- 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. Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions, and offering new insights, applications, perspectives, information, or implications for practice.
a. Peer Response: Respond to at least one peer on a topic other than the initially assigned topic.
b. Faculty Response: Respond to at least one faculty post.
c. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.
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4. NR546 W5 Case Study Discussion Rubric |
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Criteria |
Ratings |
Pts |
|
Application of Course Knowledge view longer description |
40 pts Excellent All requirements met. 36 pts V. Good 5 requirements met. 33 pts Satisfactory 4 requirements met. 20 pts Needs Improvement 1-3 requirements met. 0 pts Unsatisfactory No requirements met. |
/ 40 pts |
|
Integration of Evidence view longer description |
20 pts Excellent All requirements met. 18 pts V. Good 4 requirements met. 16 pts Satisfactory 3 requirements met. 10 pts Needs Improvement 1-2 requirements met. 0 pts Unsatisfactory No requirements met. |
/ 20 pts |
|
Engagement in Meaningful Dialogue view longer description |
30 pts Excellent All requirements met. 24 pts Satisfactory 2 requirements met. 15 pts Needs Improvement 1 requirement met. 0 pts Unsatisfactory No requirements met. |
/ 30 pts |
|
Professionalism in Communication view longer description |
5 pts Excellent 0-1 errors. 4 pts V. Good 2-3 errors. 3 pts Satisfactory 4-5 errors. 2.5 pts Needs Improvement 6-7 errors. 0 pts Unsatisfactory More than 7 errors. |
/ 5 pts |
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Reference Citation view longer description |
5 pts Excellent 0-1 errors. 4 pts V. Good 2 errors. 3 pts Satisfactory 3-4 errors. 2.5 pts Needs Improvement 5-6 errors. 0 pts Unsatisfactory More than 6 errors. |
/ 5 pts |
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Late Penalty Deduction view longer description |
0 pts No Points Deducted Posts submitted on time; no points deducted. 0 pts Points Deducted Posts submitted late. 10% deduction in points for initial posts entered after Wednesday. |
/ 0 pts |
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Total Participation view longer description |
0 pts No Points Deducted Posts submitted on a minimum of two separate days; no points deducted. 0 pts Points Deducted Participation requirement not met. 10% deduction in points for not posting on a minimum of two separate days. |
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NR 546 Week 5 Case Study
09.24 MWS
Subjective Objective
The client M.L. is a 34-year-old, Hispanic
female being seen for a psychiatric evaluation
at an outpatient clinic.
Client’s Chief Complaints:
“I feel sad. I can't seem to enjoy anything
anymore, and it's affecting my sleep and
appetite.”
History of Present Illness
M.L. reports a six-month history of persistent
sadness, loss of interest in activities, and
constant feelings of anxiety. She has trouble
sleeping, poor appetite, and frequent fatigue.
M.L. also mentions having trouble
concentrating and feeling overwhelmed by
daily tasks.
She denies any thoughts of self-harm or suicide
but admits to feelings of hopelessness about her
future.
Past psychiatric history: Denies any history of
previous psychiatric diagnoses or treatment for
depression. However, she acknowledges a
family history of depression, with her sister and
mother having been diagnosed and treated for
the condition; this is the client’s first contact
with a mental health provider.
Past Medical History: none
Family History
• Father is alive and well.
• Mother is alive, has depression and
being treated.
• One sister 36, with depression
Social History
• Lives alone in an apartment.
Physical Examination:
Height: 5’7″, weight: 140 lb.
General: Well-nourished female appears stated age
Mental status exam:
Appearance: Appropriate dress for age and situation, well
nourished, poor eye contact, slumped posture
Alertness and Orientation: Alert, fully oriented to person‚
place‚ time‚ and situation,
Behavior: Cooperative
Speech: Soft, flat
Mood: Depressed
Affect: Constricted, congruent with stated mood
Thought Process: Logical‚ linear
Thought content: Expresses feelings of worthlessness and
hopelessness. Denies thoughts of suicide‚ self-harm‚ or
passive death wish. Denies homicidal ideation.
Perceptions: Denies experiencing any perceptual
disturbances, such as auditory or visual hallucinations. No
evidence of psychosis, not responding to internal stimuli.
Memory: Recent and remote WNL
Judgement/Insight: Insight is fair, Judgement is fair
Attention and observed intellectual functioning: Attention
intact for the purpose of assessment. Able to follow
questioning.
Fund of knowledge: Good general fund of knowledge and
vocabulary
Musculoskeletal: Normal gait
NR 546 Week 5 Case Study
09.24 MWS
• Works as a customer service
representative.
• High school graduate with some college
education.
• Smokes socially, 1-2 cigarettes per
week.
• Drinks alcohol occasionally, 1-2 times
per month.
• No current recreational drug use.
• Few close friends and limited social
interactions outside of work.
Trauma history:
• Reports emotional abuse during
childhood from father
• Denies history of physical or sexual
abuse
Review of Systems
• General: Fatigue and low energy levels.
• Cardiovascular: No chest pain or
palpitations.
• Respiratory: Occasional shortness of
breath related to asthma.
• Gastrointestinal: Poor appetite and
occasional nausea.
• Musculoskeletal: No joint pain or
muscle aches.
• Neurological: No headaches or seizures.
• Sleep: Difficulty falling asleep and
staying asleep, averaging 4-5 hours per
night
Allergies: NKDA
Primary diagnosis: Major Depressive Disorder, single episode,
moderate with anxious distress (F32.1)
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Required Prescriptions Components
How to Write the prescription in prescription format.
• Patient name
• Name of medication, including medication strength (e.g. Escitalopram 10 mg)
• SIG: quantity, route, and frequency (1 tab po daily)
• Number of tablets/capsules to dispense (Disp #30)
• Number of refills
• Prescriber name
• License number
• DEA number, if applicable
Include all components for the prescription writing requirement for the case studies.
