BACKGROUND INFORMATION

BACKGROUND INFORMATION

The client is a 46-year-old stainless manful who operations as a welder at a persomal steel faithless factory. He presents today succeeding substance referred by his PCP succeeding a skip to the embarrassment ground in which he felt he was having a courage aggression. He formal that he felt chest tone, failure of exhalation, and passion of hovering denounce. He does entertain some calm hypertension (which is treated delay low sodium fare) and is encircling 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical truth gone that age has been ordinary. Myocardial infarction was resolute out in the ER and his EKG was natural. Remainder of substantial exam was WNL. 

He admits that he stagnant has problems delay tone in the chest and episodes of failure of exhalation- he now conditions these “care aggressions.” He gain as-well repute interrupted passions of hovering denounce, and the insufficiency to “run” or “escape” from wherever he is at. 

In your duty, he confesses to interrupted use of ETOH to conflict worries encircling operation. He admits to consuming encircling 3-4 beers/night. Although he is only, he is attempting to circumspection for aging parents in his home. He reputes that the address at his locate of business is abusive, and he fears for his job. You carry the HAM-A, which yields a reckoning of 26. 

Client has never been on any mark of psychotropic medication. 

MENTAL STATUS EXAM

The client is vigilant, oriented to special, locate, age, and adventure. He is rightly experienced. Speech is evident, consistent, and goal-directed. Client’s self-reported disposition is “bleh” and he does propound passion “nervous”. Affect is partially blunted, but does burnish various ages throughout the clinical confabulation. Affect unreserved. Client denies visual or assembly hallucinations, no manifest delusional or paranoid cogitation processes beforehand likely. Judgment is grossly inviolate, as is insight. He denies suicidal or homicidal ideation.

The PMHNP carrys the Hamilton Care Rating Scale (HAM-A) which yields a reckoning of 26.

Diagnosis: Generalized care disorder

The Assignment

Examine Case Study: A Middle-Aged Caucasian Man Delay Anxiety. You gain be asked to fashion three sentences of the medication to enjoin to this client. Be assured to deliberate factors that capacity impression the client’s pharmacokinetic and pharmacodynamic processes.

At each sentence apex seal to accomplished the following:

  • Decision #1
    • Which sentence did you excellent?
    • Why did you excellent this sentence? Support your repartee delay illustration and references to the Learning Resources.
    • What were you hoping to finish by making this sentence? Support your repartee delay illustration and references to the Learning Resources.
    • Explain any contrariety among what you expected to finish delay Sentence #1 and the results of the sentence. Why were they opposed?
  • Decision #2
    • Why did you excellent this sentence? Support your repartee delay illustration and references to the Learning Resources.
    • What were you hoping to finish by making this sentence? Support your repartee delay illustration and references to the Learning Resources.
    • Explain any contrariety among what you expected to finish delay Sentence #2 and the results of the sentence. Why were they opposed?
  • Decision #3
    • Why did you excellent this sentence? Support your repartee delay illustration and references to the Learning Resources.
    • What were you hoping to finish by making this sentence? Support your repartee delay illustration and references to the Learning Resources.
    • Explain any contrariety among what you expected to finish delay Sentence #3 and the results of the sentence. Why were they opposed?

Also understand how incorporeal deliberateations capacity impression your tenor contrivance and message delay clients.

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