Nursing Case Study PTSD Julie Polar 20 year old freshman - Riverside City College

Case #6 Julie Polar Learning Objectives 1. Identify assessment questions specific for abused clients with post-traumatic stress disorder. 2. Identify content recommended for psychoeducation of abused clients. 3. List nursing diagnoses for abused clients with post-traumatic stress disorder. 4. Identify nonpharmacological interventions for abused clients with post-traumatic stress disorder. 5. Discuss actions, side effects, dosage of Prozac. 6. Identify client outcomes that indicate positive response to specific treatment plan. 7. Discuss the nurse’s role in prevention of date rape and education of others about date rape drugs. █ At a local university, a busy walk-in mental health clinic employs nurses who see a variety of clients with mental health disorders. Today Mary Smith, R.N., is working the evening shift. Julie Polar, a 20- year-old freshman, comes to the clinic. Julie fills out the patient history and current health assessment form. Julie’s patient information indicates she works in a local nightclub and lives with her mother. Her responses to the abuse assessment screening questions indicate she has a history of repeated sexual abuse by her uncle and she is afraid of her current boyfriend. Her major complaint is difficulty sleeping. After reading these data, Mary enters the examining room. Focus Questions 1. What assessment questions should Mary ask? Do you feel safe at home, If they are DTS, if it is still occurring, her current living conditions with her mom, if her mom is aware, has she been taking anything to help her sleep, if not being able to sleep occurs frequently, what makes her afraid of her boyfriend, if he has ever been abusive towards her, if he is aware of limitations with her should she have any. 2. What topics of information should be included in the psychoeducation of abused clients? Hotlines for abuse if she ever feels like she cannot get away from him, suicide hotlines, group therapy. █ Julie states that she come to the clinic today because she is having vivid images of sexual assault that cause intense anxiety. The last few weeks she reports having nightmares of her uncle coming into her bedroom. She has difficulty sleeping, and even the slightest sound make her jump. Her uncle sexually