You’ve been assigned as the PMHNP to Jared a 47-year-old man

You’ve been assigned as the PMHNP to Jared a 47-year-old man

You’ve been assigned as the PMHNP to Jared a 47-year-old man

Jared, a 47-year-old man brought to care by his wife because “he’s not the man I married 20 years ago,” is being evaluated by the PMHNP. Jared and his wife have been married for 20 years, have two children, and have led a “typical” life, according to his wife. Jared operates a local construction company, and their marriage has been a good one, with the regular day-to-day challenges that most marriages have, but generally happy. Jared, she claims, has radically transformed in the previous 2–3 months. He can become enraged for no apparent cause and has even broken a lamp. He says insulting and foolish jokes that no one else finds amusing, and he was even reported to the cops after making inappropriate statements to a woman in a restaurant. Jared appears to be at a loss for words, but his wife insists that this is not the same man she has known. Jared should be assessed for alcohol withdrawal, according to the PMHNP, because he admits to having “drinking binges” where he consumes six or more drinks in a 24-hour period.

Jared appears to be at a loss for words, but his wife insists that this is not the same man she has known. Jared should be assessed for the following reasons, according to the PMHNP:

Jared is a 47-year-old man who was taken into custody by his wife after she claimed he was not the man she married 20 years earlier. Jared, she claims, once shattered an expensive lamp and makes foolish and insulting comments. After making disrespectful comments to a woman in a restaurant, he scolded her. He’s abruptly changed — he’s agitated, acting strangely, and unsure of what to say. Jared should be assessed for the following reasons, according to the PMHNP:

You’ve been assigned as the PMHNP to Jared, a 47-year-old man who was brought in by his wife. List the domains for which you’d like to put information about the PAMA assessment findings for this concern on this page. Your recommendations will aid Jared’s care at nursing homes and other facilities.

Jared will be assessed for Major Depressive Disorder and Bipolar Disorder. Major depression is diagnosed by a combination of major depressive episodes, dysthymia lasting at least 2 years, and at least two of the following symptoms in addition to the mood disorder: Depressed mood most of the time, significant impairment in work performance (either because they don’t go to work or because they can’t concentrate or produce high-quality work), significant weight loss when not dieting, insomnia or hypersomnia nearly every day, psychomotor retardation or agitation that is visible to others and not typical of normal aging; fatigue or loss of energy nearly every day, feelings of worthlessness or excessive guilt nearly every day, diminishes

Jared appears to be at a loss for words, but his wife insists that this is not the same man she has known. Jared should be assessed for the following reasons, according to the PMHNP:

Many people anticipate the PMHNP responding to questions by saying, “Select all that apply.” However, in most standardized tests, there is just one correct response. This is an excellent example of a question with only one right answer.

Examine Jared’s relationship. Have a discussion between the husband and wife about how they want to continue. At this time, what kinds of initiatives would be beneficial?

The main concern is if Jared is suffering from dementia caused by a family member. This would include the following items:

The person is unable to maintain functionally adaptive behavior on a constant basis. Disorientation, trouble paying attention, and frequent failure to complete one or more tasks, even with assistance and adequate time, are examples of symptoms.