Exam (elaborations)
NR 547 Differential Diagnosis WEEK 5 DISCUSSION_NR547
- Institution
- Chamberlain College Of Nursing
NR 547 Differential Diagnosis
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Kristin is a 26-year-old client who presents to the outpatient clinic withcomplaints of "not liking myself." She states she frequently feels angry
without provocation and cries often. She has lost 10 lbs. in the past month
and states she has no appetite. Kristin reports nightly sleep difficulty, both
falling and staying asleep. Her mind just can't seem to relax enough so she
can sleep. She has tried melatonin and the Calm app mindfulness
techniques; they help some nights but not always. She endorses having
difficulty focusing for long periods, and she has missed several days of work
within the past month due to her symptoms. No hallucinations or delusions
are voiced. She states "The only thing that makes me feel better is shopping
online. I love getting packages every day." She is not experiencing financial
issues from online shopping, but she has depleted her savings account. She
reports that when she is not sad, she loves crafting and sometimes has days
where she can craft "all day and all night." The crafting can last for 3-4 days
in a row. She denies thoughts of self-harm or suicide.
Past Psychiatric History
self-reported "panic attacks" including shortness of breath and nausea;
no formal psychiatric diagnosis, no treatment
Past Medical History
no medical or surgical history
no known allergies
Social history
no alcohol use
vapes nicotine daily
no illicit drug use
single, not in a relationship currently, prefers male partners.
lives with two roommates
educational level: bachelor's degree
employment: employed full time as a technical writer, works from
home
hobbies: crochet and papercrafts
Family history
mother: alive, 55, no medical history, psychiatric history of depression
father: alive, 57, history of type 2 DM, no psychiatric history
siblings: only child
Medications
no prescription medications
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