Select one drug to treat the diagnosis(es) or symptoms. List medication class and mechanism of action for the chosen medication. Write the pres
- Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
- Select one drug to treat the diagnosis(es) or symptoms.
- List medication class and mechanism of action for the chosen medication.
- Write the prescription in prescription format.
- Provide an evidence-based rationale for the selected medication using at least one scholarly reference. Textbooks may be used for additional references but are not the primary reference.
- List any side effects or adverse effects associated with the medication.
- Include any required diagnostic testing. State the time frame for this testing (testing is before medication initiation or q 3 months, etc.). Includes normal results range for any listed laboratory tests.
- Provide a minimum of three appropriate medication-related teaching points for the client and/or family.
Preparing the Discussion
Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.
General Directions
Review the provided case study to complete this week’s discussion.
Include the following sections:
1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
a. Select one drug to treat the diagnosis(es) or symptoms.
b. List medication class and mechanism of action for the chosen medication.
c. Write the prescription in prescription format.
d. Provide an evidence-based rationale for the selected medication using at least one scholarly reference. Textbooks may be used for additional references but are not the primary reference.
e. List any side effects or adverse effects associated with the medication.
f. Include any required diagnostic testing. State the time frame for this testing (testing is before medication initiation or q 3 months, etc.). Includes normal results range for any listed laboratory tests.
g. Provide a minimum of three appropriate medication-related teaching points for the client and/or family.
2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations:
a. Cite a scholarly source in the initial post.
b. Cite a scholarly source in one faculty response post.
c. Cite a scholarly source in one peer post.
d. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
e. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
3. NR546 W3 Case Study Discussion Rubric
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NR546 W3 Case Study Discussion Rubric |
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Criteria |
Ratings |
Pts |
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This criterion is linked to a Learning OutcomeApplication of Course Knowledge 6 Required Criteria Answer all questions/criteria with explanations and detail: 1. Select one drug to treat the diagnosis(es) or symptoms. 2. List medication class and mechanism of action for the chosen medication. 3. Write the prescription in prescription format. 4. List any side effects or adverse effects associated with the medication. 5. Include any required diagnostic testing. State the time frame for this testing (testing is before medication initiation or q 3 months, etc.). Includes normal results range for any listed laboratory tests. 6. Provide a minimum of three appropriate medication-related teaching points for the client and/or family. |
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40 pts |
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This criterion is linked to a Learning OutcomeIntegration of Evidence 5 Required Criteria Integrate relevant scholarly sources as defined by program expectations: 1. Cite a scholarly source in the initial post. 2. Cite a scholarly source in one faculty response post. 3. Cite a scholarly source in one peer post. 4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week. 5. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations. |
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9.24 MWS
NR 546 Week 3 Case Study
Subjective Objective
Patient’s Chief Complaints:
“They are out to get me”
History of Present Illness
T.M. is a 20-year-old African American male
brought into the clinic by his parents due to
increasingly erratic behavior, social withdrawal,
and impaired occupational functioning. He
believes he is being followed and that "the CIA
is out to get me" T.M. hears two voices that tell
him he is being watched and that people want to
lock him up. These auditory hallucinations have
been occurring for the past 8 months and have
become more frequent. T.M. displays
disorganized thoughts, paranoid ideation, and
auditory hallucinations. His family is concerned
about his well-being and has sought
professional help due to his decline in
functioning.
Past psychiatric history: None
Past Medical History: Occasional
headaches, treated with OTC pain
relievers.
Family History
• Father is alive, has diabetes
• Mother is alive, has history of
hypertension
Physical Examination: General
Alert, appropriately dressed African American male in no
apparent distress. He appears older than his stated age.
Vital Signs: BP-128/84, T-98.8F, P-84, RR-20, SpO2: 98%
Wt 220 lbs, Ht 5’10”
9.24 MWS
• Two older sister- both healthy
• Mother reports her brother has
schizophrenia
Social History
• Lives with parents
• Does not have many friends
• unemployed, has not been able to keep
a job due to worsening paranoia
• High school graduate
• Smokes 1 pack a day
• Drinks socially, 1-2 times a week,
mostly beer
• Several gasses of coke or sweet tea
during the day
• Smoke marijuana daily, 3-4 times a day
• no formal exercise
• no hobbies
Review of Systems
• Occasional headaches relieved with
acetaminophen
• Appetite good, weight stable
• Sleeps 4-5 hours at night
Allergies: NKDA
Mental status exam:
•Cranial nerves II-VIII intact
•Gait steady
•Denies headache and dizziness
Appearance: Disheveled appropriate dress for age and
situation, well nourished, eye contact poor, No apparent
distress
Alertness and Orientation: Fully oriented to person‚ place‚
time‚ and situation, Alert
Behavior: Cooperative
Speech: Soft, flat
Mood: Euthymic
Affect: Constricted, congruent
Thought Process: Tangential, loose associations
Thought content: Paranoid with delusions that he is being
followed by the CIA. No thoughts of suicide‚ self-harm‚ or
passive death wish, denies thoughts of wanting to harm
others.
Perceptions: No response to internal stimuli noted during
interview, however, seen talking to himself while being
observed from a distance, reports auditory hallucinations.
Memory: Recent and remote WNL
Judgement/Insight: Insight is poor, Judgement is poor
Attention and observed intellectual functioning: Attention
intact for purpose of assessment.
Fund of knowledge: Good general fund of knowledge and
vocabulary
Musculoskeletal: Normal gait and station
Diagnosis: F20.9 Schizophrenia, unspecified
Psychopharmacology Questions: see the discussion guidelines rubric
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