NR 668 Week 2 VISE Mock Interview Scenarios; Mental Health Disorders Overview

NR668 VISE Complete Mock Interview Scenarios 114300044037 Scenario 1: Major Depressive Disorder (MDD) Chief Complaint: Client: I've been feeling really down lately. I can’t get motivated to do anything. HPI: Client: It's been about two months now. I have no energy, and I can't concentrate at work. Psychiatric History: Client: A few years ago I had a similar episode and took Zoloft for a while. Medical History: Client: Hypertension, takes lisinopril. Family History: Client: Mother had depression. Social/Developmental History: Client: Lives alone, teacher, missing work. Diagnosis: Major Depressive Disorder, Recurrent, Moderate Differentials: Bipolar Disorder, Substance-induced Depression, Hypothyroidism First-line Treatment: Sertraline 50 mg PO daily Labs: TSH, CMP, CBC Referral: Psychotherapy (CBT) Follow-Up: 2–4 weeks Scenario 2: Generalized Anxiety Disorder (GAD) Chief Complaint: Client: I worry about everything—my job, my health, even little things I know aren’t serious. HPI: Client: This has been going on for over 7 months. I feel tense all the time, have trouble sleeping, and I'm always tired. Psychiatric History: Client: Was prescribed buspirone previously. Medical History: Client: No significant issues. Family History: Client: Father has anxiety. Social/Developmental History: Client: Married, two kids, works full-time. Diagnosis: Generalized Anxiety Disorder Differentials: MDD, Hyperthyroidism, Panic Disorder First-line Treatment: Escitalopram 10 mg PO daily Labs: TSH, CBC, CMP Referral: CBT Follow-Up: 4 weeks Scenario 3: Bipolar I Disorder - Manic Episode Chief Complaint: Client: I haven’t slept in days and I feel amazing! I’ve started multiple new projects. HPI: Client: This started a week ago. I’m talking fast, spending money recklessly, and feel euphoric. Psychiatric History: Client: Hospitalized 2 years ago for a manic episode. Medical History: Client: Asthma. Family History: Client: Brother with bipolar disorder. Social/Developmental History: Client: Recently divorced, unemployed. Diagnosis: Bipolar I Disorder, Current Manic Episode Differentials: Schizoaffective, ADHD, Substance-induced mania First-line Treatment: Lithium 300 mg BID Labs: CBC, CMP, TSH, pregnancy test, lithium level Referral: Psychotherapy, case management Follow-Up: 1 week Scenario 4: PTSD Chief Complaint: Client: I keep reliving a car accident I had a year ago. I can’t drive anymore. HPI: Client: Flashbacks, nightmares, hypervigilance. S