A 58 year old patient seen by the APRN complains a great dea…

A 58 year old patient seen by the APRN complains a great deal of trouble remaining asleep at night (has multiple awakenings), says she has lost interest in going out with friends, expresses feelings of worthlessness. She denies use of alcohol or drugs. She has been intentionally cutting back on food intake, had an 8 pound weight increase over the last month with a current BMI of 26.8. Vital signs are all WNL. She tells the APRN that methylphenidate may help with symptoms because she has taken it in the past to help with focus. Which of the following is essential to obtain in regard to differential diagnoses given the above 

A patient seen for psychiatric follow up visit gives very br…

A patient seen for psychiatric follow up visit gives very brief responses to all questions asked and talks in a monotone. The APRN asks the patient to name the time in the past month when he felt happiest. The patient responds, “When I went to the grocery.” The APRN then says, “Tell me the saddest experience you had in the past month,” the patient responds, “I don’t have one,” again in a monotone voice without inflection or any display of emotion, never making eye contact. The APRN best describes his affect as:

Imagine this: You come home after a long day of classes and…

Imagine this: You come home after a long day of classes and find a sealed, handwritten letter on your desk. It’s addressed to you in handwriting that feels familiar, yet somehow distant. When you open it, you realize it’s from your 70-year-old self. This future you has lived a full life and experienced the long-term consequences (both positive and negative) of the habits and choices you’re making now. Some of those choices turned out to be helpful; others had lasting effects you didn’t expect. Some of what they say surprises you. Maybe they’re thankful for small habits you didn’t think mattered. Maybe they’re facing health issues tied to behaviors you assumed were temporary.Your task: Write a short letter from your 70-year-old self to your present-day self. Be sure to use specific course vocabulary from this unit in your letter. Mention one behavior you’re doing now that your older self is thankful for. Mention one behavior you’re doing now that your older self may regret. Using concepts/theories from class, explain why each behavior mattered over time. Reflect briefly on how these behaviors have affected the way you have aged by the time you are 70.