{"id":128138,"date":"2023-02-14T00:00:00","date_gmt":"2023-02-14T00:00:00","guid":{"rendered":"https:\/\/nursingstudybay.com\/2023\/02\/14\/ppp10-social-science-homework-help\/"},"modified":"2023-02-14T00:00:00","modified_gmt":"2023-02-14T00:00:00","slug":"ppp10-social-science-homework-help","status":"publish","type":"post","link":"https:\/\/www.studyproessays.com\/help\/ppp10-social-science-homework-help\/","title":{"rendered":"Ppp10 | Social Science homework help"},"content":{"rendered":"

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1The Case of L<\/p>\n

Presenting ProblemClient presented in the emergency room (ER)having been brought in the previous night by her parents. Following an argument with her parents, Lcut her right wrist. L’s mother reportedthat Lstarted screamingrapidlyand became physically violent toward herprior to cutting her own wrist.Psychological Data L is a 17-year-oldHispanic (the best nursing writing service, a studybay for your papers)female who resides in Pennsylvania with her mother, father,and older sister. She is in 11th grade at the local public school.Lappearedto be of average to above-average intelligence,as she was able to respond to numerous questions in an articulate and intelligent manner. She was well versed about world history and current affairs. Her mother confirmedthat shehasdone well in school, maintaining a B+ averageand participatingin various school activities (e.g., chorus, school paper) until last year. Lslowly dropped out of many activities she liked in the past. Her mother noticed about 8months ago that Lhad also begunhaving difficulty doing schoolwork.Erratic behavior aroseduring episodes when Lalsobecameirritable and explosive. During theserepeated episodes,she becamequite defiant, cutclasses, hadto be placed in school detention, and had even assaulted the principal. Lhas numerous friends and believed she can relate to all types ofpeople. She has a boyfriend who adores her, but she said she doesn’t feel the same about him. The school counselor confirmedthat Lis outgoing, popular,and smart;but during these episodes she became another person, one who is very violent and difficult.Medical History A physical examination by a staff doctor revealed superficial cuts on L\u2019sleft and right wrist. The cuts appeared to be a few weeks old. There were cigarette burns on her right wristthat looked to be approximately one week old. In questioning Laboutthe cigarette burns, Lresponded, “Ijust wanted to see how it felt\u2014now I know.”Whenquestioned about old cuts on her left wrist,she responded, “I don’t want to talk about it.”Lweighs 103pounds and is 5\u2019 6\u201d tall. Ldeniedany dieting or fasting,but her mother noticed over this past year that her weight has dropped. Substance Abuse History L denied any drug or alcohol use. When she was questioned regarding such, her response was “I could do drugs if I wanted to.I don’t want to,because it\u2019s dumb.”Family History L\u2019s mother is 42 years old and works as a secretary for a large telephone company. Her father is 49years old and operates a small landscaping business. Both are U.S. citizens, with a cultural background from Guatemala of which they are proud. Both have\u00a0<\/p>\n

2a high school education. L\u2019s sister is considerably younger, aged 8. Their relationship is described as unremarkable,although L\u2019s mother notedthat the younger sister stays away when Lis upset. Marital circumstances are uncertain,although the parents admittedthat they are trying to keep the family together for their children,and they are of the Catholic faith. Treatment costs for Lhave been an additional difficultyfor the family,but they said they are very worried about L\u2019s lack of self-control and discipline. Extended family are far awayand mostly still in Guatemala. L\u2019s parents were not aware ofany other family members with psychiatric problems. Psychiatric HistoryLwasevaluated three times at the community hospital ER during the past 4 years. Hospital Assessments wereusually done after suicide attempts or threatening violent behavior toward others. Lthoughtthat the clinicians trying to diagnose her only hadbook skillsand no people skills. She assumedthat no one will ever know what is wrong with her; she didnot plan to tell them because she doesn’t like them. Lsaid she knows she \u201cis not crazy,\u201dbut she was convinced that the therapist thoughtshe is crazy or a \u201cbad\u201dkid.”They’re just experimenting with me,”Lsaid. Lindicated that she had been prescribed medications to alter hermood,but she couldn’t recall what it was,as she stated, “I don’t need those; nothing is wrong with me.”L’s mother reported that Lwasinvolved in outpatientcounseling on at least four occasions as well as being placed ina shelter once after school truancy, running away fromhome, andthreatening to assault her. A socialworker was even sent for home visits for a 3-monthperiod. Each time,Lwould abruptlyend therapy by becoming verbally abusive or totallynoncommunicative toward the therapist and would adamantly refuse tocontinue therapy. She even admittedto shoving a desk toward atherapist and threatening her with a pencil. When questionedabout this behavior,Lresponded, “Well she told me to expressmyself and let my true feelings out, so I did.” (Lalso laughed andglanced ather motherduring this exchange.)L\u2019s mother wasparticularly perplexed and overwhelmed by these behaviors.She statedthat her husband is completely frustrated and angry. Both admittedthat L\u2019s behavior is part of the considerable strain on their marriage. Ldeniedbeing under any continued psychiatric care eventhough it wasrecommended numerous times.She refusedto go,stating, “The therapists are the ones who are crazy.”Lwas first seen in outpatient counseling 9 years ago after she began to have nightmares and experienced tremendous anxiety after her godmother threatened to kidnap her. Her godmother became obsessed with LwhenLwas 6 years old,first threatening to kidnap her then. Her godmother had to be institutionalized after exhibiting bizarre behavior. Recently,the godmotherstarted threateningto kidnap Lagain. Three years ago,Lwas sent for counseling after she ran away from home after getting a bad report card and also discovering that her parents were considering a divorce. Lrequested therapy,as she reported that at 8 years of age she was sexually molested by an older man inthe community (who is now deceased). She expressed having mixedemotions,because she viewed her perpetrator as her friend.By pretending that nothing\u00a0<\/p>\n

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The sign of an effective clinician is the \u00a0ability to identify the criteria that distinguish the diagnosis from any \u00a0other possibility (otherwise known as a differential diagnosis). An \u00a0ambiguous clinical diagnosis can lead to a faulty course of treatment \u00a0and hurt the client more than it helps. In this Assignment, using the \u00a0DSM-5 and all of the skills you have acquired to date, you assess an \u00a0actual case client named L who is presenting certain psychosocial \u00a0problems (which would be diagnosed using Z codes).\u00a0<\/p>\n

This is a culmination of learning from all the weeks covered so far.<\/p>\n

To prepare:<\/strong> \u00a0Use a differential diagnosis process and analysis of the Mental Status \u00a0Exam in \u201cThe Case of L\u201d to determine if the case meets the criteria for a \u00a0clinical diagnosis.<\/p>\n

Submit a 6 page paper in which you:<\/p>\n