Focused exam schizophrenia completed shadow health with complete solutions

Denies olfactory hallucinations Denies tactile hallucinations Followed up on content of hallucinations Reports command hallucinations Reports resisting doing what the voice say Asked about aggravating factors of symptoms Reports that voices are more disturbing in quiet environments (when unable to be distracted) Asked about coping strategies Reports music as a coping strategy Past Medical History Asked about existing health conditions Denies general health conditions Asked about history of mental health Reports diagnosis of schizophrenia Reports occasional insomnia Denies past history of depression Denies past history of anxiety Denies past history of bipolar disorder Followed up on schizophrenia diagnosis Diagnosed age 23 Followed up on insomnia Reports frequent insomnia Reports difficulty falling asleep Reports recent insomnia has increased Reports sleeping 2 - 3 hours per night Reports frequent awakening Reports occasional nightmares Asked about previous psychiatric hospitalizations Reports previous psychiatric hospitalizations Followed up on previous hospitalizations Reports 3 previous hospitalizations All 3 hospitalizations were psychiatric admissions Reports first hospitalization was age 23 Reports second hospitalization was age 25 Reports third hospitalization was age 26 Asked about suicidal ideation and self- harm Reports command hallucinations telling him to take a bottle of pills