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Exam (elaborations)

PSYCH C487 Shadow Health Nicole Diaz- PTSD with complete solution

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PSYCH C487 Shadow Health Nicole Diaz- PTSD with complete solution Established chief complaint - Answer ️️ -Reports sleep problems Asked about onset and frequency of sleep problems - Answer ️️ -Reports sleep problems for the past 10+ years Reports having problems sleeping most nights of the week Asked about sleep quality and characteristics - Answer ️️ -Reports recent sleep problems include nightmares. Reports falling asleep often takes more than an hour. Reports waking up two or three times during the night for "at least ten minutes" Reports waking in the morning feeling "out of it" and not rested. Reports frequent snoring. Asked about sleep habits - Answer ️️ -Reports going to be "around midnight", but feeling "too nervous" to sleep. Reports actually falling asleep around 2 or 3am Reports checking her windows and doors twice before going to bed. Reports no screen use (tv or computer) before bed. Reports average wake up time of 7am. Reports sleeping an average of 4 or 5 hours a night. Reports sleeping alone in a quiet room. Asked about patterns for sleep problems. - Answer ️️ -Reports that stress and anxiety exacerbate sleep problems. Asked about existing health conditions - Answer ️️ -Reports hypertension diagnosis Followed up on hypertension diagnosis - Answer ️️ -Diagnosed at age 45 Asked about history of mental health - Answer ️️ -Reports PTSD diagnosis Followed up about symptoms of PTSD diagnosis - Answer ️️ -Reports depression accompanies PTSD diagnosis. Reports anxiety as a symptom of PTSD. Reports sleep problems are a symptom of PTSD diagnosis. Followed up on onset of PTSD - Answer ️️ -Reports diagnosed at age 35. Reports PTSD cause is military sex

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