Clinical assignment:
Written Work: Complete the following written paperwork
a. Read the following Case study on Depressive Disorder with psychotic features
b. Discuss the Pathophysiology of this disorder
c. List three Nursing Diagnoses based on this Case study and complete a Mental Health Care Plan for one. Use the format given to you in your course materials. {4 Nursing interventions and rationales for each interventions. Also 4 evaluations of the goals you set (hint: you decide if the goals where met or unmet).
d. What Diagnostics Tests/Labs would be used with this patient?
e. List four Meds used with Depression and psychoses and address each of the following categories: Generic Name, Trade Name, recommended dosage, mechanism of action, drug classification, side effects, and nursing implications.
f. Meds: cymbalta, seroquel, trazodone, zyprexa, Latuda, Vraylar
g. Complete the Erickson form based on your case study details.
Case study:
JR is a 28 y/o F, Married, employed and in Medical school. She is a high achiever and has very high standards for herself. She can be very self-critical when she fails to meet them. Lately, she has struggled with significant feelings of worthlessness and shame due to her inability to perform as well as she always has in the past.
For the past few weeks Jessica has felt unusually fatigued and found it very difficult to concentrate at work. Her coworkers noticed that she is very irritable and withdrawn, which is quite different from her typically upbeat and friendly disposition. She has been complaining about hearing voices and seeing people who are not there. She also complains of hurting all over and began to call in sick frequently and has begun to stay in bed all day, crying or sleeping.
At home, Jessica’s husband has noticed changes as well. She’s shown little interest in sex and has had difficulties falling asleep at night. Her insomnia has been keeping him awake as she tosses and turns for an hour or two after they go to bed. He’s overheard her having frequent tearful phone conversations with her closest friend, which have him worried. When he tries to get her to open up about what’s bothering her, she pushes him away with an abrupt “everything’s fine”.
Although she hasn’t ever considered suicide, Jessica has found herself increasingly dissatisfied with her life, tired of hearing the voices and seeing things. She gets frustrated with herself because she feels like she has every reason to be happy, yet can’t seem to shake the sense of doom and gloom that has been clouding each day.
Definition of Terms
Define the following terms and bring to Mental Health Clinical – (First day):
1. Anhedonia
2. Apraxia:
3. Labile:
4. Neuroleptic malignant syndrome (NMS)
5. Tardive dyskinesia
6. Flight of Ideas
7. Loose Associations
8. Confabulation
9. Neologisms:
10. Word Salad:
11. Perseveration:
12. Echolalia:
13. Mutism:
14. Hallucination
15. Illusion
16. Pychosis
17. Delusions:
a. Persecutory:
b. Grandiose:
c. Reference:
d. Control or influence: e. Somatic:
18. Transference:
19. Countertransference:
Tyramine (List six foods high in this chemical
