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NSG 6005 Week 5 -Assignment 1 Discussion

GF is a forty-one-year-old woman who arrives for her first visit at the clinic

Select one of the two questions from the discussion questions listed below .By Week 5, Day 3, respond to the selected discussion question and submit your response to this Discussion Area .

Be sure to respond to the question using the lessons and vocabulary found in the reading .Justify your answers using examples and reasoning .Support your answers with examples and research and cite your research using APA format .

Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ posts .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. GF is a forty-one-year-old woman who arrives for her first visit at the clinic…..

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NSG 6005 Week 5 Assignment 1 Discussion Question 1

GF is a forty-one-year-old woman who arrives for her first visit at the clinic .She reports that she has been feeling sad and depressed, with crying spells, trouble sleeping, increased appetite, impaired concentration, and fatigue .She has experienced depression in the past but was able to overcome the symptoms without medication .Upon physical exam, she appears to be poorly groomed and with minimal facial expression .She is slow to respond to questions .She admits to being very anxious and worried about “everything .” She denies any current suicidal ideation .However, she expresses concerns about the future and that it may not be an improvement .She has tried over-the-counter medications to help with sleep, but they have not been effective .Answer the following questions:

  • What additional information would you like before making a decision about what to do with GF?
  • What approach would you suggest for this patient? Which of her symptoms would concern you and require intervention?
  • Does she need to be referred to another provider, or can she be managed in a primary care setting?
  • Are there any nonpharmacological strategies that might be appropriate for her?
  • For medications, include dosages and schedules .Include highlights of patient teaching and/or lifestyle alterations .Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication. GF is a forty-one-year-old woman who arrives for her first visit at the clinic….

NSG 6005 Week 5 Assignment 2 Quiz

1 .Question : Jake, a forty-five-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance .He was treated with intramuscular (IM) long-acting haloperidol .Besides being monitored for his schizophrenia symptoms, the patient should be assessed by his primary care provider:

  • For excessive weight loss
  • With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS) symptoms
  • Monthly for tolerance to the haloperidol
  • Only by the mental health provider as most nurse practitioners in primary care do not care for mentally ill patients

Question 2 Sarah, a forty-two-year-old female, requests a prescription for an anorexiant to treat her obesity .A trial of phentermine is prescribed .Prescribing precautions include understanding that:

  • Obesity is a contraindication to prescribing phentermine .
  • Anorexiants may cause tolerance and should only be prescribed for six months .
  • Patients should be monitored for postural hypotension .
  • Renal function should be monitored closely while the patient is on anorexiants .

Question 3 .Cara is taking levetiracetam (Keppra) to treat seizures .Routine education for levetiracetam includes reminding her:

  • To not abruptly discontinue levetiracetam due to the risk of withdrawal seizures
  • To wear a sunscreen due to photosensitivity from levetiracetam
  • To get an annual eye exam while on levetiracetam
  • To report weight loss if it occurs

Question 4 .A nineteen-year-old male was started on risperidone .Monitoring for risperidone includes observing for common side effects, including:

  • Bradykinesia, akathisia, and agitation
  • Excessive weight gain
  • Hypertension
  • Potentially fatal agranulocytosis

Question 5 .Prior to starting antidepressants, patients should have laboratory testing to rule out:

  • Hypothyroidism
  • Anemia
  • Diabetes mellitus
  • Low estrogen levels

NSG 6005 Week 5 Assignment 1 Discussion Question 2

ST is a twenty-five-year-old male who presents to the clinic with a major complaint of insomnia .He has been experiencing problems sleeping for the past month .He has been “borrowing” medication from his mother and friends, such as diazepam and alprazolam, and he finds that these are helpful in allowing him to sleep .He was also diagnosed with asthma at the age of ten .He has been using an inhaler, as needed, but he cannot recall the name of the inhaler .He is currently working part-time through a temporary agency, and he has not been able to find any full-time work .Answer the following questions:

  • What additional information would you like to obtain from ST?
  • What are the possible reasons for his insomnia?
  • What are the possible strategies you can use to help him with the insomnia?
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