NR 546 Week 5 Case study questions and detailed
ss ss ss ss ss ss ss ss ss
answers all question upgraded /newest version[grade
ss ss ss ss ss ss
a+] ss
Subjective Objective
, The ssclient ssis ssa ss29-year-old, ssLatino sssingle Physical ssExamination:
ssmalesreferred ssby sshis ssprimary sscare
Height: ss67″, ssweight: ss200 sslb.
ssprovider ssfor ssa sspsychiatric ssevaluation ssat
ssan ssoutpatient ssclinic. General: ssWell-nourished ssmale ssappears ssstated ssage
Client’s ssChief ssComplaints: Mental ssstatus ssexam:
“I ssthink ssI ssmight ssbe ssdepressed.” Appearance: ssappropriate ssdress ssfor ssage ssand sssituation, sswell
snourished, sseye sscontact sspoor, ssslumped ssposture
History ssof ssPresent ssIllness Alertness ssand ssOrientation: ssalert, ssfully
ssoriented sstop
s erson‚ ssplace‚ sstime‚ ssand
The ssclient ssreports ssincreasingly ssdepressive
sssituation,
sssymptoms sswith ssonset ss3 ssmonths ssago. ssHe ssis
ssexperiencing ssstress ssrelated ssto ssbeing
Behavior:
ssunemployed, ssfinancial ssstrain ssand ssneeding ssto
sssell sshis sshome ssquicklysbecause sshe sscannot
ss cooperativeSs peech:
ssafford ssthe ssmortgage. ssHe ssreportssdepressed
ss soft, ssflat ssMood:
ssmood, sslow ssenergy, sslow ssmotivation,
ssanhedonia, sspoor ssconcentration, ssloneliness, sslow depressed
ss
ssself-sesteem, sshopelessness, ssand ssdecreased
Affect: ssconstricted, sscongruent sswith ssstated
ssappetite sswiths12 sslb. ssweight ssloss ssover ssthe sspast
ssmonth. ssHe ssreports ssdifficulty ssfalling ssand moodTs hought ssProcess: sslogical‚ sslinear
ss
ssstaying ssasleep ssdue ssto ssanxiety ssand
Thought sscontent: ssSelf-defeating ssthoughts, ssendorses ssthoughts
ssrestlessness, ssdifficulty ssmaking ssdecisions ssand
sssuggestive ssof sslow ssself-worth. ssNo ssthoughts ssof sssuicide‚ ssself-
ssself-isolation. ssHe ssendorses ssanxiety ssrelated ssto
harm‚ ssorspassive ssdeath sswish
ssthe ssstressors ssreported ssabove, ssas ssmanifested
ssby ssrestlessness, ssworry, ssand ssmuscle sstension. Perceptions: ssNo ssevidence ssof sspsychosis, ssnot ssresponding ssto
ssHe ssreportssthat sshis sscurrent ssmental ssstate ssis ssinternalsstimuli, ssreports ssauditory sshallucinations.
ssimpeding sshis ssability ssto ssapply ssfor ssnew
Memory: ssRecent ssand ssremote ssWNL
ssemployment ssand ssprepare sshis sshome ssfor ssthe
ssimpending sssale. ss Judgement/Insight: ssInsight ssis ssfair, ssJudgement ssis
Past sspsychiatric sshistory: ssno ssprevious sshistory, ssthis ssfair
ssissthe ssclient’s ssfirst sscontact sswith ssa ssmental sshealth
ssprovider.
Attention ssand ssobserved ssintellectual ssfunctioning: s s Attention
ssintactsfor sspurpose ssof ssassessment. ssAble ssto ssfollow ssquestioning.
Past ssMedical ssHistory: sschildhood ss asthma,
ss doessn ot ss use ssinhaler.
Fund ssof ssknowledge: ssGood ssgeneral ssfund ssof ssknowledge ssand
svocabulary
Family ssHistory
Musculoskeletal: ssnormal ssgait
• Father ssis ssalive ssand sswell.
