Schizophrenia Case Study (45 min)
Included In This Lesson
Study Tools For Schizophrenia Case Study (45 min)
Outline
A 21-year-old male is found outside of a gas station and according to bystanders, he was constantly talking for hours straight about the end of the world and the conspiracy of the government to control our minds. The patient appears to not have taken a shower in a long time; his hair is matted, his skin is dirty, he has a strong body odor and his nails are long with dirt under them. The patient is quoting the bible and asking everyone who enters the room if God has saved them yet. The nurse is assessing this patient and is asked if she could get Jesus a glass of water.
How should the nurse respond to the patient?
The patient cooperates and is answering the nurse’s questions. Vital signs are stable and the patient tells the nurse that he has never been treated for any mental health problems before. He also tells the nurse that he is running away from home because people keep breaking into his apartment to laugh at him and steal his peanut butter and all of his writings because they will lead people to the secrets the government has been keeping. The nurse asks about medications the patient takes at home and the patient replies, “I don’t take that poison.” All of a sudden the patient starts to question the nurse and accuse the nurse of trying to trick the patient into taking poison and make him conform to the societal norms that the government wants us to do. The patient becomes very anxious and is staring at the door.
The patient states, “Don’t you know who Jesus is? He will kill you if he wanted to. Don’t upset Jesus and get him a glass of water.” What should the nurse do at this point?
What is the nurse’s priority at this time?
How should the nurse handle the new found mistrust with this patient?
After a break the patient decides that they would like to have a pen and paper to write down any thoughts that comes to mind while speaking. The nurse continues the assessment and looks down to see the patient drawing a picture of the nurse with a pencil stabbed into the neck.
What is the most important thing for the nurse to do at this time?
What kind of antipsychotic medication (Typical or Atypical) do you think this patient should be on?
aja -year off
Concepts Covered:
- Basics of Sociology
- Statistics
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Concepts of Population Health
- Studying
- Community Health Overview
- Developmental Considerations
- Microbiology
- Communication
- Legal and Ethical Issues
- Understanding Society
- Circulatory System
- Emergency Care of the Cardiac Patient
- Emergency Care of the Trauma Patient
- Emergency Care of the Neurological Patient
- Neurological
- Multisystem
- Medication Administration
- Emergency Care of the Respiratory Patient
- Health & Stress
- Delegation
- Cardiovascular
- Labor Complications
- Pregnancy Risks
- Newborn Complications
- Fetal Development
- Terminology
- Prenatal Concepts
- Newborn Care
- Labor and Delivery
- Postpartum Care
- Postpartum Complications
- Gastrointestinal
- Behavior
- Concepts of Mental Health
- Emotions and Motivation
- Growth & Development
- Intelligence and Language
- Psychological Disorders
- State of Consciousness
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Substance Abuse Disorders
- Urinary System
- Nervous System
- Respiratory System
- Basics of Human Biology
- Concepts of Pharmacology
- Gastrointestinal Disorders
- Depressive Disorders
- Prioritization
- Anxiety Disorders
- Cognitive Disorders
- Eating Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Bipolar Disorders
- Psychological Emergencies
- Somatoform Disorders
- Peripheral Nervous System Disorders
- Cardiac Disorders
- Musculoskeletal Disorders
- Noninfectious Respiratory Disorder
- Central Nervous System Disorders – Brain
- Respiratory Emergencies
- Perioperative Nursing Roles
- Integumentary Disorders
- Disorders of Pancreas
- Neurological Emergencies
- Intraoperative Nursing
- Central Nervous System Disorders – Spinal Cord
- Shock
- Preoperative Nursing
- Vascular Disorders
- Postoperative Nursing
- Neurological Trauma
- Musculoskeletal Trauma
- EENT Disorders
- Prefixes
- Suffixes
- Proteins
- Med Term Basic
- Med Term Whole
- Basics of Mathematics
- Adult
- Basic
- Neonatal
- Pediatric
- Respiratory Disorders