The client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with a low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. The remainder of the physical exam was WNL. He admits that he still has problems with tightness in the chest and episodes of shortness of breath- he now terms these “anxiety attacks.” He will also report occasional feelings of impending doom, and the need to “run” or “escape” from wherever he is at. In your office, he confesses to the occasional use of ETOH to combat worries about work. He admits to consuming about 3-4 beers/night. Although he is single, he is attempting to care for aging parents in his home. He reports that the management at his place of employment is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26. The client has never been on any type of psychotropic medication. MENTAL STATUS EXAM The client is alert, oriented to person, place, time, and event. He is appropriately dressed. Speech is clear, coherent, and goal-directed. The client’s self-reported mood is “bleh” and he does endorse feeling “nervous”. The effect is somewhat blunted but does brighten several times throughout the clinical interview. Affect broad. The client denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, as is insight. He denies suicidal or homicidal ideation. The PMHNP administers the Hamilton Anxiety Rating Scale (HAM-A) which yields a score of 26. Diagnosis: Generalized anxiety disorder The Assignment Examine Case Study: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. At each decision point stop to complete the following: Decision #1 Which decision did you select? Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? Decision #2 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? Decision #3 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Also, include how ethical considerations might impact your treatment plan and communication with clients.
Are you displeased with your final paper, even after several rectifications? Do not worry. At Assignments123, customer satisfaction is our number one priority. Though uncommon, if you are completely displeased with your final paper and do not want to take advantage of our free revisions policy, you are entitled to a refund. At Assignments123, we view our money-back guarantee as a right rather than a benefit.
We believe our clients deserve the best assignment service they can get on the internet. If you feel we did not deliver the highest quality paper possible, we have a straightforward and streamlined refund process.
At Assignments123, we have a strict anti-plagiarism policy. We take extra precaution when writing your papers, to ensure none of your work is flagged for plagiarism. Our custom assignment help experts make use of professional plagiarism checking software.
We also make use of professional paraphrasing software when writing your papers. When you hire our expert assignment help service, we will pair you with a writer who will create 100% original and plagiarism free work. Once our writers are done with your paper, our professional editors also proofread your document to ensure there are no traces of plagiarism.
As part of your order, you receive free and unlimited revisions. We are committed to ensuring you submit flawless papers. Only modifications and adjustments that were not successfully satisfied in the initial order should be included, if they are within the guidelines indicated in the order form. These guidelines include:
We take the privacy of our client’s information very seriously at Assignments123. We never disclose any of our dealings with third party services. No one will know you hired one of our assignment writing services to complete your papers.
Feel free to reach out to us via email, phone, or live chat. We love to hear from our customers and we appreciate any feedback you have regarding our assignment help service. We have customer service representatives available around the clock, including holidays, and weekends, whether it is to place an order, check on the status of your order, or for inquiries.
You can choose to chat one-on-one with your assignment expert through our assignment help website’s live chat. You have unlimited number of chats with our verified professionals. We will respond to any of your queries in minutes.
Our expert team of editors and writers consists of individuals with a diverse variety of writing experience. They are all Ph.D. or M.A. graduates with extensive experience in both their academic fields and the essay writing industry. We guarantee high-quality, unique academic writing at an affordable price.
We write every order from scratch, ensure your papers adhere to standard English conventions, as well as the requirements of your discipline. We also run originality reports on all your academic papers to guarantee their originality. We have a success rate of 99%, with many of our clients attaining their desired grade.