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?
NCLEX
Concepts Covered:
- Communication
- Preoperative Nursing
- Basics of NCLEX
- Test Taking Strategies
- Central Nervous System Disorders – Brain
- Cognitive Disorders
- Neurologic and Cognitive Disorders
- Eating Disorders
- Hematologic Disorders
- EENT Disorders
- Noninfectious Respiratory Disorder
- Respiratory Emergencies
- Acute & Chronic Renal Disorders
- Respiratory
- Infectious Respiratory Disorder
- Factors Influencing Community Health
- Shock
- Neurological Emergencies
- Substance Abuse Disorders
- Prefixes
- Suffixes
- Cardiac Disorders
- Adult
- Medication Administration
- Hematologic Disorders
- Intraoperative Nursing
- Pregnancy Risks
- Microbiology
- Respiratory Disorders
- Disorders of Pancreas
- Oncology Disorders
- Personality Disorders
- Nervous System
- Emergency Care of the Cardiac Patient
- Cardiovascular Disorders
- Basics of Chemistry
- Newborn Care
- Liver & Gallbladder Disorders
- Upper GI Disorders
- Vascular Disorders
- Lower GI Disorders
- Labor Complications
- Depressive Disorders
- Postpartum Complications
- Learning Pharmacology
- Disorders of the Thyroid & Parathyroid Glands
- Integumentary Disorders
- Prenatal Concepts
- Urinary Disorders
- Concepts of Pharmacology
- Terminology
- Labor and Delivery
- Emergency Care of the Respiratory Patient
- Anxiety Disorders
- Studying
- Multisystem
- Disorders of the Posterior Pituitary Gland
- Fundamentals of Emergency Nursing
- Concepts of Population Health
- Community Health Overview
- Gastrointestinal Disorders
- Developmental Considerations
- Newborn Complications
- Trauma-Stress Disorders
- Adulthood Growth and Development
- Childhood Growth and Development
- Health & Stress
- Somatoform Disorders
- Behavior
- Perioperative Nursing Roles
- Documentation and Communication
- Legal and Ethical Issues
- Emotions and Motivation
- Immunological Disorders
- Respiratory System
- Integumentary Disorders
- Musculoskeletal Disorders
- Disorders of the Adrenal Gland
- Renal and Urinary Disorders
- Endocrine and Metabolic Disorders
- Urinary System
- Renal Disorders
- Infectious Disease Disorders
- Bipolar Disorders
- Central Nervous System Disorders – Spinal Cord
- Peripheral Nervous System Disorders
- Female Reproductive Disorders
- Musculoskeletal Disorders
- Psychotic Disorders
- Emergency Care of the Neurological Patient
- Musculoskeletal Trauma
- Neurological Trauma
- Psychological Emergencies
- EENT Disorders
- Developmental Theories
- Oncologic Disorders
- Concepts of Mental Health
- Basics of Sociology
- Emergency Care of the Trauma Patient
- Basic
- Understanding Society
- Basics of Human Biology
- Sexually Transmitted Infections
- Prioritization
- Endocrine System