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Santiago Gordon-Cruz is a 6-year-old Argentinian boy who witnessed the murder of his father, Manuel, six months ago. Manuel was shot multiple times during a robbery in the bodega where he worked. Since the murder, Santiago has trouble sleeping, often cries, and has been refusing to leave the house. His mother, Adelina, notes Santiago regularly complains that his tummy hurts, is startled by any sudden or loud noises, and constantly wants to be held by family members. His has a poor appetite and he sleeps poorly.

As Catholics, Adelina says that she has told Santiago many times that his father is in heaven, and they pray for him every day. Her son does not appear to be comforted by this.

Answer the following questions from your perspective as his psychiatric nurse practitioner.

What is a possible DSM-5 diagnosis for Santiago? Also, identify two possible differential diagnoses.
Based on the evaluation, you decides that Santiago could benefit from medication. Identify a pharmacological plan of care and identify what medication(s) you would prescribe for him. Identify the medication(s) to be prescribed, dose, administration time, mechanism of action, half-life, and side effects.
What type of psychotherapy might you recommend for Santiago? Provide a rationale. How would you explain how the psychotherapy intervention could help Santiago?
Identify a case conceptualization based on cognitive behavioral theory for this case.
SCIENCE
HEALTH SCIENCE
NURSING
NURSING MS NURS5664

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