NU665C UOSA Week 6 Psychiatric Mental Health Nurse Practitioners Case Paper In this assignment, you will review the Pediatric Case Study patient and analyz

NU665C UOSA Week 6 Psychiatric Mental Health Nurse Practitioners Case Paper In this assignment, you will review the Pediatric Case Study patient and analyze the data to determine the health status of the patient. Please respond to the questions that are presented within the case study.Follow the requirements posted on the rubric.Use the Word document that is located within the case study for your case study answers.Papers are usually around 5 pages in length.When the Word document is complete, upload it to the corresponding case study assignment and week’s dropbox in your clinical (665CX) course. Pediatric Case Study Assignment
Katy is a six-year-old girl, the second of two children of a middle-class family living in a
suburban area of a northwest city. Katy has one sister that is two years older than her.
Her mother’s pregnancy was normal and Katy’s birth was normal. Katy had colic the first
three months, cried extensively and was difficult to comfort. After three months she
became passive and cried very little with comfort from her mother. Her growth and
development appeared to be normal. She met all the developmental milestones her first
three years. She interacted normally with her sister and parents, except that she would
become tearful and anxious when her parents would get a babysitter.
At age four, she was in nursery school and appeared to function normally except during
the first month when Katy had difficulty when her father would drop her off at school.
The nursery school was a small private school with a lot of personal attention given to
each child. Although shy, she made friends and liked going to nursery school after she
became adjusted to the new setting. Her parents liked the school so much that they
decided to keep Katy in kindergarten at this school with her same teachers and friends.
However, tuition at the school became a problem after Katy’s mother became sick with
lupus and was unable to work.
At age six, Katy’s parents enrolled her in first grade at the public elementary school in
their neighborhood. For the last two weeks, she has refused to go to school and has
missed six school days. She is awake almost all night worrying about going to school.
As the start of the school day approaches, she cries and screams that she cannot go,
chews holes in her shirt, pulls her hair, digs at her face, punches the wall, throws herself
on the floor, as well as experiences headaches, stomachaches, and vomiting. Over the
past two weeks, she has become gloomy, has stopped reading for fun, and frequently
worries about her mother’s Lupus and that she may die. In addition, Katy is phobic of
dogs, avoids speaking and writing in public, and wets the bed every night.
Her parents immediately made an appointment to see her PCP. Her doctor conducted a
thorough physical exam, found no physical abnormalities and then referred her to you, a
Family PMHNP.
Family history of mental health includes the following: mother has a history of panic
disorder; her father has a history of treatment with medications for ADHD as a child; and
she has a cousin diagnosed with Asperger’s syndrome.
For your assignment, write a paper that addresses the following prompts using
evidence-based references to support your answers:
1. What is your provisional diagnosis, as well as the possible differentials?
2. Justify your answer with DSM-5 criteria (be short, brief and to the point).
3. Is Katy too young to diagnose, or is there a basis for early identification and
intervention?
4. What psychiatric scales or assessment tools might you use with this patient? With the
parents? List and describe briefly.
5. How would the typical symptom patterns and phases be manifested in children this age?
In adolescents?
6. What would be your treatment plan for medications, if any? If you do choose to offer
medication as part of the treatment plan, please address the following medications
issues:
a. Target symptoms
b. Receptors affected
c. Psychiatric and system effects
d. Possible parental concerns
7. What would be your school-based treatment plan, if any?
8. What would be the implications for the families of children and adolescents with these
diagnostic pictures?
9. How does the mother’s health play into the picture of Katy’s diagnosis? What type of
therapy would you recommend for Katy (and her family) to work through her issues?
10. Identify resources for patients/families with this diagnosis in the form of community
groups, web-sites, advocacy, as well as treatment resources available in your service
area.
11. What are you worried about (if anything)? Consider this question in terms of treatment,
assessment, alliance, compliance, effectiveness, safety, and other factors.

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