Kel is a 42-year-old certified public accountant (CPA) who dreams each year that she will board a cruise ship the day af
Posted: Fri Jul 15, 2022 5:21 pm
Kel is a 42-year-old certified public accountant (CPA) whodreams each year that she will board a cruise ship the day afterTax Day and go somewhere, anywhere, except Portsmouth,Virginia. Each year the dream, like the ocean, ebbs and flows, butthis year she is not even going to think about such a “ridiculousidea.” In fact, she does not even have the energy to dream; gettingout of bed and preparing to go to work is simply too laborintensive.
Each evening Kel retires to bed with a lack of energy tocomplete her normal tasks such as readying her clothes for work andmaking a lunch. She lacks the energy to shop in the evening;consequently, she eats mostly crackers and canned soup. She is nothungry, and her scale reflects this. She has lost 15 pounds overthe last 2 months. She does not attend to her makeup or clothes;she finds both too taxing. The clothes she selects are drab and notironed. At work she makes no effort to talk with her co-workers anddoes not initiate new contacts with clients. The normal work offiling taxes and writing reports, which she used to enjoy, areoverwhelming, and she feels too disorganized to complete them.Telephone calls and e-mail messages from friends are ignored.Attendance at work is spotty.
Sue, her sister, becomes alarmed with Kel’s unansweredtelephone calls and e-mails. Worried, she decides to visit hersister at home. She finds the apartment unclean and in disarray.Kel is unkempt, disheveled, and looks sad. Her voice is monotoneand flat. Kel tells Sue that she feels “sad and hopeless. Nothingis ever going to change. I am a bad person and I can’t even do mywork right. Although I sleep for many hours, I am still tired allthe time.” Sue is alarmed at the changes in her sister and arrangesfor Kel to visit a health care worker at the medicalclinic.
Remember to answer these questions from your textbooks and NPguidelines. At all times, explain your answers.
Each evening Kel retires to bed with a lack of energy tocomplete her normal tasks such as readying her clothes for work andmaking a lunch. She lacks the energy to shop in the evening;consequently, she eats mostly crackers and canned soup. She is nothungry, and her scale reflects this. She has lost 15 pounds overthe last 2 months. She does not attend to her makeup or clothes;she finds both too taxing. The clothes she selects are drab and notironed. At work she makes no effort to talk with her co-workers anddoes not initiate new contacts with clients. The normal work offiling taxes and writing reports, which she used to enjoy, areoverwhelming, and she feels too disorganized to complete them.Telephone calls and e-mail messages from friends are ignored.Attendance at work is spotty.
Sue, her sister, becomes alarmed with Kel’s unansweredtelephone calls and e-mails. Worried, she decides to visit hersister at home. She finds the apartment unclean and in disarray.Kel is unkempt, disheveled, and looks sad. Her voice is monotoneand flat. Kel tells Sue that she feels “sad and hopeless. Nothingis ever going to change. I am a bad person and I can’t even do mywork right. Although I sleep for many hours, I am still tired allthe time.” Sue is alarmed at the changes in her sister and arrangesfor Kel to visit a health care worker at the medicalclinic.
Remember to answer these questions from your textbooks and NPguidelines. At all times, explain your answers.