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Running Head: A YOUNG GIRL WITH DIFFICULTIES Case Study: A Young Girl with Difficulties in School Tami Kittleson Walden University NURS 6660N-08, PMH Nurse Practitioner Role 1: Child and Adolescent December 23 rd , 2018 1
CASE STUDY: A YOUNG GIRL WITH DIFFICULTIES Case Study: A Young Girl with Difficulties in School In this case study, the patient is an 8-year-old Caucasian girl who has been brought back to the clinic by her parents stating that her medications don’t seem to be helping. She has been diagnosed with ADHD with a predominately inattentive presentation. The purpose of this paper is to examine the case study: A Young Girl with Difficulties in School, make assessments at three decision points that would be most appropriate based on the information provided and then answer a series of questions regarding the decision made. Decision #1 Based on the information provided in this case study, my diagnosis for Katie would be Attention Deficit Hyperactivity Disorder, predominantly inattentive presentation. Information that supports this diagnosis includes the following. Katie’s teachers had filled the Conner’s Teacher Rating Scale-Revised form, and the results showed that the Katie is inattentive, easily distracted, starts but rarely finishes things and is doing poorly academically at school. During the interview, Katie is observed not being able to sit still and is constantly interrupting. Katie herself admits to her mind “wandering” at times and times feeling “lost” during some of her harder classes. The rest of her mental status exam is normal. In addition, Katie’s mother and father are observed fidgeting but otherwise attentive According to the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5) a diagnosis of Attention-Deficit/Hyperactivity disorder there must be a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development, as characterized by six or more symptoms of inattention and/or hyperactivity persisting at some level for at least six months. Some of the symptoms that Katie exhibiting that align with the DSM-5 include making careless mistakes, sustaining attention in tasks, often not 2
CASE STUDY: A YOUNG GIRL WITH DIFFICULTIES following through on instruction and failing to finish schoolwork, often interrupts and has a hard time sitting in one place (APA, 2013). Katie has exhibited all of these symptoms over an extended period of time. Katie’s symptom presentation or history do not support a diagnosis of Autism Spectrum Disorder or a specific learning disorder in reading or math.

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