DSC Nursing Mental Health Evaluation & the Military Service Discussion

Watch this video :Initial Psychiatric examiantion – IntroductionLinks to an external site. 

NP Psychiatric examination

After reviewing the videos above, discuss the following questions on the case study highlighed beliw:

A 35 year old male patient presented to the nurse practitioner’s clinic to establish care.  Patient is a retired veteran and recently had a honorable discharge from the Military. He stated that since being back home full time, he has had problems with sleeping, irritability, and often shouts at his kids at the least provocation.  The nurse practitioner noted during his history taking that he confirms waking up at night time in cold sweats after having night mares. He also told that the nurse practitioner that during his time in Iraq, he lost two of his battle buddies. He feels bad because they went on an assignment together and he survived.  He denies any Suicidal or Homicidal Ideations during the visit.

1. After watching the videos, what are the important questions that you will ask the patient to elicit a good history?

2. What subjective data did you elicit from his history that will help you with an actual diagnosis for this patient?

3. What diagnostic or laboratory imaging would you order for this patient?