No More Worries!

image Our orders are delivered strictly on time without delay

Paper Formatting

  • Double or single-spaced
  • 1-inch margin
  • 12 Font Arial or Times New Roman
  • 300 words per page

No Lateness!

image Our orders are delivered strictly on time without delay

Our Guarantees

image

  • Free Unlimited revisions
  • Guaranteed Privacy
  • Money Return guarantee
  • Plagiarism Free Writing

Bipolar disorder and anxiety

Your patient is a 36-year-old woman with bipolar disorder and anxiety. She has been stable on a combination of fluoxetine and olanzapine for two years. She is morbidly obese at 340 pounds at 5’5” in height, has type II diabetes, hypertension, and hyperlipidemia. She has concerns about her weight and has tried numerous ‘fad diets’ to no avail. She explains she has lost, at most, 15 pounds and has been able to keep it off for three months.
She has three children, one of which is severely disabled, and a husband who has a terminal diagnosis. She expresses worry that her weight will impact her ability to care for her disabled child when her husband dies. She reports she eats out frequently due to her children’s busy schedules. She is a stay-at-home mother but gets little exercise and performs no regular physical activity.
She reports feelings of shame that she can no longer orgasm on the rare occasions her husband has the energy and desire to be intimate.
Questions:

What would be your approach to managing this patient’s weight concern? (Discuss at least two aspects of your approach). Please support your answer with research-based evidence.
What would be our approach to the sexual side effects she is experiencing?
If you suggested additional medication, look up your state’s prescribing laws. Are PMHNP’s able to prescribe the medication you recommended?

Sample Solution

rom the consequences of Operation Barbarossa that brought about a lack of infantry and gunnery. By 1943, it had lost a lot of its world class powers and was supplanted by recently enrolled fighters, who were undertrained. In spite of the fact that it had figured out how to procure around 777,000 people for the activity, its genuine battle strength was comparable to two-third of its normal strength.10 Even these recently enrolled troopers can't dispense with the deficiency of men. By the beginning of the Operation Citadel, units were altogether 470,000 men understrength. Germany was additionally confronting deficiencies in fuel for the Luftwaffe. Truth be told, the Luftwaffe could support an escalated air exertion for in excess of a couple of days after the activity started. Alongside deficiency in assets, Germany missing the mark on modern ability to support the hostile. On May 4, when Hitler called his senior officials and counselors to talk about the Operation Citadel, Albert Speer, the Minister of Armaments and War Production, conveyed the limits of German industry to supplant misfortunes to Hitler. German businesses couldn't supplant harmed airplane and tanks throughout the activity. Because of the deficiency of assets and absence of modern limit, which made Germany badly ready for the hostile, Hitler's top officials, Col General Jodl and Col General Guderian, go against the activity. As a matter of fact, Col General Guderian even encouraged Hitler to "Leave it (Kursk) alone." But, Hitler started the activity and the Battle of Kursk started. As the activity proceeded, the issues became clear. Germans were needed to confront a progressive reduction in the all out number of their tanks and airplane as the activity proceeded and continuously losing its solidarity and air support, keeping the Germans from progressing at their full energy. The absence of infantry turned into a more concerning issue during the activity. For the Germans to embrace an effective hostile in 1943, they needed to hold their ground to get counterattacks while progressing into the Soviet protections. Nonetheless, the lacking in infantry divisions made it harder for the Germans to get their unique front and new territories.12 This implied that the German Panzer units needed to complete guarded and hostile simultaneously, dialing the Germans back. Likewise, they had redistributed 70% of the relative multitude of tanks situated on the Eastern Front to for the activity, leaving the fronts unprotected against Soviet attacks.10 Soviet counterattacks, focused on the German flimsy parts have eased back the German development significantly further. Eased back German hostile implied that the Germans couldn't lead their essential procedure, raid, and couldn't win a conclusive triumph, which the Germans required. The delayed fight brought on some issues as most of first class German powers and assets were given to the fight. These debilitated different fronts, making Allies land on Sicily. Hitler needed to immediately stop the activity to support Italy (map in Appendix B) in apprehension about the Allied attack of Italy through Sicily. Albeit the Red Army arranged completely against German hostile and endeavored counterattacks, the consequence of the Operation Citadel was definitely not a total Soviet triumph. The Allied powers saved the Soviets, as a matter of fact. Before the Germans started their hostile, Soviets had the option to sustain Kursk in the wake of getting knowledge about German troop focuses at Orel and Kharkov (map in Appendix A) and subtleties of a planned German hostile in the Kursk area. They developed three fundamental protective belts in fronts around Kursk and set each partitioned into a few zones of stronghold. They interconnected each belts security barrier
PLACE AN ORDER NOW

Price Calculator

Subject:
Type:
Pages/Words:
Single spaced
approx 275 words per page
Urgency:
Level:
Currency:
Total Cost:

12% Discount

image

  • Research Paper Writing
  • Essay Writing
  • Dissertation Writing
  • Thesis Writing

Why Choose Us

image

  • Money Return guarantee
  • Guaranteed Privacy
  • Written by Professionals
  • Paper Written from Scratch
  • Timely Deliveries
  • Free Amendments