SOLVED487

INITIAL CLINICAL SCENARIO The nurse is caring for Jeffrey, a 57-year-old attorney, admitted to the psychiatric unit with a diagnosis of obsessive-compulsive disorder. The client reports worsening symptoms since the loss of a major high-profile court case. Jeffrey displays frequent handwashing to the extent that the skin on his hands has become excoriated with bleeding. He states that he is no longer able to work for the law firm and has taken a leave of absence in order to get better. Jeffrey has noted that he has been having an increased consumption of alcohol since the court case started. The nurse notes that Jeffrey is articulate, well groomed, with extreme fidgetiness and anxiety. Several times through the course of the conversation Jeffrey has gotten up and washed his hands. Vital Signs: BP 150/80, Temp. 98.4°F oral, HR 88, Resp. 16, O2 Sat 98% on room air Labs: Within defined parameters Orders: The provider has prescribed an anti-anxiety medication, an SSRI, individual and group therapy, and discharge to outpatient care for cognitive behavior therapy and group therapy. UNFOLDING CLINICAL SCENARIO INFORMATION Jeffrey was discharged home the following day. He has begun to take his medications on a regular basis. He has
SCIENCE
HEALTH SCIENCE
NURSING

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