Ann, 32 year old medical secretary

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Author:
Juliamills17
ID:
264602
Filename:
Ann, 32 year old medical secretary
Updated:
2014-03-02 00:25:13
Tags:
OCCTH518
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Description:
Ann is referred to a mental health out-patient clinic for treatment of depression. For the last 5 months she has been afraid that she will urinate in public.
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  1. Her most responsible diagnosis is:

    A. 300.22 Agoraphobia
    B. 300.02 Generalized Anxiety Disorder
    C. 296.22 Major Depressive Disorder, Single
    D. 300.01 Panic Disorder
    episode, Moderate, With anxious distress
    e. 300.23 Social Anxiety Disorder
    A. 300.22 Agoraphobia
    (this multiple choice question has been scrambled)
  2. What is/are the identified risk(s)?

    a. Job loss
    b. Social Isolation
    c. Electrolyte imbalance
    d. All of the above
    e. None of the above
    d. All of the above
  3. You are assigned as her primary therapist. What is/are your first goal(s)?

    a. Recommend home visits so she does not
    have to leave her home
    b. Rule out physical causes for possible
    urinary incontinence
    c. Recommend Zopiclone to treat her sleep disorder
    d. All of the above
    e. None of the above
    b. Rule out physical causes for possible urinary incontinence
  4. Best practice for medical management of anxiety disorders indicate
    which type of medication should be used as part of Ann’s treatment?

    A. Anti-anxiolytics
    B. SSRI Anti-depressants
    C. Anti-psychotics
    D. Neuroleptics
    B. SSRI Anti-depressants
    (this multiple choice question has been scrambled)
  5. You have completed an interview with Ann and she identifies her primary
    goal is to return to work in order to continue to financially care for her son and mother. Immediate interventions may include (there are no groups in your program):

    a. CBT
    b. Teach relaxation techniques that can be
    used at night to facilitate sleep
    c. Teach relaxation techniques that can be
    used at work
    d. Teach kegel exercises
    e. All of the above
    e. All of the above
  6. As Ann recovers, how could you help Ann sustain a higher state of wellness?

    a. Refer Ann to a community CBT group to
    build on skills
    b. Psychodynamic therapy to help determine
    possible “drivers” of the perfectionism
    c. Teach stress management skills
    d. a. and b.
    e. All of the above
    e. All of the above

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