Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Week 3 practicum

19/09/2020 Client: lyjly0 Deadline: 2 Day


  • 2Assessing Clients“A comprehensive assessment of the patient who presents for psychotherapy is necessary to develop an appropriate treatment plan.  This assessment is a relational process that sets the tone for subsequent sessions” (Wheeler, 2014, p. 131). As a future Psychiatric Mental Health Nurse Practitioner, it is essential to be able to accurately assess clients to determine whether yourtherapeutic approach would contribute to improved clinical outcomes.  The purpose of this assignment is to select a client that was observed or counseled at my practicum site and completea comprehensive client assessment and genogram for the client selected.Comprehensive Client AssessmentDemographic information for the client chosen is as follows:  The client is a 27-year-old African female who resides in Maryland.  She is a single, heterosexual, mother of fraternal twins,a boy and a girl.  She was referred by her psychiatrist to the current counselor for psychotherapy and is primarily followed by the psychiatrist for medication management.  The client has been receiving psychotherapy for the past two years.  Her presenting problem revolves around learning how to be independent while coping with her mental illness.  She stated, “I need help with figuring out my finances.”  History of present illness:  Client has a history of bipolar and presented to the office with complaints about her “baby daddy” not wanting to help her out with their children and about how difficult it’s going to be when her cousin stops keeping her twins because daycare is expensive.  She also expressed discontent towards her father interfering in herpsychiatric care because he shares the same Nigerian ethnicity as her psychiatrist and she wants to be on less medication and receives more psychotherapy.  The client’s past psychiatric history includes two psychiatric hospitalizations for manic episodes with psychosis.  Medical history includes a previous diagnosis of hypertension (HTN), but that diagnosis was later removed.  The 

  • 3client never took any medications for HTN diagnosis, and HTN resolved through life modifiers. Currently takes Lithium and Cogentin.  The client has no substance use history, and developmental milestones were reached as expected.  No family psychiatric history reported.  Psychosocial history:  She currently lives with her father.  Her youngest brother and cousin, who is married, also reside in the same house.  She works a full-time minimum wage job and is recently single.  She has been in contact with her ex-boyfriend who is trying to ‘hook up’ with her to have sex.  She is the mother of fraternal twins, a boy and a girl.  No history of abuse or trauma.Psychiatric Review of SystemsClient denies “shortness of breath, heart palpitations, panic attacks, sweating flushing, hyperventilation, sense of doom, fear of death or collapse, cold or clammy skin, and tingling sensations in extremities” (Wheeler, 2014, p. 140).  Client denies feeling sad, irritable, tired, having a decreased appetite or energy, changes in sleep or libido, suicidal ideation, homicidal ideation, s/s of hypomania, and feeling of hopelessness.  The client did not present with hallucinations, delusions, flight of ideas, thought insertion, thought blocking and thought broadcasting in sessions (Wheeler, 2014).    Physical Assessment Vital signs: BP128/72; P 78 and regular, R 18 and regular; Temp 98.3 orally.  Current weight is215 pounds.  Height is 5’9” General: She is a well-developed, well-nourished African American female who is alert and cooperative.  Se is a good historian and answers questions appropriately. HEENT: No loss of vision or hearing. No nasal congestion, sneezing, rhinorrhea, and postnasal drainage.  Nasal mucosa pink and moist.  No enlarged tonsils.Neck: No enlarged lymph nodes.Chest:  Thorax symmetrical.Lungs:  Breath sounds clear throughout all lung fields; no rhonchi or wheezes noted.Heart:  Heart rate is regular with good S1, S2; S3 auscultated.Peripheral Vascular: 2+ edema present to bilateral ankle. Abdomen:  Nondistended and nontender with active bowel sounds auscultated x4 quadrants.

