Anxiety Disorders Case Analysis Paper

Questions and Suggested Answers
1. What behaviors does this client have that match the criteria for a diagnosis of Generalized Anxiety Disorder?
In order to meet the criteria for a diagnosis of Generalized Anxiety Disorder (GAD), a person must have
“excessive anxiety and worry” and “apprehensive expectation” occurring on more days than it does not occur for at least six months and involving a variety of worries about various events or activities. The person has to find it difficult to control the anxiety and worry. In addition, the person must have at least three other symptoms from a list including restlessness, fatiguing easily, concentration difficulties, irritability, muscle tension, and sleep problems, which include difficulty
It is not unusual for extended family members to accompany a Hispanic or Hispanic American person to the office of health care providers or to a health care facility. You need to build some rapport with the family, and this involves respecting the family and their culture, acknowledging each family member, and accepting any input given voluntarily from family members. When the client has medical problems, the nurse can perform most if not all procedures with family members present. When the client has mental health problems, it is important to observe interactions with others, but it is also exceedingly important to talk with the client alone so the client’s issues can be explored in a therapeutic environment with a professional and without the distraction of family members.
4. Before the nurse, or any other staff at the community mental health center, can talk with Betty’s family health care provider, what do they need to do? Before talking with the family health care provider about Betty’s case, the nurse needs to get a release of information form signed by Betty.
5. What does the nurse need to know about buspirone? What teaching needs to be done with the client in
The computer draws the treatment out beyond the hour with the therapists and motivates clients to do homework assignments by “prompting practice of cognitive behavioral strategies.”
7. At one point the daughter says that she thinks Betty is not showing progress. What progress, if any, do you think has been made? What can you tell the daughter? The client has made some progress in the area of “trust” and developing trusting relationships. Betty confided her feelings and thoughts about the husband loaning money to the daughter. You can tell the daughter that the medication Betty is taking has a slow onset of action: it tends to require at least two weeks to show benefits and longer for maximum benefit. Frisch and Frisch (2006) point out that the effect of buspirone is delayed, often as much as seven weeks, but it can be as effective as benzodiazepines in controlling anxiety/worry without the abuse potential of benzodiazepines.
8. What do you think about Betty’s sister using herbal remedies and rituals for driving out evil spirits in trying to cure Betty? Do herbal remedies work? Many herbal remedies do produce some beneficial effects,