NR-511 Differential Diagnosis & Primary Care Practicum -Mental Health-Tina Jones Latest A+Graded

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NR-511 Differential Diagnosis & Primary Care Practicum -Mental Health-Tina Jones Latest A+Graded NR-511 Differential Diagnosis & Primary Care PracticumHPI Onset: approximately 1 month ago Durat... ion: difficulty sleeping occurs 4-5 nights per week. Patient reports only sleeping 4-5 hours a night when she prefers 8. Characteristics: associated with excessive worrying prior to falling asleep. Patient states that she has "racing thoughts" prior to falling asleep. Exhausted upon awakening in the morning. Aggravating factors: stress, having "racing thoughts" prior to falling asleep. Worried about an upcoming exam for her CPA certification, finding employment as a CPA, and moving out in to her own place. Relieving factors: distraction from the thoughts that are causing stress. Treatment: None. Denies taking any sleep aids or prescribed hypnotics. Denies exercise. Current medications: flovent and proventil Allergies: cats and penicillin PMHx: Asthma and diabetes. Social Hx: Patient states that she sleeps in a quiet bedroom. Reports caffeine intake "diet coke" to stay awake but stops by 4PM. Reports watching television and reading before bedtime. Denies tobacco smoking and recreatitional drug use. [Show More]

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