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You are a nurse practitioner working in a community health clinic. A 28-year-old female patient, Angie, presents with symptoms of depression. She reports feeling sad, hopeless, and fatigued for the past few weeks. She has difficulty sleeping and has lost interest in activities she used to enjoy. She denies any suicidal thoughts but admits to feeling overwhelmed and unable to cope with her emotions. Angie recently had her hours cut back at her job as a medical assistant due to the recent insurance ransomware attack and is experiencing financial strain. The practice has told her she will regain her hours as soon as the practice begins getting reimbursed from insurance companies. She lives alone and has limited social support.
Questions
1. How would you establish rapport and build trust with this patient during the initial assessment?
2. What screening tools or assessments would you utilize to further evaluate the patients depression?
3. How would you assess the patients risk of self-harm or suicide?
4. Considering the patients recent job loss and financial strain, how would you address the social determinants of health that may be contributing to her depression?
5. What pharmacological and non-pharmacological treatment options would you discuss at.
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