Case Study: Katie Peterson

 

Katie Peterson, an 18-year-old female, has been referred to you by her primary care provider for recommendations and treatment for autism spectrum disorder (ASD). Throughout childhood and adolescence, Katie’s support has not been consistent in managing her ASD, and her parents are seeking a PMHNP to address Katie’s anxiety, frequent temper outbursts, and increasing difficulties interacting with her peers throughout the day.

Her medical history includes seizures since the age of 11 months. A baseline SPECT scan revealed overactivity in the basal ganglia and marked increased patchy uptake throughout her cerebral cortex.

You start the interview with her dad present.
During her psychiatric interview, you observe Katie with repetitive behaviors and poor eye contact. At one point, she turns the lights on and off repetitively for several minutes before she can sit down to complete her evaluation.

Questions
From your perspective as Katie’s psychiatric nurse practitioner, answer the following questions in a two- to three-page double-spaced paper (not including the reference page) in APA format. Include at least three peer-reviewed, evidence-based references.

Confirm Katie’s diagnosis based on the information you have been given. Discuss the importance of the baseline SPECT scan.
Outline the types of resources you would recommend to help Katie function better.
What, if any, medications could help Katie improve her mood swings and anxiety? Provide rationale.
List two types of psychotherapy and a rationale that would help Katie. Explain why these psychotherapies are significant to your evaluation or diagnosis.

 

Sample Solution

Life as a slave on a slave ship was so bad that many slaves have tried to kill themselves or escape by jumping off the ship and into the ocean. The ones that attempted to do so were “most severely cut, for attempting to do so, and hourly whipped for not eating,” as stated in Equiano’s excerpt.

When the slave ship arrived on the island of Barbados, they were examined and sold by the buyers with the inevitability of not seeing one another once again. Olaudah Equiano’s excerpt included a question for the Europeans that conducted the slave trade, “Learned you this from your God, who says unto you, Do unto all men as you would men should do unto you?” In the last paragraph of his excerpt, he is obviously angry that this slave trade is actually happening.

The two readings explain life on the slave ship and how they were treated unjustly. They were treated unfairly because of their living circumstances below deck. They were chained together and they were not allowed proper fresh air, which resulted in the rooms being extremely hot and stinky. Due to the lack of fresh air, they did not have much of an appetite for the little food that the Europeans were giving them and they were beaten badly and cruelly if they refused their small meal. Life as a slave during the slave trade was just cruel and full of torture.

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