NRNP 6635 Week 4 Assignment
NRNP 6635 Week 4 Assignment
Week 4: Anxiety Disorders, PTSD, and OCD
Your own experiences might tell you that expectations from family, friends, and workas well as your own expectations regarding achievement, success, and happinesscan create stress. Stressors are a normal part of life, and stress traditionally has been viewed as an adaptive function with a set of physiological responses to a stressor. In a situation where stress is perceived, the organism is physiologically prepared to attack or flee from the threat. Those with effective fight or flight responses tended to survive long enough to reproduce, so we are descended from those who are genetically hardwired for self-protection. When you experience stress, your biology, emotions, social support, motivation, environment, attitude, immune function, and wellness all feel the ripple effect. NRNP 6635 Week 4 Assignment
ORDER NOW FOR CUSTOM-WRITTEN, PLAGIARISM-FREE PAPERS
This stress response is an adaptive response the human body has to threats; however, stress can also be difficult to handle anddepending upon the nature and intensity of the stresscan result in anxiety disorders, obsessive-compulsive disorders, or trauma- and stressor-related disorders. This week, you will focus on these disorders and explore strategies to accurately assess and diagnose them.
Learning Objectives NRNP 6635 Week 4 Assignment
Students will:
- Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient information
-
Formulate differential diagnoses using
DSM-5
criteria for patients with anxiety disorders, PTSD, and OCD across the lifespan
Learning Resources
-
Required Media
(click to expand/reduce)Classroom Productions. (Producer). (2015).
Anxiety disorders
[Video]. Walden University.Classroom Productions. (Producer). (2012).
The neurobiology of anxiety
[Video]. Walden University.Classroom Productions. (Producer). (2015).
Obsessive-compulsive disorders
[Video]. Walden University.Classroom Productions. (Producer). (2015).
Trauma, PTSD, and Trauma-Informed Care
[Video]. Walden University.MedEasy. (2017).
Anxiety, OCD, PTSD and related psychiatric disorders | USMLE & COMLEX
[Video]. YouTube. https://www.youtube.com/watch?v=-BwzQF9DTlY. NRNP 6635 Week 4 Assignment
NRNP 6635 Case History Reports
Use these case histories to supplement the information about the patients in the video case studies.
Table of Contents
Week 4: Anxiety Disorders, PTSD, and OCD .. 6
Week 7 Schizophrenia and Other Psychotic Disorders; Medication-Induced Movement
Disorders 9
Week 8 Substance-Related and Addictive Disorders 11
Week 10 Neurocognitive and Neurodevelopmental Disorders . 12
Week 3: Mood Disorders
Training Title 2
Name: Ms. Julie Houston Gender: female
Age:19 years old
T 98.1 P-78 R-18 119/74 Ht 52 Wt 184lbs
Background: Recently started a business undergraduate program in Boston, MA after growing up and living in South Carolina her whole life. Grew up with both parents, two brothers, and one sister. Currently lives in off-campus housing with two other female roommates. Currently a full-time student, not employed. Not married, currently single. She has no previous psychiatric history; takes no medications. There is no psychiatric or substance use history for her or family. No legal hx NKDA
Symptom Media. (Producer). (2016).
Training title 2
[Video].
https://video-alexanderstreet-
com.ezp.waldenulibrary.org/watch/training-title-2
Training Title 8
Name: Mrs. Leslie Tilman Gender: female
Age: 32 years old
T- 97.6 P- 97 R 22 149/98 Ht 53 Wt 245lbs
Background: Recently had her first child two months ago. Currently married; stay at home mother after working in retail for 5 years. Grew up with both parents, one sister in Omaha, NE. Completed education through bachelors level, studying physics. Previous employment included research science as well as high school substitute teaching for 5 years prior to birth. No previous suicidal gestures; has uncle who committed suicide via GSW. She denied drugs/alcohol; uncle was opioid abuser. Hx of HTN-prescribed labetalol 100mg twice daily, admits to missing doses due to forgetting. No legal hx. Allergies: codeine. NRNP 6635 Week 4 Assignment
Symptom Media. (Producer). (2016).
Training title 8
[Video].
https://video-alexanderstreet-
com.ezp.waldenulibrary.org/watch/training-title-8
Training Title 18
Name: Ms. Ashley Domingo Gender: female
Age:20 years old
T-97.9 P-68 R-18 118/82 Ht 51 Wt 120lbs
Background: Currently living off-base in California, active duty in the Army, MOS 92M Mortuary Affairs Specialist. Grew up in Houston, TX with both parents and one brother. Completed education through high school. Currently partnered. No children. Mother history of depression; brother hx of cannabis use. No medical history. No legal hx; NKDA
Symptom Media. (Producer). (2017).
