You are a psychiatric/mental health nurse practitioner employed in a local community health center. Today you are being asked to see a 7-year-old female accompanied by her adoptive parents. She was referred by her primary care provider as she was recently adopted and might be suffering from social anxiety disorder. You learn that she witnessed the murder of her biological parents in a random shooting event at a shopping center. She has not spoken a word since she came to live with her adoptive parents 2 months ago. NSG5905 Week 7 & 8 Discussion Board
Besides, answer the below questions.
- What will be your initial approach to assessment of this patient and her parents?
- What are the developmental considerations related to this 7-year-old?
- Can you identify other differential diagnoses that might be considered in this situation and define those diagnoses?
- Describe the management plan for this patient, required referrals, and follow-up for this child and her family. What would be your most immediate concerns?
- What will be issues that need to be considered in the future for this child and family?

NSG5905 Week 7 & 8 Discussion Board
You are a psychiatric/mental health nurse practitioner employed in a local community health center. Today you are being asked to see a 13-year-old female accompanied by her biological parents. She was referred by her primary care provider for possible obsessive-compulsive disorder (OCD). She has been handwashing incessantly due to fear of becoming ill from germs. The patient is also showing signs of a possible panic attack disorder.
Also, answer the questions below
- What will be your initial concern in assessment and management of the patient?
- What type of tools and assessment techniques should you use for this adolescent and her parents?
- Please explain the diagnosis of OCD and discuss the relationship of anxiety and a panic attack disorder. How will you diagnose and is it possible to manage one or both disorders in this clinic visit?
- Summarize your management care for the acute situation and then long-term management and follow-up. APA