NU675-7D-LA Unit 10 Assignment – Crisis Management Herzing
NU675-7D-LA Unit 10 Assignment – Crisis Management Herzing
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You have been working as an outpatient psychiatric nurse practitioner in a busy office for about 6 months. You have a few patients that you know quite well by this point and a few that you are getting to know. Record a video discussing how you would address a crisis with each of the two following patients.
Each video should be 5-10 minutes each. Submit an unlisted
YouTube link. Instructions on creating an unlisted YouTube video.
·
YouTube Video Instructions Download YouTube Video Instructions
Include a
word document of references utilized in your video, in 7th edition APA
formatting. Utilize resources for help with proper formatting.
Patient
1:
45-year-old male who has been married for 15 years with 2 children. He has a
history of MDD and pornography addiction which has been dealt with through
therapy. This addiction had caused some trouble in the marriage but for the
past 5 years, things have been going well in the marriage and patient denied
looking at porn. MDD symptoms started in his 20s and have been well managed
with citalopram (Celexa) 20mg daily. He comes in today visibly upset. He
reports his wife has been cheating on him for 2 years and he found out when he
came home from work to find his wife and kids gone, a note that detailed her
infidelity and she took the children to live with the man she has been cheating
with. Divorce proceedings are in effect. He states “I had no idea, I know I had
my own problems but 2 years? I feel so stupid, I don’t know why I bothered
improving myself, I don’t know how I can even go on. My work made me take some
time off but I have continued to call in, I’m at risk of losing my job but I
just can’t bring myself to go. The kids are my world and I haven’t even talked
to them for a month”. You question him about suicidal or homicidal ideations
and he replies that he has been suicidal since she left and has been drinking
“at least a 6 pack” a night. He has had plans to shoot himself. When asked what
is keeping him from acting on plans he said “My kids but I’m losing hope I’ll
ever see or talk to them again”. What are your next steps?
Patient
2:
19-year-old married female with a 2-month-old baby for her 4th visit. Her husband
is present today. She presents today dressed more provocatively than you have
seen her before. Her makeup is heavier than usual as well. The baby is in a
carrier and is sleeping. She immediately starts discussing a video series on
aliens she has been watching, her speech is rapid, loud, and tangential. She
makes several looseness of associations between the video series and her baby.
From her rambling, it sounds as if she believes the baby is an alien and she
needs to take it to the desert and leave it on the mountain for the aliens to
come and retrieve. She reports making plans to go camping with the baby and her
husband this weekend. You question her about suicidal and homicidal ideations
and she denies both. The husband states she has been acting “different” for a
couple weeks, has never behaved like this before, and he is scared to leave her
alone with the baby. She interjects that she knows the secret to world peace
and giving their baby back to the aliens will accomplish it. What are your next
steps?
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