Training title 18
[Video].
https://video-alexanderstreet-
com.ezp.waldenulibrary.org/watch/training-title-18
Training Title 28
Name: Mrs. Louise Carson Gender: female
Age: 49 years old
T- 98.8 P- 99 R 20 150/88 Ht 55 Wt 135lbs
Background: Currently living in Indianapolis, IN, working full-time as a logistics buyer in a medical facility. Has an MBA. Lives with her husband and three children, three boys who are all teenagers. Born and raised in Indianapolis, IN with her mother and two sisters. Father deceased in MVA when she was 2 years old. Sister has depression; mother has history of being a functioning alcoholic. Recently informed by her PCP she has a fatty liver. Allergies: latex
Symptom Media. (Producer). (2016).
Training title 28
[Video].
https://video-alexanderstreet-
com.ezp.waldenulibrary.org/watch/training-title-28
Training Title 38
(same patient in video 43 but presentation of his illness pre-hospitalization)
Name: Mr. Will LomanGender: male Age:19 years old
T- 98.6 P- 94 R 24 128/78 Ht 57 Wt 152lbs
Background: Currently lives with his sister and two parents in Jacksonville, FL. Not currently employed. Completed high school, not currently in school. Hx of treatment for mood disorder began age 15, previous trials of Depakote, Olanzapine off and on, side effects of wt. gain. Has hx of a three-day hospitalization one year ago after found wandering on the side of the freeway, but he signed himself out against medical advice. He refused medication due to previous experiences. Not currently partnered. He has been sexually inappropriate with comments to female neighbors; pulled his pants down in the mall. Denies any recent alcohol or substance use. Father has history of bipolar disorder. No history of self-harm behaviors, no family suicides. Mother reports he has slept 23 hours in past week, up spending money buying and playing new video games and says he is writing a book on how others can be a video game master. Appetite is decreased. No medical hx; Hx of trespassing as a juvenile. Has pending court date for indecent exposure. Allergies: PCN
Symptom Media. (Producer). (2016).
Training title 38
[Video].
https://video-alexanderstreet-
com.ezp.waldenulibrary.org/watch/training-title-38
Training Title 43
(same patient in video 38 but presentation of his illness with hospital treatment)
Name: Mr. Will Loman Gender: male
Age:19 years old
T- 98.2 P- 74 R 18 120/70 Ht 57 Wt 156lbs
Background: Currently lives with his sister and two parents in Jacksonville, FL. Not currently employed. Completed high school, not currently in school. Hx of treatment for mood disorder began age 15, previous trials of Depakote, Olanzapine off and on, side effects of wt. gain. Has hx of a three-day hospitalization one year ago after found wandering on the side of the freeway, but he signed himself out against medical advice. He refused medication due to previous experiences. Not currently partnered. He has been sexually inappropriate with comments to female neighbors; pulled his pants down in the mall. He is currently in hospital admitted one week ago, was initiated on lithium 300mg po three times daily and risperidone 1mg at bedtime. Denies any recent alcohol or substance use. Father has history of bipolar disorder. No history of self-harm behaviors, no family suicides. Mother reports he has slept 23 hours in past week, up spending money buying and playing new video games and says he is writing a book on how others can be a video game master. Appetite is decreased. No medical hx; hospital admission labs within normal ranges, UDS negative; Hx of trespassing as a juvenile. Has pending court date for indecent exposure. Allergies PCN
Symptom Media. (Producer). (2016).
Training title 43
[Video].
https://video-alexanderstreet-
com.ezp.waldenulibrary.org/watch/training-title-43
Training Title 150
Name: Ms. Liliana Ball Gender: female Age:16 years oldT- 97.4 P- 84 R 18 134/88 Ht 53 Wt 118lbs
Background: Currently living with her parents in Tacoma, WA along with two young siblings. She is a sophomore in high school, not currently partnered, reports she is bisexual, lately having lot of unprotected sex that her parents dont know about. She has been stealing money out of her moms purse to buy clothes, makeup, and just other things. She has history of treatment since age 7 for conduct disorder, depression, history of taking sertraline which worsened her irritability, aggression, impulsivity. She has been in a 3-month teen residential mental health facility discharged one month ago with lithium 300mg in am and 600mg at bedtime, aripiprazole 10mg in the morning. When discharged, her labs were within normal ranges and urine toxicology negative. She was positive for cannabis upon admission. Her parents believe she is hiding her medication as she has made comments they slow me down; they crush my creative art. She has hx of domestic violence toward her mother and 2 younger sisters as juvenile. No current legal issues. Her grandmother has hx of bipolar disorder; her mother and her maternal aunt have anxiety. She is sleeping 34hrs/24 hrs. Reports her appetite is great. She has no medical issues; has Nexplanon implant; hx of self-harm with cutting.
Symptom Media. (Producer). (2018).
