NR605 Week 5 Which Therapy Would You Choose? Scenarios
A 15-year-old client presents to the PMHNP for therapy. She reports persistent feelings of
sadness for the last year. She has trouble sleeping and has lost 12 pounds in the last few months.
She used to enjoy participating in choir and drama club at her school, but no longer enjoys her
favorite activities. She is experiencing problems in her social relationships due to difficulty
making friends and often feels lonely. 7/22
A 32-year-old client presents to the PMHNP for therapy. She has been experiencing feelings of
guilt and has had trouble concentrating since returning to work after the birth of her first child
three months ago. She states that she is sad most of the time. She feels frustrated with her partner
because she feels that he has not assumed responsibility for any additional household duties since
the baby’s birth, leaving her feeling tired and discouraged.7/22
A 67-year-old client presents to the PMHNP for therapy. He reports that he lost his wife to breast
cancer three years ago. Since then, he has been unable to enter their shared bedroom and has
been sleeping on the couch. He has avoided holiday celebrations with his children for fear he
will be reminded of his wife. He expresses bitterness that they were not able to enjoy their
retirement together. He states that he wonders whether his wife would still be alive if he’d been
more insistent that she get a mammogram when she found a lump in her breast. His son is
concerned about him and has encouraged him to seek help. 7/22
A 26-year-old client presents to the PMHNP for therapy. The client was recently discharged
from an inpatient substance use disorder treatment program for alcohol use. Although he is
committed to his sobriety, he is struggling to navigate social situations where alcohol is
available. All of his friends drink alcohol socially. His sobriety is creating problems with his
partner as he continues to consume alcohol in their home. He is having trouble expressing his
concerns to his partner out of fear his partner will leave the relationship.
A 39-year-old presents to the PMHNP for therapy. He recently started a new career after
working in the same field for over 20 years. Although he was an expert in his previous field, he
is a novice in his new role. He is experiencing symptoms of anxiety, which is having a negative
impact on his relationship with his wife and children because he is unable to focus on anything
but the job. He uses marijuana daily to help reduce his anxiety symptoms.
A 70-year-old client presents to the PMHNP for therapy. She reports feeling lonely. She’s
divorced with an adult daughter who lives out of state. Her relationship with her daughter is
strained. She calls her daughter frequently; however, her daughter rarely returns her calls. Since
A 15-year-old client presents to the PMHNP for therapy. She reports persistent feelings of
sadness for the last year. She has trouble sleeping and has lost 12 pounds in the last few months.
She used to enjoy participating in choir and drama club at her school, but no longer enjoys her
favorite activities. She is experiencing problems in her social relationships due to difficulty
making friends and often feels lonely. 7/22
A 32-year-old client presents to the PMHNP for therapy. She has been experiencing feelings of
guilt and has had trouble concentrating since returning to work after the birth of her first child
three months ago. She states that she is sad most of the time. She feels frustrated with her partner
because she feels that he has not assumed responsibility for any additional household duties since
the baby’s birth, leaving her feeling tired and discouraged.7/22
A 67-year-old client presents to the PMHNP for therapy. He reports that he lost his wife to breast
cancer three years ago. Since then, he has been unable to enter their shared bedroom and has
been sleeping on the couch. He has avoided holiday celebrations with his children for fear he
will be reminded of his wife. He expresses bitterness that they were not able to enjoy their
retirement together. He states that he wonders whether his wife would still be alive if he’d been
more insistent that she get a mammogram when she found a lump in her breast. His son is
concerned about him and has encouraged him to seek help. 7/22
A 26-year-old client presents to the PMHNP for therapy. The client was recently discharged
from an inpatient substance use disorder treatment program for alcohol use. Although he is
committed to his sobriety, he is struggling to navigate social situations where alcohol is
available. All of his friends drink alcohol socially. His sobriety is creating problems with his
partner as he continues to consume alcohol in their home. He is having trouble expressing his
concerns to his partner out of fear his partner will leave the relationship.
A 39-year-old presents to the PMHNP for therapy. He recently started a new career after
working in the same field for over 20 years. Although he was an expert in his previous field, he
is a novice in his new role. He is experiencing symptoms of anxiety, which is having a negative
impact on his relationship with his wife and children because he is unable to focus on anything
but the job. He uses marijuana daily to help reduce his anxiety symptoms.
A 70-year-old client presents to the PMHNP for therapy. She reports feeling lonely. She’s
divorced with an adult daughter who lives out of state. Her relationship with her daughter is
strained. She calls her daughter frequently; however, her daughter rarely returns her calls. Since
