NKU Differential Diagnoses & Medication Recommendations Nursing Assignment Help

History of Present Illness:

A 33 year old male is brought to the psychiatric department by
police after he attacked another man in a bar and threatened to
“rip (your) throat out with (my) bare hands”. The pt.
apparently returned from the restroom in the bar to find the
man putting an arm around his girlfriend. The pt. states that
he immediately became ‘ENRAGED” and began to scream
obscenities. The shouting quickly escalated into a full blown
bar brawl, and the police intervened when the patient wrapped
his hands around the man’s throat and pinned him against the
bar.
The pt. admits to numerous incidents of this nature and has
found himself in fights several times each year since late
adolescence. Two months ago, he was arrested for smashing a
car window with a baseball bat when the man “cut him off” on
the highway. He was also fired from several jobs in his late
20’s due to his “hot temper” with coworkers who were trying
to “slight him”. The pt. believes that his actions are sometimes
unreasonable, but the combination of heightened energy,
racing thoughts, and anger makes his urges nearly impossible
to resist.
The pts. girlfriend states that he is a fun loving and charming
man between episodes but starts arguments with her
approximately twice a week. She claims that during his verbal
attacks he will often make demeaning and devaluing remarks
about her. On several occasions he has broken her personal
belongings during trivial arguments. The pt. acknowledges

that he regrets these episodes, but they usually subside within
a half hour and provide an instant sense of relief.
Past Psychiatric History:
No psychiatric history or past use of psychiatric medications is
reported. The pt. denies symptoms of a mood disorder. He
admits to 1 or 2 alcoholic drinks per week and a history of
marijuana experimentation in his late teens.
Mental Status Exam:
The pt. appears well built and sharply dressed and looks his
stated age. He is awake, alert and oriented in all spheres.
Behavior is appropriate, and eye contact is good. Speech is
clear and coherent with normal rate, rhythm, and volume.
Mood is euthymic, and affect is full. Thought process is logical
and goal directed. Thought content does not include delusions,
ideas of reference, paranoid ideation, suicidal, or homicidal
ideation. Impulse control is poor, as noted by his recent
violent outbursts. Insight is limited because he does not
recognize the maladaptive nature of his behavior. Judgment is
impaired, as evidenced by his inability to behave in asocially
accepted ways. Reliability is fair.
Labs:
Na = 141, K=4.2, Chloride=106, carbon dioxide =23, blood urea
nitrogen=9, creatinine=0.6, glucose=91.
Blood alcohol level and urine tox are negative.
Diagnostic Testing:
CT of the head shows no sign of mass, lesion or bleeding.
Electroencephalogram is unremarkable without signs of
slowing or seizure foci.

  • Any differential diagnoses (Include a short line indicating why each one should be considered for the case)
  • Your diagnosis and reasoning (Please include the time consideration for differentiating adjustment disorders from PTSD). Also, discuss the difference between an Oppositional defiant disorder and Conduct disorder.
  • Any additional questions you would have asked to obtain more information.
  • Medication recommendations along with your rationale. Please discuss side effects vs benefits vs risks for all medications that are recommended.
  • Any labs and why they may be indicated (Include labs to rule out any organic causes of aggression)
  • Screener scales or diagnostic tools that may be beneficial
  • Additional resources to give (Therapy modalities, support groups, activities, etc.) Do not forget a hotline number and support group. 

You are a medical professor in charge of creating college assignments and answers for medical college students. You design and conduct lectures, evaluate student performance and provide feedback through examinations and assignments. Answer each question separately. Include and Introduction. Provide an answer to this content

History of Present Illness:

A 33 year old male is brought to the psychiatric department by
police after he attacked another man in a bar and threatened to
“rip (your) throat out with (my) bare hands”. The pt.
apparently returned from the restroom in the bar to find the
man putting an arm around his girlfriend. The pt. states that
he immediately became ‘ENRAGED” and began to scream
obscenities. The shouting quickly escalated into a full blown
bar brawl, and the police intervened when the patient wrapped
his hands around the man’s throat and pinned him against the
bar.
The pt. admits to numerous incidents of this nature and has
found himself in fights several times each year since late
adolescence. Two months ago, he was arrested for smashing a
car window with a baseball bat when the man “cut him off” on
the highway. He was also fired from several jobs in his late
20’s due to his “hot temper” with coworkers who were trying
to “slight him”. The pt. believes that his actions are sometimes
unreasonable, but the combination of heightened energy,
racing thoughts, and anger makes his urges nearly impossible
to resist.
The pts. girlfriend states that he is a fun loving and charming
man between episodes but starts arguments with her
approximately twice a week. She claims that during his verbal
attacks he will often make demeaning and devaluing remarks
about her. On several occasions he has broken her personal
belongings during trivial arguments. The pt. acknowledges

