SOLVED488

A nurse working in an outpatient mental health fadility is caring for a client who has anxiety and was discharged from an inpatient mental health facility 1 week ago. Exhibit 1 Exhibit 2 Exhibit 3 Medical History Client is 19 years old, has severe anxiety, and was admitted to an inpatient mental health facility for observation and behavioral therapy 2 weeks ago. Client’s weight at time of admission was 54.4 kg (120 lb). Client reported sleeping 3 to 4 hr per night due to recurrent nightmares as well as a decrease in appetite. Client’s family member stated that the client had separated themselves from friends, refused to leave their house, and picked their skin until it bled. Client’s family member stated that there is a family history of anxiety. Client reported previous participation in cognitive-behavioral therapy. Nurses’ Notes Client appears to be well-groomed. Client’s current weight is 54 kg (119 lb). Client states they are sleeping 5 to 6 hr per night, bi having an occasional nightmare. Verbalizes decreased appetite and gastrointestinal discomfort. Client states, “I feel anxious about leaving my house. I feel like everyone is staring at me an judging me.” Verbalizes that bullying experienced during high school
SCIENCE
HEALTH SCIENCE
NURSING

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