Diagnosis and Management of Generalized Anxiety Disorder.

Diagnosis and Management of Generalized Anxiety Disorder.

Diagnosis and Management of Generalized Anxiety Disorder.

Assignment 3 L. P., age 23, is a Hispanic woman who graduated from college last year. She reports to the CNP in her local community mental health center. She began working as an accountant 1 month after graduating.

Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted.

Diagnosis and Management of Generalized Anxiety Disorder.

Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L. P. reports that she has a good relationship with her boyfriend but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself.

Diagnosis and Management of Generalized Anxiety Disorder.

The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects. In a paper not to exceed six pages, excluding title and reference pages, submit your answers to the following in an MS Word document: What is L. P.’s likely diagnosis? List specific pharmacotherapeutic treatment goals for L. P. Should the CNP order any labs for L. P. at this time? Why? What drug therapy would the CNP likely prescribe? Why? What are the parameters for monitoring the success of the therapy?

Diagnosis and Management of Generalized Anxiety Disorder.

Describe specific patient monitoring based on the prescribed therapy. List one or two adverse reactions for the selected agent that would cause the CNP to change therapy. L. P. returns to see the CNP after six weeks, complaining of still feeling anxious and had heard of a medication called Klonopin that she would like to try; how should the CNP respond to her request? What health promotion activities should be recommended for this patient? What is L. P.’s long-term prognosis? Please use the Case Study Analysis rubric provided to guide you in completing this assignment. It will be used to evaluate your submitted work. Competency 40 36 33 0 Points Earned Case Study questions completely and thoroughly answered with accurate evidence-based supported rationales Accurate and well defined discussion of all 10 questions for the case study using current evidence-based resources.

Diagnosis and Management of Generalized Anxiety Disorder.

Accurate discussion of nine case study questions presented with use of current evidence-based resources. Accurate discussion of 8 questions using current evidence-based resources Missing response to questions or inappropriate answers to questions. No use of evidence-based resources. /40 40 36 33 0 Evidence of critical thinking therapeutic decision-making in drug selection and evaluation of patient care pathophysiology and current pharmacological research assessment of the effectiveness of drug therapy formulation of clinical care and teaching plans for persons from diverse populations Well-defined evidence of critical thinking therapeutic decision-making in drug selection and evaluation of patient care pathophysiology and current pharmacological research assessment of the effectiveness of drug therapy formulation of clinical care and teaching plans for persons from diverse populations Evidence of critical thinking in prescriptive therapy, monitoring and adverse events.

Diagnosis and Management of Generalized Anxiety Disorder.

May have lacked a teaching plan or pathophysiologic discussion. Evidence of critical thinking but incompletely described therapeutic decision making and omitted teaching plan and pathophysiology. Multiple bulleted points are absent or poorly defined in the assignment. Th