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Exam (elaborations)

PMHNP Patient Intake and OSCE Soap Note 2024 with complete solution

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PMHNP Patient Intake and OSCE Soap Note 2024 with complete solution HPI: Mr. Smith is a 62-year-old good historian and widower who currently lives alone. He states that his son has recommended he be seen today due to feeling down since his wife passed away 1.5 years ago. He reports this is the first time he has ever been seen for his symptoms. He has felt down all day every day since her passing and “a big part of me died when she did, and its like its not worth living without her anymore”. He reports that he has never attempted suicide but “wouldn’t mind going to sleep and not waking up”. He denies having plans to hurt himself stating, “No I could never do that to my kids, I couldn’t take away both their parents”. He denies plans to hurt himself. He denies homicidal thoughts. He reports he used to attend church but has lost interest since his wife passed. He denies treatment for his symptoms in the past. He reports feeling worse on her birthday or on anniversaries. He reports that nothing has improved his mood. His symptoms have caused him to decrease his hours at work to part time. He reports he can perform day to day tasks and take care of himself. He denies previous diagnosis of depression in the past. He reports he can hear his wife at times but knows she is not actually there, and it is not her actual voice. He has 5 children that live in the same town, and he feels they are reliable support for him. He states they invite him places, he just doesn’t feel like going out anymore. It’s like everything has kind of lost its meaning.

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