Training title 150
[Video].
https://video-alexanderstreet-
com.ezp.waldenulibrary.org/watch/training-title-150
Training Title 118
Name: Mr. Oscar Luna Gender: maleAge: 52 years old
T- 98.6 P- 90 R 24 140/84 Ht 58 Wt 170lbs
Background: Born and raised in Leopold, IN. Is staying at a shelter after being homeless in MacArthur Park for 1 year in Los Angeles. He lost his apartment and his job working part-time as a dishwasher. Enjoys playing music. He has long hx of mental health treatment since age 14. Previous medication trials include lithium (toxicity), Depakote (wt gain), aripiprazole (akathisia), risperidone (dystonia), haloperidol (didnt give a fair trial), quetiapine (wt gain), reports in past helpful medication was lurasidone, lamotrigine, olanzapine but states they really squash my creative song writing though. Poor historian. Never married, reports he is gay, no children; estranged from only living sister, parents deceased. He is not sure of his family mental health or substance use history but feels like he is most like his aunt, she has history of mental health treatment but Im not sure for what. States that he got a masters degree in music theory at Stanford. Admits to 13 drinks of alcohol when playing music in the clubs, denied illicit drugs, has history of overdose at age 28, history of 3 inpatient psychiatric hospitalization, most recent was 1 year ago. Allergies: doxycycline; hx of rosacea. NRNP 6635 Week 4 Assignment
Symptom Media. (Producer). (2018).
Training title 118
[Video].
https://video-alexanderstreet-
com.ezp.waldenulibrary.org/watch/training-title-118
Training Title 144
Name: Ms. Amy Hartford Gender: femaleAge: 32 years old
T- 98.2 P- 74 R 18 120/70 Ht 51 Wt 150lbs
Background: Currently lives in Phoenix, AZ, divorced with two children ages 10 and 8. Born and raised in Tucson, AZ with her mother and four sisters NKDA; no legal hx
Symptom Media. (Producer). (2018).
Training title 144
[Video].
https://video-alexanderstreet-
com.ezp.waldenulibrary.org/watch/training-title-144
ORDER NOW FOR CUSTOM-WRITTEN, PLAGIARISM-FREE PAPERS
Week 4: Anxiety Disorders, PTSD, and OCD
Training Title 15
Name: Mr. David Jackson Gender: male
Age:19 years old
T- 98.8 P- 89 R 18 110/62 Ht 57 Wt 133lbs
Background: Lives in Minneapolis, MN with both of his parents, only child. Works part time at Starbucks. Not currently partnered. No previous psychiatric history. Symptoms began in the last
1.5 months when he discovered he is being activated with the Navy Reserves. His MOS is SK1 Storekeeper; no medical illnesses Allergies: NKDA; sleeps 6.5 hrs; appetite good
Symptom Media. (Producer). (2017).
Training title 15
[Video].
https://video-alexanderstreet-
com.ezp.waldenulibrary.org/watch/training-title-15
Training Title 21
Name: Sergeant Patrick Flanrey Gender: male
Age:27 years old
T- 97.4 P- 84 R 18 B/P134/88 Ht 58 Wt 167lbs
Background: He entered the military just after high school and did three long tours of duty in warzones. He separated from active duty in the Marines (MOS 0800 Field Artillery) less than a year ago after eight years of service. He is engaged to be married (no date set) and is currently working as a furniture salesman. He said he grew up poor and would not do much else if
he didnt go into the military. He denies ever using any drugs and avoids alcohol because his
father was sloppy drunk. Father is still alive, unwell (DM, liver disease, HTN), still
drinking. Paternal grandfather was also a veteran and suffered depression at times though he never told anyone except the patient because of their combat connection. Mother is alive and well, still caring for dad. He has one younger and one older sister. He lives in a different state, approximately five hours from his parents and siblings. After the military, he and his fiancé moved because she got a much better opportunity. They want kids someday and hope to marry in a year or two. Has service-connected asthma, seasonal allergies; no hx of psychiatric or substance use treatment.
Symptom Media. (Producer). (2016).
Training title 21
[Video].
https://video-alexanderstreet-
com.ezp.waldenulibrary.org/watch/training-title-21
Training Title 37 Name: Mr. Tony Patelli Gender: male
Age:18 years old
T- 98.8 P- 94 R 20 126/88 Ht 54 Wt 131lbs
Background: Lives alone in New York, raised by parents in New Jersey, only child. He is a full- time student at local community college for graphic design. Has a girlfriend from high school. No previous psychiatric history. No medical illnesses; no history of psychiatric treatment; denied drugs or alcohol; Allergies: NKDA; sleeps 7.5 hrs; appetite eats 3 meals/day, likes to keep a routine schedule.
Symptom Media. (Producer). (2016).
Training title 37
[Video].
https://video-alexanderstreet-
com.ezp.waldenulibrary.org/watch/training-title-37
Training Title 40
Name: Ms. Barbara Weidre Gender: female
Age: 56 years old
T- 99.0 P- 99 R 24 132/89 Ht 54 Wt 168lbs
Background: Lives with her husband in Knoxville, TN, has one daughter age 23. She has never worked. Raised by mother, she never knew her father. Mother with hx of anxiety; no substance hx for patient or family. No previou
Categories: