(Solution) NR546 Week 5 case study Discussion

Preparing the Discussion

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.

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.
    1. Select one drug to treat the diagnosis(es) or symptoms.
    2. List medication class and mechanism of action for the chosen medication.
    3. Write the prescription in prescription format.
    4. 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.
    5. List any side effects or adverse effects associated with the medication.
    6. 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.
    7. 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:
    1. Cite a scholarly source in the initial post.
    2. Cite a scholarly source in one faculty response post.
    3. Cite a scholarly source in one peer post.
    4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
    5. 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.
    1. Peer Response: Respond to at least one peer on a topic other than the initially assigned topic.
    2. Faculty Response: Respond to at least one faculty post.
    3. 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.Preparing the Discussion

    Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.

    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.
      1. Select one drug to treat the diagnosis(es) or symptoms.
      2. List medication class and mechanism of action for the chosen medication.
      3. Write the prescription in prescription format.
      4. 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.
      5. List any side effects or adverse effects associated with the medication.
      6. 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.
      7. 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:
      1. Cite a scholarly source in the initial post.
      2. Cite a scholarly source in one faculty response post.
      3. Cite a scholarly source in one peer post.
      4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
      5. 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.
      1. Peer Response: Respond to at least one peer on a topic other than the initially assigned topic.
      2. Faculty Response: Respond to at least one faculty post.
      3. 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.

SOLUTION

Given the absence of any known history of mania or hypomania, this client’s symptoms align most closely with major depressive disorder and generalized anxiety disorder (American Psychological Association, 2013). These symptoms indicate reduced positive affect, which is related to dopamine and norepinephrine dysfunction. Considering the client’s reduced appetite and a weight loss of 10 pounds, a norepinephrine dopamine reuptake inhibitor (NDRI) is not recommended, as NDRIs can potentially cause further weight loss. Additionally, serotonin-norepinephrine reuptake inhibitors (SNRIs) might exacerbate anxiety and insomnia, making them unsuitable for treatment.……Please click the icon below to access entire solution at $5