Mrs. S. 34-year-old woman, who is a mother of two children with the…

Mrs. S. 34-year-old woman, who is a mother of two children with the… Mrs. S. 34-year-old woman, who is a mother of two children with the ages of 6 and 8, comes to an intake assessment. Her parents migrated from the mainland China when she was about 9 years old. Her parents and a younger brother live in a neighboring town. Her chief complaint is “I’ve been depressed.” One year ago, she was raped by an unknown assailant in the parking lot of a grocery store, and, since that time, “things just have not been the same.” She describes becoming irritable and angry with her husband for no apparent reason and feels disconnected from him emotionally. In fact, she feels “numb” most of the time, having “lost the joy from life.” Her sleep is restless, and she is having trouble focusing on her work as a laboratory technician. She has nightmares and flashbacks in which the event (rape) is replayed. The patient admits that she has told very few people about the rape and tries “not to think about it” as much as possible. She avoids going anywhere near the location where the event occurred and remains anxious when shopping at a supermarket. On mental status examination, her appearance, behavior, and speech are all unremarkable. Her mood is “depressed,” and her affect is congruent and restricted. Her thought process is linear and logical. She denies suicidal or homicidal ideation, although wishes her attacker would “die a horrible death.” She denies paranoia, delusions, or perceptual disturbances. Her cognition is grossly intact. Her judgment and impulse control are not impaired. s:  1) Using the DSM V diagnostic criteria and hallmark symptoms, what is the diagnostic possibility that is most appropriate for this case study? What would substantiate and differentiate the diagnosis? (Please refer to the diagnostic criteria and exclusionary criteria in the DSM V to answer this ).  2) Please discuss other related conditions (differential diagnoses) which may need to be ruled out or can be ruled out and why/how as outlined in the DSM V. This is an important section as it justifies your clinical impression by walking me through your diagnostic decision making.  3) What psychosocial and environmental problems (e.g., health literacy, financial or family conflict, environmental safety issues, etc.) are important to consider in this case in terms of treatment and prognosis of this identified mental disorder? (This section you don’t need to cite references, it is just based on the case presented.)  4) What medication(s) are appropriate considerations? Are there short term and long-term considerations? Research what current medications or psychotherapeutic treatments are gaining advantage in managing this disorder. Please do not list all possible medication options. Provide your specific psychopharmacologic plan as if you are a prescribing clinician with specific drug(s), dosage(s) and any monitoring needs or patient educational needs relative to this plan. In addition, provide some case-specific or individualized interventions/approach considerations for the APN. Instructions: I am looking for accuracy in your assessment (which requires a detailed discussion of your differential diagnoses as well), planning, and implementation of the nursing actions to manage this individual. Health Science Science Nursing NURSING 637 Share EmailCopy link Comments (0)

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