Consider the state of North Carolina practice act related to NP/PMHNP practice as you reviewed it in the previous module and on the AANP map as well as your state’s nursing board. Write a 3-5-page paper about how the practice act for your state encourages or discourages quality and effective patient care for a patient with co-morbid conditions. Consider the below case.
A 35-year-old African-American male reports trouble with sleep for over 3 months. He has trouble both falling and staying asleep. He has increased his drinking habits at night to try and increase his sleepiness before bed. He states he is drinking 1-2 beers every night before bed. He also states he has a history of depression that was successfully treated with Prozac for 4 years. He has not been on medication for the last 24 months and states that his depression has been somewhere from a 1-2 on a 0-10 scale with 10 being the worst. He denies SI/HI, and A/VH. However, he does state an increase in anxiety when he does not sleep. He states he feels fidgety and out of it during the day. His vitals for today’s visit are:
T98.7
HR76
BP 146/84
R 18
Wt. 193
Ht 5’9”
BMI: 28