Review the clinical scenario below and address the questions that follow. Mark is a 37-year-old client with a 15-year history of schizophrenia. When

Review the clinical scenario below and address the questions that follow.

Mark is a 37-year-old client with a 15-year history of schizophrenia. When he was first diagnosed, he was prescribed a second-generation antipsychotic medication. He complained about drowsiness and difficulty concentrating. He experienced a 40 lb. weight gain over a year. His girlfriend complained about his reduced sex drive and ended their relationship. He tried several different medications alone and in combination but found the side effects intolerable. He stopped taking his medications and started self-medicating with alcohol. Over time, he experienced several relapses and his condition declined markedly. He lost his housing and began living in his car. After being involuntarily committed following a psychotic episode, he was referred to the PMHNP at the outpatient clinic. When he presented for his appointment, he told the PMHNP that he stopped taking his medications due to their side effects. 

 

1.
Application of  Knowledge: 

A. What is the most appropriate response by the PMHNP? How can the PMHNP support adherence for this client? 

B. What are the ethical and legal obligations for the PMHNP in the above situation? 

C. Goals that are not mutually shared between providers and patients can be very challenging, both clinically and emotionally. What steps can the PMHNP take to promote their personal emotional and mental health when working with clients whose health choices are likely to lead to adverse health outcomes? 

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

 work on setting goals for yourself using the SMART method. You will list a minimum of five professional goals that you would like to accomplish

 work on setting goals for yourself using the SMART method.  You will list a minimum of five professional goals that you would like to accomplish during the clinical experience in this term. For each goal, you must provide an explanation of how the goal is representative of each of the SMART characteristics: Specific, Measurable, Attainable, Realistic,

See message SOAP Note _______ NU___:_________ Herzing University

See message  SOAP Note _______ NU___:_________ Herzing University Name:_________________________ Typhon Encounter #: _____________________ Comprehensive:____Focused:____ S: SUBJECTIVE DATA CC: What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. HPI: Use the “OLDCART” approach for collecting

For this assessment, you will develop an 8–14 slide PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service

For this assessment, you will develop an 8–14 slide PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service session related to the improvement plan you developed in Assessment 2. As a practicing professional, you are likely to present educational in-services or training to staff pertaining to quality improvement

see attachment Table 1Infection Description Presentation Causes/ Risk FactorsTreatment per CDCAddtl infoCandidaFungal infection due to

see attachment  Table 1 Infection Description Presentation Causes/ Risk Factors Treatment per CDC Addtl info Candida Fungal infection due to candida albicans Pruritic, soreness, dyspareunia , occasionally thick vaginal discharge and dysuria. KOH demonstrate s budding Pregnancy, immunosupression, antibiotic use, diabetes – Fluconazole 150 mg single dose Not usually considere