Generalized Anxiety Disorder

Home>Homework Answsers>Nursing homework helpAPABACKGROUND INFORMATIONThe client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. Remainder of physical exam was WNL.He admits that he still has problems with tightness in the chest and episodes of shortness of breath- he now terms these “anxiety attacks.” He will also report occasional feelings of impending doom, and the need to “run” or “escape” from wherever he is at.In your office, he confesses to occasional use of ETOH to combat worries about work. He admits to consuming about 3-4 beers/night. Although he is single, he is attempting to care for aging parents in his home. He reports that the management at his place of employment is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26.Client has never been on any type of psychotropic medication.MENTAL STATUS EXAMThe client is alert, oriented to person, place, time, and event. He is appropriately dressed. Speech is clear, coherent, and goal-directed. Client’s self-reported mood is “bleh” and he does endorse feeling “nervous”. Affect is somewhat blunted, but does brighten several times throughout the clinical interview. Affect broad. Client denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, as is insight. He denies suicidal or homicidal ideation.The PMHNP administers the Hamilton Anxiety Rating Scale (HAM-A) which yields a score of 26.Diagnosis: Generalized anxiety disorderThe AssignmentExamine Case Study: A Middle-Aged Caucasian Man With Anxiety.You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.At each decision point stop to complete the following:Decision #1Which decision did you select?Why did you select this decision? Support your response with evidence and references to the Learning Resources.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?Decision #2Why did you select this decision? Support your response with evidence and references to the Learning Resources.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?Decision #3Why did you select this decision? Support your response with evidence and references to the Learning Resources.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?Also include how ethical considerations might impact your treatment plan and communication with clients.Meddecision.pdf5 years ago02.07.202020Report issueAnswer(1)Great-Writers4.9(481)4.9(101)ChatPurchase the answer to view itGeneralizedAnxietyDisorder.docx5 years agoplagiarism checkPurchase $30Bids(118)STELLAR GEEK A+Discount AnsDr. Sophie BlakeProf Double RTopanswersSABA_NAQVIDiscount AssignQuality AssignmentsGrace GradesMARTHA92_PHDYourStudyGurunicohwilliamGreat-WritersMath GuruuAmanda SmithDr. Michelle_KMDr_inaayaTutor Cyrus KenMEERAB NAEEMDr. Beneveother Questions(10)i just open this test and it needs to be done in an hour please let me know if you can do it during that time frame no later it is a timed test. i will send the llog info during shake handContent ReviewProject 1Final week!For Prof. MGKBSHS 422 Week 2 Critique of ADA and Affirmative Action PaperACC 541 Week 3 Individual Assignment Response to Client Request ISCI 220 Nutrition and HealthA consulting firm produces a service that requires the use of labor and materials.HAS Assignment 2

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now