NR 546 Week 3 Schizophrenia Case Study Chart
NR 546 Week 3 Schizophrenia Case Study Chart
Description
Select one drug to treat the diagnosis(es) or symptoms.
List medication class and mechanism of action for the chosen medication.
- Write the prescription in prescription format.
- Provide an evidence-based rationale for the selected medication using at least one scholarly reference. Textbooks may be used for additional references but are not the primary reference.
- List any side effects or adverse effects associated with the medication.
- Include any required diagnostic testing. State the time frame for this testing (testing is before medication initiation or q 3 months, etc.). Includes normal results range for any listed laboratory tests.
- Provide a minimum of three appropriate medication-related teaching points for the client and/or family.
NR 546 Week 3 Case Study
Subjective |
Objective |
Patient’s Chief Complaints: “ I am hearing voices ” History of Present Illness MM states she believes her boyfriend is cheating on her, which her boyfriend denies. She states she can hear two women talking about her boyfriend and her, how they have sex with her boyfriend and how KB isn’t good enough for him. This has been occurring for a few weeks now and the voices mock her daily. Her boyfriend has been caught cheating in the past and she is now wondering if the women she hears talking about her boyfriend are real or not. She has not asked anyone else if they can hear the women talking because what they have to say is so negative. She hears these women talking mostly at home with her boyfriend, especially at night, but sometimes she hears them when she is out too, especially when she is out in public with her boyfriend. Past psychiatric history: None Past Medical History: Occasional headaches, treated with OTC pain relievers. Family History · Father is alive, has hypertension. · Mother is alive, has history of depression · One brother, healthy · one son age 4, alive and well Social History · Lives with fiancé and their 4-year-old son · does not have any friends · unemployed since her son was born · High school graduate · Nonsmoker · Drinks socially, 1-2 times a week · Several gasses of coke or sweet tea during the day · vapes CBD occasionally, 1-2 times a week. · no formal exercise · no hobbies
Review of Systems · occasional headache, relieved with acetaminophen · appetite poor, weight stable · sleeps 4-5 hours at night Allergies: NKDA |
Physical Examination: General Alert, appropriately dressed Caucasian female in no apparent distress. She appears older than her stated age. Vital Signs: BP-120/80, T-98.6F, P-88, RR-20, SpO2: 98% Wt 110 lbs, Ht 5’6” |
Mental status exam: •Cranial nerves II-VIII intact •Gait steady •Denies headache and dizziness Appearance: appropriate dress for age and situation, well nourished, eye contact poor, No apparent distress Alertness and Orientation: fully oriented to person‚ place‚ time‚ and situation, Alert Behavior: cooperative Speech: soft, flat Mood: euthymic Affect: constricted, congruent Thought Process: logical‚ linear Thought content: No thoughts of suicide‚ self-harm‚ or passive death wish Perceptions: No evidence of psychosis, no response to internal stimuli noted during interview, reports auditory hallucinations. Memory: Recent and remote WNL Judgement/Insight: Insight is fair, Judgement is poor Attention and observed intellectual functioning: Attention intact for purpose of assessment. Fund of knowledge: Good general fund of knowledge and vocabulary Musculoskeletal: normal gait and station |
Mental status exam:
•Cranial nerves II-VIII intact
•Gait steady
•Denies headache and dizziness
Appearance: appropriate dress for age and situation, well nourished, eye contact poor, No apparent distress
Alertness and Orientation: fully oriented to person‚ place‚ time‚ and situation, Alert
Behavior: cooperative Speech: soft, flat Mood: euthymic
Affect: constricted, congruent Thought Process: logical‚ linear
Thought content: No thoughts of suicide‚ self-harm‚ or passive death wish
Perceptions: No evidence of psychosis, not responding to internal stimuli, reports auditory hallucinations.
Memory: Recent and remote WNL Judgement/Insight: Insight is fair, Judgement is fair
Attention and observed intellectual functioning: Attention intact for purpose of assessment.
Fund of knowledge: Good general fund of knowledge and vocabulary
Musculoskeletal: normal gait and station
ADDITIONAL INSTRUCTIONS FOR THE CLASS
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- Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
- Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
- APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
- Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
- LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
- Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
- Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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