Thinking Exercise 19.2.6 A 23-year-old client who recently threatened to commit suicide after a relationship breakup is visiting the psychiatrist for a 3-week drug therapy follow-up. The nurse conducts the intake and screens the client prior to consultation with the physician. The office nurse first reviews the notes from the ED below. History and Physical Nurses’ Notes Orders Laboratory Results 1655: Client brought to center by family after threatening to end own life. States that partner of 3 years was “cheating” on the client, which is devastating. States, “Nothing matters to me anymore; life is just meaningless.” Reports feeling hopeless and will never find someone like the client’s past partner. Crying when sharing information. Family states client has not had a suicide attempt before and the client has no mental health history. Occasional use of marijuana and alcohol on weekends when going out with friends. Works full-time at a local store during the week as a department manager. Had been living with partner in an apartment but now is staying with family. 1746: Strong support by family. Family states that client’s father committed suicide about 10 years ago. Father had posttraumatic stress disorder (PTSD) from serving in the military; had bilateral below-the-knee amputations and a mild traumatic brain injury (TBI). 1830: Partner came to ED to discuss possible future with client. Told to stay in waiting room until the client was seen by the psychiatrist, but started screaming at receptionist and staff. After being asked twice to sit down and wait for client, the partner started cursing staff. Security called to escort partner off of campus. 1910: Psychiatrist in to evaluate client and family. Plan for discharge from ED. Question; Reflect on why this activity was challenging and do the following: Describe why the selected exercise was challenging, including supporting examples and rationales. Review the rationales for the selected thinking exercise and identify these components of the clinical reasoning process: Individual strengths for clinical reasoning, including examples and rationales. Individual areas needing development for clinical reasoning, including examples and rationales. Include in text citation and reference.
[Expert Solution]: Thinking Exercise 19.2.6 A 23-year-old…
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