Josie Bellings, a 34-year-old nurse, presents to your office. Her boyfriend, Robs, is with her.
“Hi,” Josie sighs deeply. “Remember your first months as a new nurse? I just finished orientation and I’m struggling to keep up now. I’m… I’m having trouble clocking in on time because I have to be certain my hands are clean before I start my shift.”
Robs breaks in. “She’s told me she sometimes washes her hands six times in a row. Maybe even seven or eight to be sure. She does this at home, too.”
Josie nods. “Yeah, he’s right. And after seeing a patient, I also have to clean the desk and computer with wipes just as many times before I can finish the chart. My charge nurse says I’m overdoing the cleanliness a bit, but I just have to do it. And it’s not just cleanliness. At home, I’m the last to bed because I have to check the doors at night five to six times at night.”
“Even if I’ve already locked up and she saw me do it,” puts in Robs.
“Well, I feel like I have to have some control over my world. And, um, Robs doesn’t know this, sometimes I get up after he falls asleep because I worry to the point that I will have to get up and go check one or two more times before I can go to sleep.”
Robs adds, “Actually, I did know about that, Josie. I’m also concerned because Josie will get focused on something and then not be able to shut her mind down. She perseverates and I cannot distract her for anything.”
Josie reports that she has always had these symptoms but that they are worse recently. She reports feeling depressed, mainly because of the OCD symptoms that are causing her trouble. She denies any SI, HI, or A/V hallucinations.
A–H: What screening or diagnostic tool(s) would you use for Josie? Include a link or copy of the screening or diagnostic tool(s). Identify additional questions you need to ask that will help you know what the best treatment option(s) are for Josie.
Papers are written from scratch We have molded our writers to develop content for all assignments from scratch. This way, we promote originality and reduce cases of plagiarism that might affect your grades and hinder you from realizing your academic goals. We encourage our clients to indicate the deliverables that should be featured in the final paper. Our online help services allow one to make a clarification and even interact with the writer directly to help them understand the needs of the assignment. Many of our writers are professional tutors who understand the approaches that should be used to fulfill the specified instructions. Every time a client places an order on our system, we link them with the most qualified writer in the subject of interest.
YUnlike other writing companies, we encourage clients to draw back their money at any stage of the writing process if they experience any uncertainties with the quality of generated content. However, you will hardly have to make this decision because of our business approach that suits your needs.
We have an advanced plagiarism-detection system that flags any work that fails to meet the required academic expectations. Our company thrives in honesty, and as such, you will be guaranteed to achieve a paper that meets your expectations.
We encourage our clients to return papers for revision seven days after the last submission for free. Depending on the proposed changes, we will work on your article to achieve the desired expectations.
We uphold confidentiality and privacy through our interactions with clients, an aspect that has enhanced our relationship with prospective customers seeking for assignment help. We do not disclose your information with third-parties
We boast of a diverse pool of ENL and ESL professionals who respond with a personal touch to the needs of every client. Our focus is to become the best platform that offers specialized services to individuals to accomplish their academic goals.
