Brenda a 45-year-old woman presents with a one-month


Question - Brenda, a 45-year-old woman, presents with a one-month history of poor sleep and irritable mood. She is recently divorced and ongoing custody battle with her former husband over their two teenage children. She has also just had a bad performance review at work due to her inability to meet deadlines and is fearful of losing her job. Brenda explains that her work problems have arisen because she has been unable to keep her concentration focused on work. She expresses feelings of worthlessness and wonders sometimes what is the point of living. She says she forces herself to stay engaged in her children's activities and other interests that she used to enjoy. Brenda says she is "just going through the motions". She had a similar episode after the birth of her second child, but pulled out of it after several months. There is a family history of suicide; her mother killed herself when the patient was 10 years old. Her exam is notable for poor eye contact and frequent tears.

Directions: Using the Nursing Process Worksheet as your guide (Assessment, Diagnosis, Outcomes Identification, Planning, Implementation, Evaluation), make a treatment plan for Brenda.

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