• Mother ssis ssalive, sshas ssanxiety ss“all ssher sslife”
• One ssbrother ssaged ss24, ssalive ssand sswell
Social ssHistory
• Lives ssalone
• single
• does ssnot sshave ssany ssfriends
ss ss ss ss ss ss ss ss ss
answers all question upgraded /newest version[grade
ss ss ss ss ss ss
a+] ss
Subjective Objective
, The ssclient ssis ssa ss29-year-old, ssLatino sssingle Physical ssExamination:
ssmalesreferred ssby sshis ssprimary sscare
Height: ss67″, ssweight: ss200 sslb.
ssprovider ssfor ssa sspsychiatric ssevaluation ssat
ssan ssoutpatient ssclinic. General: ssWell-nourished ssmale ssappears ssstated ssage
Client’s ssChief ssComplaints: Mental ssstatus ssexam:
“I ssthink ssI ssmight ssbe ssdepressed.” Appearance: ssappropriate ssdress ssfor ssage ssand sssituation, sswell
snourished, sseye sscontact sspoor, ssslumped ssposture
History ssof ssPresent ssIllness Alertness ssand ssOrientation: ssalert, ssfully
ssoriented sstop
s erson‚ ssplace‚ sstime‚ ssand
The ssclient ssreports ssincreasingly ssdepressive
sssituation,
sssymptoms sswith ssonset ss3 ssmonths ssago. ssHe ssis
ssexperiencing ssstress ssrelated ssto ssbeing
Behavior:
ssunemployed, ssfinancial ssstrain ssand ssneeding ssto
sssell sshis sshome ssquicklysbecause sshe sscannot
ss cooperativeSs peech:
ssafford ssthe ssmortgage. ssHe ssreportssdepressed
ss soft, ssflat ssMood:
ssmood, sslow ssenergy, sslow ssmotivation,
ssanhedonia, sspoor ssconcentration, ssloneliness, sslow depressed
ss
ssself-sesteem, sshopelessness, ssand ssdecreased
Affect: ssconstricted, sscongruent sswith ssstated
ssappetite sswiths12 sslb. ssweight ssloss ssover ssthe sspast
ssmonth. ssHe ssreports ssdifficulty ssfalling ssand moodTs hought ssProcess: sslogical‚ sslinear
ss
ssstaying ssasleep ssdue ssto ssanxiety ssand
Thought sscontent: ssSelf-defeating ssthoughts, ssendorses ssthoughts
ssrestlessness, ssdifficulty ssmaking ssdecisions ssand
sssuggestive ssof sslow ssself-worth. ssNo ssthoughts ssof sssuicide‚ ssself-
ssself-isolation. ssHe ssendorses ssanxiety ssrelated ssto
harm‚ ssorspassive ssdeath sswish
ssthe ssstressors ssreported ssabove, ssas ssmanifested
ssby ssrestlessness, ssworry, ssand ssmuscle sstension. Perceptions: ssNo ssevidence ssof sspsychosis, ssnot ssresponding ssto
ssHe ssreportssthat sshis sscurrent ssmental ssstate ssis ssinternalsstimuli, ssreports ssauditory sshallucinations.
ssimpeding sshis ssability ssto ssapply ssfor ssnew
Memory: ssRecent ssand ssremote ssWNL
ssemployment ssand ssprepare sshis sshome ssfor ssthe
ssimpending sssale. ss Judgement/Insight: ssInsight ssis ssfair, ssJudgement ssis
Past sspsychiatric sshistory: ssno ssprevious sshistory, ssthis ssfair
ssissthe ssclient’s ssfirst sscontact sswith ssa ssmental sshealth
ssprovider.
Attention ssand ssobserved ssintellectual ssfunctioning: s s Attention
ssintactsfor sspurpose ssof ssassessment. ssAble ssto ssfollow ssquestioning.
Past ssMedical ssHistory: sschildhood ss asthma,
ss doessn ot ss use ssinhaler.
Fund ssof ssknowledge: ssGood ssgeneral ssfund ssof ssknowledge ssand
svocabulary
Family ssHistory
Musculoskeletal: ssnormal ssgait
• Father ssis ssalive ssand sswell.
• Mother ssis ssalive, sshas ssanxiety ss“all ssher sslife”
• One ssbrother ssaged ss24, ssalive ssand sswell
Social ssHistory
• Lives ssalone
• single
• does ssnot sshave ssany ssfriends
