Which anxiety disorder is mr f displaying

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Reference no: EM133855081

Assignment:

Critical Thinking Application

You are a new nurse in an outpatient mental health clinic. Mr. F., age 55, presents himself today. He has been feeling uncomfortable at work. He is experiencing lightheadedness, trembling, and nervousness, especially in the lunchroom. Recently he has had the same feelings when going to restaurants. The symptoms started approximately 6 months ago. He comes to you today with concerns about work missed, and is worried about losing his job.

1. During your interview/assessment with Mr. F. what priority data do you want to determine?

2. Provide two questions you would ask Mr. F. to gather more information about the situation.

During the interview, Mr. F. complains of being exhausted, feeling tense and irritable, and "caged-up" all the time. Mr. F. states "I'm going crazy". "I'm afraid I'm going to lose my job!" You also notice Mr. F. has difficulty sitting still, constantly is wiggling his left leg and rubs his hands together during the interview.

Mr. F. tells you he has also experienced frequent diarrhea, for which he has seen his medical doctor. He had an endoscopy and all was found to be within normal limits. You find out that his 60 year old brother died 9 months ago from prostate cancer with metastasis to the colon.

3. Based on clinical manifestations, which anxiety disorder(s) is Mr. F. displaying? What leads you to this decision?

4. Formulate an appropriate 3 part nursing diagnosis for Mr. F.

5. What nursing interventions can you perform to help Mr. F. deal with his acute symptoms and fears?

6. Sertraline 5 mg po daily is ordered for Mr. F. He is concerned about becoming addicted and wants to know why he needs to take this pill. How would you respond?

7. What other classes of medications might be used for anxiety disorders?

8. List at least 5 defense mechanisms that are frequently used with anxiety disorders. How are they helpful?

9. In follow-up therapy, what therapeutic interventions might be incorporated into Mr. F.'s treatment plan?

Reference no: EM133855081

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