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Mental Health (NR 326) Anxiety Disorder

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Sandra Watson
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Chamberlain College of Nursing

Mental Health (NR 326)

nurse tara is admitting ms simpson

Selected Option PLAY Nurse T completes the Hamilton-A assessment of Ms. S and determines
her score to be 26. Which appropriate action for the nurse to take? Lorazepam
Nurse T preparing to call provider. List the findings. S (Situation) = Ms. Simpson
is a 22-year-old African-American female admitted to the inpatient mental health
unit for anxiety. She is restless and fidgety, has poor concentration, and has
been experiencing chest pain and shortness of breath. B (Background) = She
has a history of generalized anxiety disorder and has previously taken
paroxetine 20 mg PO daily, but has not been taking it for approximately 2
weeks. A (Assessment)= Her vital signs from report at 0745 were: heart rate
115, blood pressure 148/76, respirations 32, oxygen saturation 96% on room air,
and temperature 37.0 C (98.6 F). Her score on the Hamilton A scale is 26, and
she has been unable to focus on answering questions due to her severe level of
anxiety. She continues to pace, wring her hands, and rock when sitting. R
(Recommendation) = I am calling to request a prescription for lorazepam.
Rationale S (Situation) = Ms. Simpson is a 22-year-old African-American female admitted
to the inpatient mental health unit for anxiety. She is restless and fidgety, has
poor concentration, and has been experiencing chest pain and shortness of
breath. B (Background) = She has a history of generalized anxiety disorder and
has previously taken paroxetine 20 mg PO daily, but has not been taking it for
approximately 2 weeks.A (Assessment)= Her vital signs from report at 0745
were: heart rate 115, blood pressure 148/76, respirations 32, oxygen saturation
96% on room air, and temperature 37.0 degrees C (98.6 degrees F). Her score
on the Hamilton A scale is 26, and she has been unable to focus on answering
questions due to her severe level of anxiety. She continues to pace, wring her
hands, and rock when sitting.R (Recommendation) = I am calling to request a
prescription for lorazepam.

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Mental Health (NR 326) Anxiety Disorder

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