).
5. Electrocardiogram and chest radiograph or computed tomography (CT) can also be used to exclude cardiac and respiratory causes of GAD, such as ischemic heart disease, respiratory infections, and pulmonary embolism (Penninx et al., 2021).
6. A Brain CT or magnetic resonant imaging (MRI) and an electroencephalogram can also be used to exclude neurological causes of anxiety.
7. GAD-7 screening tool will be used when all medical causes are excluded to grade the severity of anxiety symptoms (Dhira et al., 2021).
References
- Dhira, T. A., Rahman, M. A., Sarker, A. R., & Mehareen, J. (2021). Validity and reliability of the Generalized Anxiety Disorder-7 (GAD-7) among university students of Bangladesh. PLoS ONE, 16(12). https //doi.org/10.1371/journal.pone.0261590
- Meuret, A. E., Tunnell, N., & Roque, A. (2020). Anxiety Disorders and Medical Comorbidity Treatment Implications. Advances in Experimental Medicine and Biology, 1191, 237–261. https //doi.org/10.1007/978-981-32-9705-0_15
- Penninx, B. W., Pine, D. S., Holmes, E. A., & Reif, A. (2021). Anxiety Disorders. The Lancet, 397(10277), 914–927. https //doi.org/10.1016/s0140-6736(21)00359-7
We Work Hard So That You Don’t
We’ll write a 100% plagiarism-free paper in under 1 hour