Erica Daniels is a 13-year-old Caucasian female who was just admitted to an inpatient adolescent psychiatric unit for suicidal ideation and reports of severe depression. She has no significant medical problems.
Answer the following questions from your perspective as her psychiatric nurse practitioner.
You are assigned to complete a psychiatric evaluation on Erica. Identify the clinical presentation and symptoms you would expect to see if a diagnosis of Major Depression were to be made.
What lab tests you would order? Discuss the rationale for each test.
Erica’s moms want to know how their daughter could be depressed enough to require psychiatric hospitalization. What information would you need from Erica’s mothers relative to family, Erica’s current and past
functioning, and the rationale for needing inpatient psychiatric treatment rather than outpatient treatment at this time?
Identify the pharmacological and non-pharmacological interventions you might recommend. Include a specific recommendation of a psychotropic medication (include starting dose and side effects to monitor). Provide the rationale for these recommendations. Identify how the drug you select is metabolized and its mechanism of action.
How would you know when Erica would be ready for a safe discharge relative to symptom presentation and functioning? What are the potential complications if these symptoms are not well-managed?
Picking up the learning of what persuades workers and how they were roused was the focal point of numerous scientists following the production of the Hawthorne Study results (Terpstra, 1979). The writing audit on this examination expects to find the present hypotheses and issues in relations to work inspiration all through the writing sources. It is critical to comprehend what inspiration really is, and all the more exceptionally the term ‘work inspiration’. The writing survey will take a gander at four noteworthy motivational speculations. They are:- Maslow’s need-pecking order hypothesis, Herzberg’s two-factor hypothesis, Adams’ value hypothesis and Vroom’s hope hypothesis. They are Maslow’s need-chain of command hypothesis, and Herzberg’s two-factor hypothesis are needs based motivational hypothesis, usually known as substance speculations. These hypotheses clarify that human needs change with time. Individuals have certain requirements and wants to accomplish and those necessities and wants change over some stretch of time. Adams’ value hypothesis and Vroom’s hope hypothesis are all things considered known as subjective speculations. These hypotheses will look at the representative’s conduct regarding execution and contrast their execution and prizes and others. As indicated by Maslow, representative’s needs have five levels (Maslow, 1943). It depends on the theory that human needs are fit for being modest. Agreeable accomplishment of the principal level of necessities prompts the following level. Once a specific need has been fulfilled, that need will never again be a main thrust of inspiration. Herzberg’s viewed as inspiration into two components: sparks and cleanliness (Herzberg, Mausner, and Snyderman, 1959). As indicated by this hypothesis individuals are affected by two elements. These variables are “Sparks and cleanliness”. Accomplishment, acknowledgment, the work itself, obligation, progression and development were incorporated into the inspiration factors and disappointing elements to a great extent from non-work related factors, for example, organization strategies, compensation, collaborator relations and supervisory styles (Steers and Porter 2001). These hypotheses will comprehend the different elements which impact the workers of the association. Adams value hypothesis centers around individuals’ responses to the decency of result they get in relations to their impression of the sources of info they give, particularly when contrasted with the apparent results/inputs that others get. (Watchman et al., 2001). As indicated by Adams hypothesis value is accomplished when the proportion of representative results over sources of info is equivalent to other worker results over information sources (Adams, 1965). This hypothesis will give all the more understanding towards motivational distinction among changeless and transitory staff of the association. Vroom’s hypothesis bolsters that representative exertion will prompt execution and execution will prompt prizes (Vroom, 1964). The prizes can be either positive or negative, yet the more positive reward will lead the representative to work more roused and on the other hand, the more negative the reward the more outlandish the worker will be persuaded. In M&S cash call focus (M&S), changeless and impermanent staffs are playing out similar obligations, anticipated that would meet a similar target and prepared to aroma the obligations similarly, rephrase framework is diverse as far as reward, benefits, organization markdown card and other non fiscal prizes. By mulling over this and applying the chose four hypotheses in this condition. The two gatherings representatives must demonstrate a distinction in inspiration in accordance with Adams value hypothesis and furthermore will be on various stages in relations to Maslow’s need-chain of importance hypothesis. The exploration will likewise clarify what they expect as a perpetual/brief representative working for M&S in accordance with Vroom’s hope hypothesis. Two factor hypothesis will clarify how much impact every inspiration factor have on every one of the workers. 3.3.1. References: Adair, J. (1990) Understanding Motivation. London: The Talbot Adair Press. Adams, J. S. (1965) Inequity in social trade. In L. Berkowitz. Advances in exploratory social brain research. New York: Academic Press. Arkin, A. (1997) People Management, Call Center Stress, Vol 3 Issues 6, 22-27 Arnold, J., Cooper, C., Robertson, I.T. (1998) Work Psychology, Understanding human conduct in the working environment, third version. 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