46 (Mandatory) (1 point) Scenario This scenario
46 (Mandatory) (1 point) Scenario This scenario will inform Questions 18 through 21. A 14-year-old boy is brought to the Emergency Department by his parents. The parents reported that he has become increasingly irritable, angry, and suspicious in the past four weeks. The parents state that his personality has completely changed. He has not slept for seven nights and has been found by his teachers using his laptop under a lamppost to work on his schoolwork. He has become preoccupied with the belief that he is a boy genius with an important mission and is more clever than Albert Einstein. According to his parents, he appears to look depressed on and off for over a year. He denies any history of substance abuse or use of any kind. He also has weird behaviors according to parents. During the interview, the boy volunteers little information and is extremely agitated. He paces back and forth while muttering “there is no time for this.” At this time, what would you do? 46 options: Prescribe diazepam and follow up in 2 weeks Prescribe lithium carbonate on an outpatient basis and follow up in three months Prescribe a tricyclic antidepressant on an outpatient basis and follow up in one week Admit patient to a psychiatric hospital and treat with risperidone 47 (Mandatory) (1 point) Scenario This scenario will inform Questions 22 through 25. A 17-year-old girl comes to your office expressing concern about a number of issues. She says that things were going well until a few months ago, when she started feeling very restless and on edge. She stated feeling tired and rundown and constantly stressed out. She also has problems falling asleep and lay awake worrying about school, friends, and everything she needs to get done. She said that she has a hard time concentrating and has difficulty starting on her list of things to do. She came for help today because of her problem with focus and concentration which is affecting her school performance. During the interview, she becomes very tense and tells you, “You know this is really getting out of control. I feel that I cannot function anymore.” On physical examination, the patient’s blood pressure is 130 /70 mmHg, and her pulse is 94 beats per minute and regular. Her thyroid gland is within normal limits and nontender. Her cardiac examination reveals no abnormalities outside the tachycardia. Her neurologic examination is normal. The remainder of the physical examination is normal. What is the most likely diagnosis in this patient? 47 options: Major depressive disorder Panic disorder Generalized anxiety disorder (GAD) Hyperthyroidism Hypochondriasis 48 (Mandatory) (1 point) Scenario This scenario will inform Questions 22 through 25. A 17-year-old girl comes to your office expressing concern about a number of issues. She says that things were going well until a few months ago, when she started feeling very restless and on edge. She stated feeling tired and rundown and constantly stressed out. She also has problems falling asleep and lay awake worrying about school, friends, and everything she needs to get done. She said that she has a hard time concentrating and has difficulty starting on her list of things to do. She came for help today because of her problem with focus and concentration which is affecting her school performance. During the interview, she becomes very tense and tells you, “You know this is really getting out of control. I feel that I cannot function anymore.” On physical examination, the patient’s blood pressure is 130 /70 mmHg, and her pulse is 94 beats per minute and regular. Her thyroid gland is within normal limits and nontender. Her cardiac examination reveals no abnormalities outside the tachycardia. Her neurologic examination is normal. The remainder of the physical examination is normal. Which of the following symptoms are generally characteristic of the disorder the patient has? 48 options: Anxiety exclusively focused on health concern Association of the anxiety with depression A six month or longer course of anxiety and associated symptoms Worry is out of proportion to the likelihood or impact of feared events Awakening with apprehension and unrealistic concern about future misfortune 49 (Mandatory) (1 point) Scenario This scenario will inform Questions 22 through 25. A 17-year-old girl comes to your office expressing concern about a number of issues. She says that things were going well until a few months ago, when she started feeling very restless and on edge. She stated feeling tired and rundown and constantly stressed out. She also has problems falling asleep and lay awake worrying about school, friends, and everything she needs to get done. She said that she has a hard time concentrating and has difficulty starting on her list of things to do. She came for help today because of her problem with focus and concentration which is affecting her school performance. During the interview, she becomes very tense and tells you, “You know this is really getting out of control. I feel that I cannot function anymore.” On physical examination, the patient’s blood pressure is 130 /70 mmHg, and her pulse is 94 beats per minute and regular. Her thyroid gland is within normal limits and nontender. Her cardiac examination reveals no abnormalities outside the tachycardia. Her neurologic examination is normal. The remainder of the physical examination is normal. What is the psychotherapy of choice for this disorder? 49 options: Psychoanalytic psychotherapy Supportive psychotherapy Cognitive behavioral therapy Hypnosis 50 (Mandatory) (1 point) Scenario This scenario will inform Questions 22 through 25. A 17-year-old girl comes to your office expressing concern about a number of issues. She says that things were going well until a few months ago, when she started feeling very restless and on edge. She stated feeling tired and rundown and constantly stressed out. She also has problems falling asleep and lay awake worrying about school, friends, and everything she needs to get done. She said that she has a hard time concentrating and has difficulty starting on her list of things to do. She came for help today because of her problem with focus and concentration which is affecting her school performance. During the interview, she becomes very tense and tells you, “You know this is really getting out of control. I feel that I cannot function anymore.” On physical examination, the patient’s blood pressure is 130 /70 mmHg, and her pulse is 94 beats per minute and regular. Her thyroid gland is within normal limits and nontender. Her cardiac examination reveals no abnormalities outside the tachycardia. Her neurologic examination is normal. The remainder of the physical examination is normal. The best treatment approach for this patient is 50 options: Treat with CBT for 12 weeks Treatment with tricyclic anti-depressants Enroll in Coaching Approach behavior and Leading by Modeling (CALM program) Treat with sertraline combined with CBT
******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."