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 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?
State Sponsored Terrorist Organization Disclaimer: This work has been presented by an understudy. This isn’t a case of the work composed by our expert scholarly authors. You can see tests of our expert work here. Any assessments, discoveries, ends or suggestions communicated in this material are those of the writers and don’t really mirror the perspectives of UK Essays. Distributed: Fri, 15 Sep 2017 Wesley L. Metcalf As indicated by Taylor &Swanson (2016) State, psychological oppression is characterized as Terrorism submitted by a national government, within its national fringes and coordinated at its subjects and now and again guests. The thought behind this sort of psychological oppression is to impart fear into the nation’s natives to force them into following another control of law. State – supported psychological warfare is the place states utilize fear based oppressor bunches as intermediaries to promote their plan in global issues. State-empowered fear based oppression is the place states endure the nearness of psychological militants in the nation insofar as they just assault different states and nationals of different states. The belief systems of the left-wing development or fear based oppression are to oust the monetary, political and social structure of a general public and supplant it with one created on Marxist-Leninist standards. They have confidence in a solitary class society where the rich are stripped of their riches and influence and redistributed to poor people. (Taylor and Swanson, 2016) The Right-wing development or fear monger belief systems are exceptionally moderate in nature. Their perspectives are shifted among various groups inside the Right-wing development in that some victimize race and ethnicity, Lesbian Gay Bisexual Transgender (LGBT), and religious gatherings, for example, Muslims. They likewise share perspectives or convictions, for example, lawmakers, and political gatherings don’t appropriately speak to them, the constitution is being subverted, the legislature can’t be trusted and is destroying singular opportunities, and that the administration is a piece of a plot to initiate a “one world government” on US residents. A nation that was assigned as a “State-support” of a fear based oppressor gathering would be Afghanistan. Afghanistan has given asylum and support to the psychological militant gathering Al-Qaida and was recorded on the state fear based oppression list by the United States. Their help has been to give Al-Qaida agents a place to stow away and work to lead psychological oppressor acts both in and outside the outskirts of Afghanistan. Al-Qaeda still works out of Afghanistan right up ’til the present time despite the fact that the Taliban had been expelled from government. As indicated by the site Global arrangement discussion (2017), there have been more than 16 unique authorizations went for Afghanistan and individuals from Al-Qaida going in dates starting in October 1999 through June 2011. These assents were forced by the United Nations (UN) and completely supported by the United States. Truly, Afghanistan gives a shelter to Al-Qaida and the Taliban. I construct my answer with respect to the way that as a result of the span of the nation, its territory, and its present little size of security powers, there are insufficient staff to screen the to a great extent unprotected zones where the gatherings specified above can work and move about undetected. I don’t trust Afghanistan has a possibility of being removed the state supporters of psychological warfare list. I feel that in light of the cosmetics of its present administering body they will dependably have sympathizers who have confidence in the philosophies of the extreme gatherings Al-Qaida and the Taliban. What’s more, these sympathizers will do what they can to offer safe house to the fore specified gatherings above. Afghanistan is viewed as a Failed state. The reason it’s a fizzled state is that Afghanistan has a degenerate administering body that comes up short on the capacity to give essential administrations to its nationals, it as of now relies upon help from the US and unified powers to help keep up overseeing control. Should the US and Allied powers leave the locale, it would make a vacuum inside the administering body making it vulnerable to an upset or legislative topple. The state has been in some sort and type of contention ceaselessly since 2001. The span of the nation, its rocky territory, and the quality of its security powers makes it difficult to ensure and secure its outskirts. A portion of the populace faithful to the Taliban and Al-Qaida hates the legislature for enabling US and Allied powers to work inside Afghanistan fringes. The Secretary of State makes the assurance of Any nation or State that has over and again or reliably offered help for or effectively Committed demonstrations of worldwide fear based oppression will be set on the rundown of Sponsored countries. The four rushes of fear based oppression are as per the following Anarchist wave, the counter pilgrim wave, the new left-wave, and the religious wave. The gathering I have picked (Al-Qaida) relates in the accompanying ways. As a rebel wave, Al-Qaida works as an enemy of dictator to the present administering body and views themselves as a progressive power that exists to get the manage of Sharia law. As an enemy of pilgrim wave, Al-Qaida has turned to fear based oppressor composes acts to attempt and topple the present overseeing body and to endeavor to break the will and the soul of the US and its partners to need to surrender and leave Afghanistan. The new left-wave does not have any significant bearing as I would like to think to how Al-Qaida works. Al-Qaida, as I would see it, is the perfect case for the religious wave, their entire want is to ingrain the strict laws of the Koran, and freeing the universe of those whom the laws of the Koran esteem as shameful or unbelievers. Main concern they have confidence in a religious based eradication that in case you’re not Muslim, you are to be expelled from the substance of the earth.>