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NR546 WK3 casestudy7 Select one drug to treat the diagnosis(es) or symptoms.

Please see attached instructions and case study.

Must be at least 250 words with at least 3 scholarly articles within the past 5 years. 

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.

4. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.

5. Reference Citation: Use current APA format to format citations and references and is free of errors.

6. Wednesday Participation Requirement: Provide a substantive response to the graded discussion topic (not a response to a peer or faculty), by Wednesday, 11:59 p.m. MT of each week.

7. Total Participation Requirement: Provide at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.


NR 546 Week 3 Case Study



Patient’s Chief Complaints:

“ I am hearing voices ”

History of Present Illness

MM states she believes her boyfriend is cheating on her, which her boyfriend denies. She states she can hear two women talking about her boyfriend and her, how they have sex with her boyfriend and how KB isn’t good enough for him. This has been occurring for a few weeks now and the voices mock her daily. Her boyfriend has been caught cheating in the past and she is now wondering if the women she hears talking about her boyfriend are real or not. She has not asked anyone else if they can hear the women talking because what they have to say is so negative. She hears these women talking mostly at home with her boyfriend, especially at night, but sometimes she hears them when she is out too, especially when she is out in public with her boyfriend.

Past psychiatric history: None

Past Medical History: Occasional headaches, treated with OTC pain relievers.

Family History

· Father is alive, has hypertension.

· Mother is alive, has history of depression

· One brother, healthy

· one son age 4, alive and well

Social History

· Lives with fiancé and their 4-year-old son

· does not have any friends

· unemployed since her son was born

· High school graduate

· Nonsmoker

· Drinks socially, 1-2 times a week

· Several gasses of coke or sweet tea during the day

· vapes CBD occasionally, 1-2 times a week.

· no formal exercise

· no hobbies

Review of Systems

· occasional headache, relieved with acetaminophen

· appetite poor, weight stable

· sleeps 4-5 hours at night

Allergies: NKDA

Physical Examination: General

Alert, appropriately dressed Caucasian female in no apparent distress. She appears older than her stated age.

Vital Signs: BP-120/80, T-98.6F, P-88, RR-20, SpO2: 98%

Wt 110 lbs, Ht 5’6”


Mental status exam:

•Cranial nerves II-VIII intact

Gait steady

•Denies headache and dizziness

Appearance: appropriate dress for age and situation, well nourished, eye contact poor, No apparent distress

Alertness and Orientation: fully oriented to person‚ place‚ time‚ and situation, Alert

Behavior: cooperative

Speech: soft, flat

Mood: euthymic

Affect: constricted, congruent

Thought Process: logical‚ linear

Thought content: No thoughts of suicide‚ self-harm‚ or passive death wish

Perceptions: No evidence of psychosis, no response to internal stimuli noted during interview, reports auditory hallucinations.

Memory: Recent and remote WNL

Judgement/Insight: Insight is fair, Judgement is poor

Attention and observed intellectual functioning: Attention intact for purpose of assessment.

Fund of knowledge: Good general fund of knowledge and vocabulary

Musculoskeletal: normal gait and station

Diagnosis: F20.9 Schizophrenia, unspecified

Psychopharmacology Questions: see the discussion guidelines rubric

5.23 CCK

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