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NURS 6670 Becci is a 31-year-old female who presents to the PMHNP for evaluation after being referred by her friend who is a patient of the practice

NURS 6670 Becci is a 31-year-old female who presents to the PMHNP for evaluation after being referred by her friend who is a patient of the practice

Becci is a 31-year-old female who presents to the PMHNP for evaluation after being referred by her friend who is a patient of the practice

Answer:

Becci is a 31-year-old female who presents to the PMHNP for evaluation after being referred by her friend who is a patient of the practice. She describes a relatively acute, recent onset of panic attacks. Becci says that ?out of the blue? her heart starts to race, her mouth gets dry, she gets shaky, and feels like she cannot get her breath. She is afraid because her friend has panic disorder and Becci knows that before her friend got treatment, she basically would not leave the house in case an attack happened. Becci is a 31-year-old female who presents to the PMHNP for evaluation after being referred by her friend who is a patient of the practice

Becci comes to the PMHNP for evaluation after her friend, another patient of the practice, sees that Becci is very stressed and becomes concerned. Upon further discussion, it becomes apparent that Becci?s symptoms are similar to those exhibited by her friend prior to treatment. The immediate priority in assessment is to determine whether Becci?s panic attacks are being brought on by trauma or a stress-inducing event.

The immediate priority in assessment for Becci is to establish the level of her symptoms. An important aspect of this interview is establishing rapport and trust with Becci, so that she is willing to share information about her symptoms. Based on Becci’s anxiety, it would be important to use active listening skills. Active listening skills would give an empathetic response to Becci’s concerns by letting her know that you are listening to her and understand what she is saying. Some examples of active listening skills include summarizing key points in the patient’s communication, reflecting those points back to the patient, and asking permission to repeat what they have just said.

Recognizing that immediately in assessment the priority for Becci is education about panic attacks and the difference between a panic attack and an impending heart attack. This can be accomplished by inquiring into the trigger of her attacks, exploration of the characteristics of a panic attack, through avoiding triggers in order to prevent injury of future episodes, and encouraging her to seek treatment for panic disorder. Becci is a 31-year-old female who presents to the PMHNP for evaluation after being referred by her friend who is a patient of the practice

Based on an understanding of case conceptualization for panic disorder and the therapeutic relationship, which priority should the PMHNP address first in assessment? a. History of one’s own panic attacks b. History of how the panic attacks impact relationships and activities c. History of what precipitates the panic attacks d. Listening carefully in order to make inferences about unspoken feelings and concerns. Becci is a 31-year-old female who presents to the PMHNP for evaluation after being referred by her friend who is a patient of the practice

Hello Linda, you are correct that the immediate priority of assessment for Becci is gathering and defining her panic attacks. This information would determine the course of treatment. By definition, a panic attack represents a discrete period of intense fear or discomfort in which at least four of the following symptoms develop abruptly and reach a peak within 10 minutes: Palpitations, pounding sensation in the chest or abdomen; Sweating; Trembling or shaking; Sensation of shortness of breath or difficulty breathing; Feeling of choking; Chest pain or discomfort; Nausea or abdominal distress; Feeling dizzy, unsteady, lightheaded, or faint; Derealization (feelings of unreality) or depersonalization (being detached from oneself); Fear of losing control or going crazy; Fear of dying; Paresthesias (numbness or tingling sensations); Chills or hot flashes. Becci is a 31-year-old female who presents to the PMHNP for evaluation after being referred by her friend who is a patient of the practice

A. To confirm the diagnosis of panic disorder in Becci.

Panic disorder is a treatable mental health condition characterized by excessive and irrational fear of everyday situations. Causes:

Assess for agoraphobia. Becci is a 31-year-old female who presents to the PMHNP for evaluation after being referred by her friend who is a patient of the practice

Assess for acute life-threatening issues: should be first priority because these are the kind of things that can kill us right away (bleeding, infection, etc…).

Question:

Becci is a 31-year-old female who presents to the PMHNP for evaluation after being referred by her friend who is a patient of the practice. She describes a relatively acute, recent onset of panic attacks. Becci says that ?out of the blue? her heart starts to race, her mouth gets dry, she gets shaky, and feels like she cannot get her breath. She is afraid because her friend has panic disorder and Becci knows that before her friend got treatment, she basically would not leave the house in case an attack happened. The PMHNP recognizes that the immediate priority in assessment for Becci is:

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