NURS 6670 Jared seems unsure what to say, but his wife is adamant that this is a totally different man from the one she has known

Jared seems unsure what to say, but his wife is adamant that this is a totally different man from the one she has known. The PMHNP knows that Jared should be evaluated for:

Answer:

The PMHNP is evaluating Jared, a 47-year-old male who is brought to care by his wife because ?he’s not the man I married 20 years ago.? According to his wife, she and Jared have been married for 20 years, have two children, and have lived a ?normal? life. Jared owns a local construction company and their marriage has been a solid one, characterized by the typical day-to-day issues that occur in most marriages, but otherwise happy. For the last 2–3 months, she says Jared has completely changed. He will get angry for no apparent reason and even broke a lamp once. He tells stupid and offensive jokes that no one else thinks are funny, and even had someone call the police when he continued to make inappropriate remarks to a woman in a restaurant. Jared seems unsure what to say, but his wife is adamant that this is a totally different man from the one she has known. The PMHNP knows that Jared should be evaluated for alcohol withdrawal since he admits to having periodic “drinking binges” where he will consume six drinks or more within 24 hours.

Jared seems unsure what to say, but his wife is adamant that this is a totally different man from the one she has known. The PMHNP knows that Jared should be evaluated for:

Jared is a 47-year-old male who was brought to care by his wife because she claims that he is not the man she married 20 years ago. According to her, Jared broke an expensive lamp one day and says stupid and offensive jokes. He told off a woman at a restaurant after making inappropriate comments to her. He has suddenly changed – he is overly angry, acting unlike himself and seems unsure what to say.         The PMHNP knows that Jared should be evaluated for:

You are the PMHNP assigned to Jared, a 47-year-old male brought in by his wife. Use this page to list the domains for which you would include information about the PAMA assessment findings for this problem.Your suggestions will help guide the care of Jared in nursing homes and other facilities.

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We will evaluate Jared for Major Depression and Bipolar Disorder. The diagnosis of Major Depression is based on a combination of major depressive episodes, dysthymia lasting at least 2 years, and apart from the mood disorder must have at least two of the following: Depressed mood most of the time, marked impairment in work performance (either because they’re not going to work or they can’t concentrate or produce quality of work), significant weight loss when not dieting, insomnia or hypersomnia nearly every day, psychomotor retardation or agitation that are observable by others and not characteristic of normal aging; fatigue or loss of energy nearly every day, feelings of worthlessness or excessive guilt nearly every day, diminished ability to think or concentrate; recurring thoughts of death or suicidal ideation.

Jared seems unsure what to say, but his wife is adamant that this is a totally different man from the one she has known. The PMHNP knows that Jared should be evaluated for:

Many people expect the PMHNP to respond to questions with the words ?select all that apply,? but most questions in standardized tests have only one answer. This is a classic example of a question that has one correct response.

Review Jared’s marriage. Have husband and wife discuss how they wish to proceed. What types of interventions would be beneficial at this point?

The essential question is whether Jared is suffering from a loved one’s dementia. This would include some of the following:

The individual is unable to consistently sustain functionally adaptive behavior. Examples of symptoms include: disorientation, difficulty paying attention, and repeated failure to accomplish one or more tasks even with help and considerable time.

Question:

The PMHNP is evaluating Jared, a 47-year-old male who is brought to care by his wife because ?he’s not the man I married 20 years ago.? According to his wife, she and Jared have been married for 20 years, have two children, and have lived a ?normal? life. Jared owns a local construction company and their marriage has been a solid one, characterized by the typical day-to-day issues that occur in most marriages, but otherwise happy. For the last 2–3 months, she says Jared has completely changed. He will get angry for no apparent reason and even broke a lamp once. He tells stupid and offensive jokes that no one else thinks are funny, and even had someone call the police when he continued to make inappropriate remarks to a woman in a restaurant. Jared seems unsure what to say, but his wife is adamant that this is a totally different man from the one she has known. The PMHNP knows that Jared should be evaluated for:

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