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NURS 6670 Danielle is a 31-year-old female who is having a psychiatric evaluation at the insistence of her husband.

NURS 6670 Danielle is a 31-year-old female who is having a psychiatric evaluation at the insistence of her husband.

Danielle is a 31-year-old female who is having a psychiatric evaluation at the insistence of her husband.

Answer:

Danielle is having a psychiatric evaluation at the insistence of her husband. She has been married for 4 years and her husband has finally become so frustrated by the jealous behavior that he threatened to leave her if she didn’t ?get help.? Her husband insists that he has never been unfaithful, but Danielle repeatedly accuses him of having an affair. If he is even a few minutes late getting home from work, she demands an explanation and then does not believe anything he says.

Danielle is having a psychiatric evaluation because she has been consumed by jealousy. Her husband noticed her behavior for the past year and tried to ignore it. He finally reached his breaking point and threatened to leave if she couldn’t get help. She was brought here by ambulance; apparently, the police had been called because Danielle attacked her husband with a kitchen knife during an argument over her suspicions that he was being unfaithful. When the police arrived, her husband explained to them how he really felt about what was going on with his wife and they agreed to bring her in for evaluation. Danielle is a 31-year-old female who is having a psychiatric evaluation at the insistence of her husband.

Danielle’s behavior is a result of manic depression, and bipolar disorder. This disease has affected her life negatively for many years now and Danielle doesn’t like to be the way she is. She doesn’t have any real friends because she doesn’t trust anyone and thinks that everyone wants to hurt her. She believes that there might be a man that is interested in her sister. The hypomania can make Danielle feel really good and want to smile a lot, but it also causes her to be irritable, angry, distrusting and sometimes paranoid. She becomes jealous of her husband without any reason because she forgets who he is and gets confused between reality and fantasy. The PMHNP lists all the different treatments available including medication, electroconvulsive treatment and psychotherapy:

Danielle, you have a diagnosis of Relationships Disorder. This is a condition that relates to the way you interact with others and is a common problem for women. The PMHNP spends some time explaining what this diagnosis means: Danielle should be aware that she is not the only one with this condition. Many other people are involved in relationships that are similar to what she describes. Her treatment will most likely involve learning to manage her fears so they don’t control her life as much.

Danielle is suffering from Jealous Personality Disorder, with paranoid features. She will likely require group therapy with other individuals with the same diagnosis.

Danielle, you seem like a very nice woman who is frustrated with some things in her relationship.  We have good news for you…the treatment of choice is psychoeducation, individual psychotherapy and medication.  Your doctor will advise you on antidepressant medication which will help reduce your symptoms. Danielle is a 31-year-old female who is having a psychiatric evaluation at the insistence of her husband.

Danielle, your symptoms suggest that you have someone with paranoid personality disorder. This is a condition in which people have an overwhelming suspicion that others are out to harm them, cheat them, or invade their personal space. It’s also described as ?a tendency to read hidden malicious intentions into other people’s actions.? You describe being suspicious of your husband and feeling that he’s always angry with you. You hold grudges for a long time but can’t explain why you do this. How does this sound?

Danielle is suffering from paranoid jealousy. The symptoms she is experiencing are typical of this mental health condition and can be treated most effectively with a combination of medication and psychotherapy. She is also suffering from depression and anxiety, both of which contribute to her paranoid feelings.

Danielle is in the midst of an acute psychotic episode. Her primary diagnosis is paranoid schizophrenia. Psychosocial stressors are factors that commonly precipitate illness exacerbations for patients with schizophrenia and bipolar disorder. She will be treated with antipsychotic medication and with psychotherapy that focuses on teaching relapse prevention skills.

Danielle is experiencing major depressive disorder with symptoms of severe jealousy and paranoid ideation. These symptoms are the result of the loss of her father, who was her protector and lover and who died 4 years ago when she was 25 years old. Her mother is alive and well, but Danielle feels that her mother does not understand her pain over her father’s death. She has been seeing a close friend for support, but he recently broke up with her because she became so convinced that he was losing interest in her. This, along with the loss of her job last month, made her even more depressed, causing her jealous and paranoid thoughts to become much worse. Danielle’s husband has decided to go on vacation with his friends rather than see if a therapist can help his wife; he says he doesn’t want to live like this anymore.

Question:

Danielle is a 31-year-old female who is having a psychiatric evaluation at the insistence of her husband. They have been married for 4 years, and her husband has finally become so frustrated by her jealous behavior that he threatened to leave her if she didn’t ?get help.? Her husband insists that he has never been unfaithful, but Danielle repeatedly accuses him of having an affair. If he is even a few minutes late getting home from work, she demands an explanation and then does not believe anything he says. She does not have any real friends—her sister is her closest social contact, but Danielle has been angry with her for several weeks and won’t answer phone calls. Reportedly she does this often, and according to her husband can ?hold a grudge forever.? During the interview, Danielle is calm, responsive, but distant. The PMHNP considers the most likely diagnosis and discusses with Danielle that the treatment of choice is

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