that he regrets these episodes, but they usually subside within
a half hour and provide an instant sense of relief.
Past Psychiatric History:
No psychiatric history or past use of psychiatric medications is
reported. The pt. denies symptoms of a mood disorder. He
admits to 1 or 2 alcoholic drinks per week and a history of
marijuana experimentation in his late teens.
Mental Status Exam:
The pt. appears well built and sharply dressed and looks his
stated age. He is awake, alert and oriented in all spheres.
Behavior is appropriate, and eye contact is good. Speech is
clear and coherent with normal rate, rhythm, and volume.
Mood is euthymic, and affect is full. Thought process is logical
and goal directed. Thought content does not include delusions,
ideas of reference, paranoid ideation, suicidal, or homicidal
ideation. Impulse control is poor, as noted by his recent
violent outbursts. Insight is limited because he does not
recognize the maladaptive nature of his behavior. Judgment is
impaired, as evidenced by his inability to behave in asocially
accepted ways. Reliability is fair.
Labs:
Na = 141, K=4.2, Chloride=106, carbon dioxide =23, blood urea
nitrogen=9, creatinine=0.6, glucose=91.
Blood alcohol level and urine tox are negative.
Diagnostic Testing:
CT of the head shows no sign of mass, lesion or bleeding.
Electroencephalogram is unremarkable without signs of
slowing or seizure foci.

  • Any differential diagnoses (Include a short line indicating why each one should be considered for the case)
  • Your diagnosis and reasoning (Please include the time consideration for differentiating adjustment disorders from PTSD). Also, discuss the difference between an Oppositional defiant disorder and Conduct disorder.
  • Any additional questions you would have asked to obtain more information.
  • Medication recommendations along with your rationale. Please discuss side effects vs benefits vs risks for all medications that are recommended.
  • Any labs and why they may be indicated (Include labs to rule out any organic causes of aggression)
  • Screener scales or diagnostic tools that may be beneficial
  • Additional resources to give (Therapy modalities, support groups, activities, etc.) Do not forget a hotline number and support group. 

. Do not write who you are in the answer.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Unit 3 focused on both the nervous and endocrine systems. Nursing Assignment Help

Unit 3 focused on both the nervous and endocrine systems. Both are essential communication systems for the body and play vital roles in homeostatic balance. The endocrine system produces chemical messengers that travel throughout the body via the circulatory system and interact with receptor cells. If the interaction cannot occur,

Aubre R. presents as a new patient to your practice having Nursing Assignment Help

Aubre R. presents as a new patient to your practice having recently relocated from rural Tennessee. She is 68 years old and complains of irritable bowel syndrome (IBS) with abdominal cramping and frequent diarrhea with occasional constipation. She has a history of domestic violence with resultant anxiety requiring inpatient hospitalization

Walden University, LLC. (Producer). (2019b). Alzheimer’s Nursing Assignment Help

To Prepare  Review the interactive media piece for Alzheimer’s Disease.  (76 Year Old Iranian Male) Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece. Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned. You

Walden University, LLC. (Producer). (2019b). Alzheimer’s Nursing Assignment Help

To Prepare  Review the interactive media piece for Alzheimer’s Disease.  (76 Year Old Iranian Male) Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece. Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned. You

To Prepare Review the interactive media piece for Nursing Assignment Help

To Prepare  Review the interactive media piece for Alzheimer’s Disease.  (76 Year Old Iranian Male) Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece. Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned. You

Students are required to maintain weekly reflective Nursing Assignment Help

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. In your journal, you will reflect on the personal knowledge and skills gained throughout

Please respond to one discussion post. Compare your Nursing Assignment Help

Please respond to one discussion post. Compare your experience with the Active Verbs activity with that of your peer. Was their experience with the activity similar to yours? If they had similar experiences with the questions, discuss why you think you had similar outcomes. If they had different experiences with