  • 4Genital/Rectal:  Not assessed.  Denies vaginal/rectal discharge and bleeding.Musculoskeletal: No joint pain or discomfort present.Neurological:  Awake, alert, and oriented to person, place, and time.Skin:  Cool and dry Intact. No ecchymosis or edema.  Skin turgor good.  No cyanosis, pallor, or jaundice present.Mental Status ExamAppearance/Attitude: Pleasant groomed African American female sitting up on the couch, good hygiene.Psychomotor Behavior: Good eye contact, appears comfortable. No abnormal movements, normal speed.Speech/Language: Fluent, appropriate quantity, volume, rate, latency.Affect: Euthymic.Mood: "I’m good."Thought Process/Form of thought: Goal-directed and logical. Thought Content/Perceptions: No delusions, hallucinations, or SI/HI.Sensorium/Level of awareness: Fully awake and alertAttention/Concentration: Fully intact and attentive. Can name days of week backward.  Memory/recent/remote: Intact for immediate, recent, and remote. 3/3 delayed recall.Fund of knowledge: Appropriate for educational level. Executive Functions: Intact.Insight/Judgment: fair/fairDifferential DiagnosisDifferential diagnoses that could be considered for this client include anxiety, obsessive-compulsive disorder (OCD), and attention deficit hyperactivity disorder (ADHD).  Everyone experiences occasional anxiety, but for a person with anxiety disorder, it doesn’t go away and can worsen over time (National Institute of Mental Health, 2013).  Anxiety was selected as a differential diagnosis due to this disorder being prevalent in Bipolar disorder (BD) patients, and these “patients have particularly high rates of lifetime anxiety disorders” (Yuen, Miller, Wang, Hooshmand, Holtzman, Goffin, Shah, & Ketter, 2016, p. 101). “ADHD is an early-onset neurodevelopmental disorder characterized by developmentally inappropriate symptoms of inattention, hyperactivity, and impulsivity, that affects 5% of childhood population and persists into adulthood in up to 50% of the cases” (Torres, Garriga, Sole, Bonnín, Corrales, Jiménez,   

  • 5Sole, Ramos-Quiroga, Vieta, Goikolea, & Martínez-Aran,  2018, p. 118).  ADHD was chosen as a differential diagnosis due to its presence in clients that have a BD diagnosis.  “It is known that between 10 to 30% of adult patients with BD present comorbidity with lifetime ADHD” (Torres et al., 2018, p.118).  Not only are their clinical correlations between BD and anxiety but the treatment approaches overlap with them (Torres et al., 2018).  OCD was chosen as a differential diagnosis due to the prevalence in individuals with BD.  “The estimated prevalence of BD in OCD has been reported to be 6–56% in various studies” (Saraf, Paul, Viswanath, Narayanaswamy, Math, & Reddy, 2017, p. 70).   Case FormulationThe client is an African American 27-year-old female and mother of twins learning how to become independent and cope with her mental illness.  She has had a history of being hospitalized for mania with psychosis twice.  Her mother recently passed away with whom she was very close.  She is currently having financial difficulties and issues with the father of her children not contributing to her children’s lives and experiences anxiety related to these issues.  She lives at home with her father but is trying to prepare herself for independent living.  She would like to be in control of her mental health as it pertains to receiving more psychotherapy and decreasing the doses of her current medications because she stated they maker her “slow” especially at work.  She has impairment with her occupational functioning and has concerns about with management not being understanding of her mental illness.  She also voiced that she did not want her father involved in her treatment plan any longer.  Treatment PlanThe current plan is for the client to continue the medication regimen of Lithium and Cogentin and report any side effects.  Individual psychotherapy will continue and goals 

  • 6discussed with the client regarding her employment, financial planning, and familial changes andoverall management of her concerns

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Top Academic Guru
Academic Master
Assignment Hub
Ideas & Innovations
Peter O.
Math Specialist
Writer Writer Name Offer Chat
Top Academic Guru

ONLINE

Top Academic Guru

This project is my strength and I can fulfill your requirements properly within your given deadline. I always give plagiarism-free work to my clients at very competitive prices.

$135 Chat With Writer
Academic Master

ONLINE

Academic Master

I have super grip on essays, case studies, reports and discussion posts. I am working on this forum from last 6 years with full amount of satisfaction of my clients.

$140 Chat With Writer
Assignment Hub

ONLINE

Assignment Hub

I feel, I am the best option for you to fulfill this project with 100% perfection. I am working in this industry since 2014 and I have served more than 1200 clients with a full amount of satisfaction.

