Case Study: Natalee Williams, a 10-year-old African American girl, complaining about headaches and “tummy aches.”
Review the case study and then answer the questions that follow.
Natalee Williams, a 10-year-old African American girl, comes to your psychiatric nurse practitioner office for evaluation. She has been sad and withdrawn, complaining about headaches and “tummy aches.”
Her mother, Trina, accompanies her to the appointment. Trina notes that Natalee has seemed depressed and presents as irritable. The mother notes her daughter’s mood change occurred about two months ago. Natalee’s school performance has fallen, and she is now getting Cs on her work. The last term, she earned all As. She wants to sleep more, and her appetite has decreased.
She rarely wants to play with friends and spends a lot of time in her room alone. Her height and weight are normal for her age, but she has lost two pounds over the last two months.
There is a history of depression in the family, as Natalee’s maternal grandmother and maternal aunt both have had major depression. Her maternal grandmother was hospitalized for psychiatric care 20 years ago for depression and a suicide attempt by an overdose of Tylenol.
From your perspective as Natalee’s psychiatric nurse practitioner, answer the following questions in a paper that is in APA format. Include at least three peer-reviewed, evidence-based references that are current within the past 5 years.
1. What are some differential diagnoses you would give? Identify one medical differential diagnosis and two psychiatric differential diagnoses.
2. What diagnosis would you give Natalee? On what evidence/symptoms do you base your diagnosis?
3. What medication(s) would you prescribe for Natalee and why? Please note the medication, initial dose, and dosing schedule. If you would use an off-label medication to treat Natalee, provide your rationale for doing so.
4. Fill out a prescription (PDF) (Links to an external site.) for this medication. Print the template, fill it out, and scan it or take a photo. Insert the image at the end of your Microsoft Word document.
5. How will you educate and inform Trina (Natalee’s mother) about how this medication will work?
6. How will you discuss with Trina the commonly expected side effects, potentially serious adverse effects, and FDA black box warnings for a child of this age with taking this medication?
This paper must include a thesis statement.
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