Nursing unit 6 assignment | Nursing homework help
Nursing unit 6 assignment aq24see attached
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Stress and Anxiety Stress can appear at any time in our lives, but the college years (early adulthood) offer their own type of stressors because it is at this time that one assumes more (if not complete) responsibility for one’s lifestyle behaviors. This written assignment provides an opportunity to demonstrate your knowledge of the assessment, diagnosis and treatment of a young adult patient via a case study example. · Read the following case study and address the sections that follow. IDENTIFICATION: The patient is a 24-year-old, single, Asian-American female. CHIEF COMPLAINT: “I don’t want people noticing my scarred fingers.” HISTORY OF CHIEF COMPLAINT: She has been biting her fingers since she was young. Is in the orchestra and doesn’t want people noticing her fingers. Is overwhelmed with the amount of work in graduate school, which she started two months ago. She states, “I’m worried about getting the work done. So I’ve been biting my fingers more.” Has developed scars on fingers and has become self-conscious about how it looks but cannot stop. PAST PSYCHIATRIC HISTORY: No previous psychiatric treatment or medications. No history of suicide attempts or assaultive behavior. MEDICAL HISTORY: Takes birth control pills. No operations. No medical conditions. Feels tired for the past month. Having difficulty getting to sleep and staying asleep. HISTORY OF DRUG OR ALCOHOL ABUSE: Denied. FAMILY HISTORY: Raised by both Korean-born parents with a younger sister. Father has a history of anemia. No psychiatric family history.
PERSONAL HISTORY
Perinatal: Full-term vaginal birth. Childhood: Started biting her fingers. Started playing in school orchestra. Adolescence: Had many friends. Participated in a number of school organizations. Adulthood: Graduate student in music education for the past two months. Unemployed. Had worked in retail sales. Identifies as a Methodist. Has the same boyfriend for the past two years. No military service or legal history. TRAUMA/ABUSE HISTORY: Denied.
MENTAL STATUS EXAMINATION
Appearance: Well groomed. Fingers are visibly scarred above the proximal interphalangeal joint. Behavior and psychomotor activity: Good eye contact. No motor abnormalities. Cooperative. Consciousness: Alert but appears tired. Orientation: Oriented to all three spheres. Memory: Grossly intact. Concentration and attention: Reports difficulty concentrating. Pacing at night and unable to focus on her school requirements. Was generally attentive and focused during the interview. Visuospatial ability: Not assessed. Abstract thought: Not assessed formally but seems satisfactory. Intellectual functioning: Average or above. Speech and language: Normal rate and volume. Perceptions: No altered perceptions. Thought processes: Organized and logical. Thought content: Preoccupied with academic demands. Suicidality and homicidality: Denied. Mood: Anxious. Affect: Full range. Mood congruent. Impulse control: Good other than not being able to control biting her fingers. Judgment/Insight/Reliability: Good.