Create a patient scenario for adult attention-deficit hyperactivity disorder. Include the following sections:
-Patient chief complaint
-History of present illness
-Social history
-Family medical history
-Past medical history
-Medications
-Treatment plan
State and Federal Regulations
-Identify the state where you live.
-Identify what your state laws say about prescribing behavioral health drugs without being certified and/or credentialed as a psych-mental health NP.
How does the Affordable Care Act affect behavioral health care?
How do these factors impact the patient in the scenario you provided?
Community Resources
Provide information on how you would know if the patient you created needs support beyond what you can provide as a primary care NP.
Identify community resources available in your area to refer patients in need of assistance before they can establish care with a primary mental health provider.
Identify the facilities in your area where you would send a patient in need of urgent assessment and intervention.Identify resources in your area that are available to patients who may not be able to afford behavioral health care.
Legal & Ethical Considerations
Identify potential legal issues that could arise from how you do or do not choose to treat this patient.
Identify potential ethical issues that could arise from how you do or do not choose to treat this patient.
What follow-up is needed for your patient?
What do you need to do as a primary care provider to mitigate potential risks in providing care for behavioral health concerns?

 

 

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.

God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Sample Answer

Sample Answer

Patient Scenario: Adult Attention-Deficit Hyperactivity Disorder (ADHD)

Patient Chief Complaint

– John, a 30-year-old male, presents with difficulties focusing, impulsivity, and restlessness impacting his work performance and personal relationships.

History of Present Illness

– John reports experiencing lifelong struggles with attention, organization, and impulsivity, leading to recent challenges at work and home.
– He describes feeling overwhelmed and frustrated by his inability to stay on task and complete projects.

Social History

– John is employed as a project manager in a demanding job that requires multitasking and attention to detail.
– He is currently single and lives alone, finding it challenging to maintain social connections due to his symptoms.

Family Medical History

– John’s mother was diagnosed with ADHD during childhood, suggesting a potential genetic component to his condition.

Past Medical History

– No significant medical history reported.

Medications

– John is not currently taking any medications.

Treatment Plan

– Referral to a psychologist or psychiatrist for formal ADHD evaluation and diagnosis.
– Consideration of non-pharmacological interventions such as cognitive-behavioral therapy or coaching.
– Discussion of medication options like stimulant medications if indicated after thorough evaluation.

State and Federal Regulations

– State: California
– Prescribing Regulations: In California, nurse practitioners are required to complete specific training and obtain certification to prescribe behavioral health drugs, including those for ADHD. Only certified Psychiatric-Mental Health Nurse Practitioners (PMHNP) can prescribe such medications.

Affordable Care Act Impact

– The Affordable Care Act has expanded coverage for behavioral health services, making mental health treatment more accessible for individuals like John who may require ongoing care for ADHD.

Community Resources

– Identifying Need for Support:- If John’s symptoms persist or worsen despite initial interventions, referral to a mental health specialist may be necessary.

– Community Resources:- Local Mental Health Clinics: Provide counseling services and medication management.
– ADHD Support Groups: Offer peer support and coping strategies for individuals with ADHD.
– Crisis Intervention Centers: Available for urgent mental health needs.

Legal & Ethical Considerations

– Legal Issues:- Prescribing medications without proper certification may lead to legal repercussions in California.

– Ethical Issues:- Ensuring informed consent and patient autonomy in treatment decisions is crucial when managing ADHD in adults.

Follow-Up & Risk Mitigation

– Follow-Up: Scheduled follow-up appointments to monitor treatment response, adjust medications if needed, and provide ongoing support.
– Risk Mitigation:- Regular communication with mental health specialists for collaborative care.
– Documenting treatment decisions, informed consent, and follow-up plans thoroughly.

In conclusion, addressing ADHD in adult patients like John requires a comprehensive approach involving evaluation, treatment planning, community resources utilization, adherence to legal regulations, and ethical considerations. As a primary care provider, collaborating with mental health professionals, monitoring treatment outcomes, and ensuring patient well-being are essential steps in managing behavioral health concerns effectively.

 

 

This question has been answered.

Get Answer