Mental Health-Exam (elaborations) NUR 4113-Practicum in Health Promotion & Home Health in the Community

CC: Difficulty sleeping, feelings of stress and anxiety HPI Onset: approximately 1 month ago Duration: 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 penicillinCC: Difficulty sleeping, feelings of stress and anxiety HPI Onset: approximately 1 month ago Duration: 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