$155 Chat With Writer
Ideas & Innovations

ONLINE

Ideas & Innovations

Hi, Hope you are doing well. I can do this easily because I have several experiences to write articles on different web sites, creative content for several blogs & also SEO writing. Even I have written many kindle ebooks, Being a creative writer, I think I am the most eligible person for your Ghostwriting project. So lets make no longer delay & start chatting immediately.

$160 Chat With Writer
Peter O.

ONLINE

Peter O.

Hi, I am an MS Research Scholar, and after carefully reading the description of the project I can confidently say that I am a suitable candidate, equipped with right skills, to complete this valuable task of yours. I assure you timely completion, originality and grammatically correct content, according to your needs. Please feel free to contact me for completion of this task. Thank you very much.

$160 Chat With Writer
Math Specialist

ONLINE

Math Specialist

I am a specialist in MATHS with having 12 years of experience. I can help you with Maths, Stats, Algebra and Calculus within very short amount of time. Please check my reviews,rating and samples to check my skills and level.

$155 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

“The Devil and Tom Walker” - Nuffield a level physics - Commonwealth bank international transfer fee - Candidate statement for college - Cylindrical rotor alternator have - Glenrose court portrush road - Hunt & mello 2015 marketing 1st edition mcgraw hill pdf - Noel carroll the philosophy of horror pdf - Managing differences the central challenge of global strategy pdf - 3/137 olsen avenue labrador - Basic electrical symbols chart - Programming Java Database - Interviewing Discussion - Betty anne waters nancy taylor - What is a nursing diagnosis for diabetes - Short reaction essay (2 pages double-spaced, 12 point font) - Wk2 Project for my Epidemiology and disease control - Omnet++ Assignment - Asme ansi b30 crane standards - Reseach methods homework, pre thesis - Data analysis plan example pdf - 2 relays one switch - What is the main goal of gohsep - Gynaecology forth valley hospital - Constantine becomes a christian - Extended operating systems unsw - Shin etsu microsi g751 - Week 8B - Arizona state masonry - Wire gauze science definition - How do i get a dhl waybill - 160 mm to cm - Assessing Clients With Addictive Disorders - Dd - Snotty boy glow up song - How values affect choices - Student integrity - Spiritual value of the grand canyon - How should we live an introduction to ethics pdf - Nitro pro toolbar missing - Work - Final Draft Revision - Twain corn pone opinions - Week 1 project - What might happen if business strategy was not the driver - Ethical decision making paper - Live ucl outlook web access - East egg new york - The madoff affair discussion questions answers - Social transformation - Vocab words in lord of the flies - Property essay - Mark twain writing style - Bush digital radio jb hi fi - Problem 3-6a applying the accounting cycle lo p1, p2, p3, p4, p5 - Monash exam timetable 2021 - What is 2 fifths of 20 - Beautiful are the feet - Importance of ex post facto research - Hickman v kent or romney marsh sheep breeders - Resisted knee extension test - Mgt 460 week 3 assignment - The sql command that allows a user to permanently save data changes is _____. - Week 6 Crisis intervention - Cypress college course catalog - Example of e commerce assignment - Beth moore daniel session 10 speechless vimeo - Evaporative cooler dropper size - Swift standards release 2016 - Medical access program providers - Tutor - Maximizing owners' equity value means carefully considering all of the following except: - Docs rapidminer - When the joneses wear jeans - Why was mrs mallard unhappy in her marriage - Discussion: Clinical Supervision week 5 - How to find ksp from absorbance - Classification of cyst slideshare - Elementary statistics a step by step approach edition - Needs and wants of ancient communities pdf - The stanford prison experiment hypothesis - Www se com sa ar sa customers pages ebill aspx - Mitsubishi m net cable - Project 1 - Freeman tilden interpreting our heritage - A force-coercion strategy for change involves the use of - Openstax org details books us history - Business intelligence platform installation guide - Communication skills workshop outline - Cross border commerce satterlee brian pdf - Starbucks delivering customer service summary - Discussions 7 - They say i say moves academic writing edition 3rd - Cold cranking amps chart - This tv channel on directv - Case 9 the data cleansing task - Van der westen speedster - When was the fall of the house of usher written - FOR PROFESSIONAL RESEARCH WRITER ONLY - Motivation for sentiment analysis - Carolina windom 40 plus