As a priority assessment, the nurse should ask Anna what the voice is saying to her. It is
important to address what the voice is saying because it could be a command hallucination. As a
nurse, it is important to address if it is a command hallucination because it is an auditory
hallucination that can instruct Anna to do something dangerous or even life threatening. It is
important that the voice isn’t telling Anna to harm herself because depression is already a risk
factor for suicidal intention.
What other questions might the nurse ask during Anna’s assessment interview?
It is important to ask Anna what medications she may or currently be on because
medications have different side effects and certain medications can create
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In addition, Anna also fits the
social support category because she is a widow and her daughter lives out of town. Furthermore,
Anna is also a widow, which fits in with the N category. Overall, I would classify Anna as being
in the 5-6-point category and I would strongly consider hospitalization.
Which of Anna’s behavior is inconsistent with depression?
Anna hearing the man’s voice is inconsistent with depression. The signs and symptoms of
depression do not include hearing voices. If the client (Anna) refuses treatment, list two behaviors that might justify short-term
involuntary treatment?
One behavior that might justify short-term involuntary treatment is if Anna states that she
a plan to harm herself. It is important to protect her life and to prevent her from harming herself.
Another behavior that might justify short-term involuntary treatment is if Anna is unable to meet
basic self-care needs. It is essential to ensure Anna is not jeopardizing her health.
In what classification of drugs is the antidepressant fluoxetine (Prozac)?
Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI). It is an
antidepressant medication.
What is the major action of SSRI antidepressants?
The major action of SSRI antidepressants are that they increase the availability of
serotonin in the body.
What is the rationale behind the change in this treatment modality?
The
The author read Mrs. X’s medical notes prior to their initial consultation to afford herself the knowledge she required should she need to prescribe for her when fully qualified. It was evident from reading her medical notes that there were a few considerations to take note of before commencing any treatment, such as her medical history, drug history and allergies. Her past medical history consisted of Type 2 diabetes mellitus, which was diet controlled, hypertension, hypercholesterolaemia, neuropathy, rheumatoid arthritis and raynauds syndrome.
pills. She has never been hospitalized except for labor and delivery. She reveals having a similar
It’s the nurse's duty to advocate for her patient and to make sure that the patient understands and ask questions if necessary.
The language used here by the nurse is very simple and has a lot of
Her current prescription medications include a 225 mg tablet of Venlafaxine HCL once daily for anxiety related dizziness, and a 20 mg tablet of Atorvastatin for high cholesterol. She drinks alcohol socially, approximately two 12 ounce beers a day. She is a former smoker of one pack of cigarettes a day for nearly forty years. Her quite date was September, 2011. She denies the use of street drugs.
issues with behavioral as well as not being punctual for her arrival to work. client was diagnosed with
After she had made it through the rough part of her experience, her perspective on life changed. Anna's time in the hospital helped her to see things
* Hallucinations – see things that aren’t there or talk to people who aren’t around.
When the brain is deprived of all sensory input it begins to provide input of its own, sometimes relating to events that have occurred before. Sometimes these hallucinations occur with no reasoning whatsoever, all the researchers
prescribed by the physician, she is thinking more critically more deeply than before. The more
Annalisa is diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and is prescribed Adderall (30mg once per day) and Intuniv (2mg in the morning, and 1mg at night). Annalisa is currently inpatient at South Oaks Hospital since July 2nd, 2015; Annalisa ran out of her replacement foster home, ran around the block, re-entered the residence, and attempted to exit a second time through the window. 911 was contacted to assist with the matter and Annalisa was initially transported to Long Island Jewish Hospital. During the discharged process, Annalisa began displaying erratic animalistic behaviors resulting in her inpatient at South Oaks. The agency reported
assistance/support from the children’s daycare, all of which which help her make ends meet. She
people try to help her but she couldn't resist that things were as bad as she thought what she
Bianca indicated that she is taking several medications. Asking her and her doctor about them would be helpful to understand her concerns.
based on an Urgency Rating Scale (URS). Prioritization based on other considerations has also been proposed for situations where the risk of death is low (Hadorn, 2000). In Dolan and Cookson’s (Dolan & Cookson, 2000) work the different principles of for priority-setting decision makings have been focused qualitatively (e.g. need, equity and fairness principles). However, quantitative approaches have yet to be developed. Nagel and Lauerer (Nagel & Lauerer, 2016) comprehensively discussed the different prioritization factors in their book and MacCormick et al. (MacCormick, et al., 2003) thoroughly discussed the different prioritization factors and their weighing, in a review on prioritization systems of patients.