NR 546 WEEK 3 CASE STUDY GRADED A+/ NR 546 WEEK 3 DISCUSSION UPDATED 2023/2024
1 view 0 purchase
Course
NR 546
Institution
NR 546
NR 546 WEEK 3 CASE STUDY GRADED A+/ NR 546 WEEK 3 DISCUSSION UPDATED 2023/2024NR 546 WEEK 3 CASE STUDY GRADED A+/ NR 546 WEEK 3 DISCUSSION UPDATED 2023/2024NR 546 WEEK 3 CASE STUDY GRADED A+/ NR 546 WEEK 3 DISCUSSION UPDATED 2023/2024NR 546 WEEK 3 CASE STUDY GRADED A+/ NR 546 WEEK 3 DISCUSSION UPDA...
NR 546 WEEK 3 CASE STUDY GRADED A+/ NR 546 WEEK 3
DISCUSSION UPDATED 2023/2024
CASE STUDY
Subjective Objective
Physical Examination: General
Alert appropriately dressed Caucasian female in no apparent
Patient’s Chief Complaints: distress. She appears older than her stated age.
“I think I am hearing voices” Vital Signs: BP-116/76, T-98.6F, P-86, RR-20, SpO2: 100%
History of Present Illness Wgt 170 lbs., Ht 5’6”
LM 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
LM isn’t good enough for him. This has been
occurring for a few weeks. 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 taking mostly at home with her
boyfriend but sometimes she hears them when she
is out too, especially when she is out in public with
her boyfriend.
, Past psychiatric history: None Mental status exam:
Past Medical History: Occasional headaches, • Cranial nerves II-VIII intact
overweight
• Gait steady
Family History
• Denies headache and dizziness
• Father is deceased, died by suicide
Appearance: appropriate dress for age and situation, well
• Mother is alive and well nourished, eye contact poor, No apparent distress
• One brother has history of substance
abuse Alertness and Orientation: fully oriented to person‚
place‚ time‚ and situation, Alert
Behavior: cooperative
Social History
Speech: soft, flat
• Lives with boyfriend and his son Mood: euthymic
• States she does not have any friends
• unemployed Affect: constricted, congruent
• High school graduate Thought Process: logical‚ linear
• Nonsmoker
Thought content: No thoughts of suicide‚ self-harm‚ or passive
• Drinks socially, 1-2 times a week
death wish
• Several cups of coke or sweet tea during
Perceptions: No evidence of psychosis, not responding to internal
the day
stimuli, reports auditory hallucinations.
• vapes CBD 1-2 times a week.
• no formal exercise Memory: Recent and remote WNL
Judgement/Insight: Insight is fair, Judgement is fair
Review of Systems
Attention and observed intellectual functioning: Attention intact
• occasional headache, relieved with for purpose of assessment.
acetaminophen
Fund of knowledge: Good general fund of knowledge and
• appetite good, weight stable vocabulary
• sleeps 7-9 hours at night
Musculoskeletal: normal gait and station
Allergies: NKDA
Diagnosis: F20.9 Schizophrenia, unspecified
Psychopharmacology Questions: see the assignment rubric
A. Select one drug to treat the diagnosis(es) or symptoms.
Aripiprazole (Abilify) for treatment of the positive (hallucinations, delusions) and
negative (no friends (social isolation), constricted affect) symptoms of schizophrenia (Stahl,
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller brendawambui0309. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.69. You're not tied to anything after your purchase.
