Exam (elaborations)
NR 547 Differential Diagnosis NR_547_WEEK_3_DISCUSSION.
- Institution
- Chamberlain College Of Nursing
NR 547 Differential Diagnosis
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1. What is the most appropriate response by the PMHNP? How can the PMHNP supportadherence for this client?
The PMHNP should first assess the client's current symptoms, including his rationale for
not taking his medications. It is important for the PMHNP to listen to the client's
concerns and be understanding of his struggles with medication side effects. The PMHNP
should explain to Mark that although the medications may have caused uncomfortable
side effects, medication compliance is necessary to help him manage his schizophrenia.
In addition, client should be educated that alcohol misuse alone over long periods can
cause psychotic symptoms such as hallucinations. Which are positive symptoms that
clinicians try to eliminate or diminish with medication in schizophrenic patients. The
PMHNP should also explain the risks associated with not taking medications, such as
increased likelihood of relapse, as well as the potential benefits of adherence. It is also
important to discuss strategies to manage side effects, such as adjusting the dose or
switching medications (Bright, 2017).
2. What are the ethical and legal obligations for the PMHNP in the above situation?
The PMHNP's ethical and legal responsibilities in this instance includes obtaining a
comprehensive relevant health, social and medical history. Perform a thorough mental health
examination, taking into account his history of schizophrenia, his experience with treatment, and
his present symptoms. The PMHNP needs to go over the advantages and disadvantages of any
medications Mark might be prescribed, including any possible side effects, as well as any
possible alternatives. Additionally, the PMHNP should collaborate with Mark to develop a
treatment plan that is customized to his specific requirements and takes into consideration any
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