Patient L.R. is a 65-year-old female with

Patient L.R. is a 65-year-old female with a history of depression, bipolar 1 and anxiety disorders in the clinic today accompanied by her daughter. The patient’s daughter reported “her depression has increased lately; she refuses to get out of bed even to watch game shows on TV she always enjoyed” The patient reported she stopped taking her medications “a while ago” Patient is interested in restarting her medications. Patient reports her medications worked ok with no side effects. The treatment plan discussed and agreeable with the patient is to restart Prozac 20mg daily in the evening, Olanzapine 10mg at bedtime, and hydroxyzine 50mg TID PRN. Return to the clinic in one month. provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). SCIENCE HEALTH SCIENCE NURSING NRNP 6635

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