ne
NR 546 WEEK 3 CASE STUDY
sh
ne
la
tz
sh
Sp
ne
la
Wgt 170 lbs., Ht 5’6”
sh
LM states she believes her boyfriend is cheating on
Sp
her, which her boyfriend denies. She states she can
ne
hear two women talking about her boyfriend and
la
her, how they have sex with her boyfriend and how
tz
LM isn’t good enough for him. This has been
sh
Sp
occurring for a few weeks. Her boyfriend has been
ne
caught cheating in the past and she is now
wondering if the women she hears talking about
la
her boyfriend are real or not. She has not asked
sh
anyone else if they can hear the women talking
Sp
because what they have to say is so negative. She
ne
hears these women taking mostly at home with her
la
boyfriend but sometimes she hears them when she
tz
is out too, especially when she is out in public with
sh
Sp
ne
la
sh
Sp
ne
la
tz
sh
Sp
ne
la
sh
Sp
ne
a
tz
l
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
NR 546 Week 3 Case study
sh
None Mental status exam:
ne
•Cranial nerves II-VIII intact
la Gait steady
tz
sh
Sp
•Denies headache and dizziness
ne Appearance: appropriate dress for age and situation, well
la
sh
Alertness and Orientation: fully oriented to
Sp
person‚ place‚ time‚ and situation, Alert
ne
Behavior: cooperative
la
tz
Speech: soft, flat
sh
Sp
Mood: euthymic
ne
la
Nonsmoker
Drinks socially, 1-2 times a week Thought Process: logical‚ linear
sh
Sp
Several cups of coke or sweet tea during Thought content: No thoughts of suicide‚ self-harm‚ or passive
ne
the day death wish
la
vapes CBD 1-2 times a week.
tz
no formal exercise Perceptions: No evidence of psychosis, not responding to internal
sh
stimuli, reports auditory hallucinations.
Sp
ne
Memory: Recent and remote WNL
la
Judgement/Insight: Insight is fair, Judgement is fair
sh
Attention and observed intellectual functioning: Attention intact
Sp
ne
for purpose of assessment.
la
Fund of knowledge: Good general fund of knowledge and
tz
vocabulary sh
Sp
Musculoskeletal: normal gait and station
ne
la
Diagnosis: F20.9 Schizophrenia, unspecified
sh
Sp
ne
Psychopharmacology Questions: see the assignment rubric
a
tz
l
sh
Sp
A. Select one drug to treat the diagnosis(es) or symptoms.
ne
la
Aripiprazole (Abilify) for treatment of the positive (hallucinations, delusions) and
sh
Sp
negative (no friends (social isolation), constricted affect) symptoms of schizophrenia
(Stahl, 2020; Stahl, 2021).
la
Sp
NR 546 WEEK 3 CASE STUDY
sh
ne
la
tz
sh
Sp
ne
la
Wgt 170 lbs., Ht 5’6”
sh
LM states she believes her boyfriend is cheating on
Sp
her, which her boyfriend denies. She states she can
ne
hear two women talking about her boyfriend and
la
her, how they have sex with her boyfriend and how
tz
LM isn’t good enough for him. This has been
sh
Sp
occurring for a few weeks. Her boyfriend has been
ne
caught cheating in the past and she is now
wondering if the women she hears talking about
la
her boyfriend are real or not. She has not asked
sh
anyone else if they can hear the women talking
Sp
because what they have to say is so negative. She
ne
hears these women taking mostly at home with her
la
boyfriend but sometimes she hears them when she
tz
is out too, especially when she is out in public with
sh
Sp
ne
la
sh
Sp
ne
la
tz
sh
Sp
ne
la
sh
Sp
ne
a
tz
l
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
NR 546 Week 3 Case study
sh
None Mental status exam:
ne
•Cranial nerves II-VIII intact
la Gait steady
tz
sh
Sp
•Denies headache and dizziness
ne Appearance: appropriate dress for age and situation, well
la
sh
Alertness and Orientation: fully oriented to
Sp
person‚ place‚ time‚ and situation, Alert
ne
Behavior: cooperative
la
tz
Speech: soft, flat
sh
Sp
Mood: euthymic
ne
la
Nonsmoker
Drinks socially, 1-2 times a week Thought Process: logical‚ linear
sh
Sp
Several cups of coke or sweet tea during Thought content: No thoughts of suicide‚ self-harm‚ or passive
ne
the day death wish
la
vapes CBD 1-2 times a week.
tz
no formal exercise Perceptions: No evidence of psychosis, not responding to internal
sh
stimuli, reports auditory hallucinations.
Sp
ne
Memory: Recent and remote WNL
la
Judgement/Insight: Insight is fair, Judgement is fair
sh
Attention and observed intellectual functioning: Attention intact
Sp
ne
for purpose of assessment.
la
Fund of knowledge: Good general fund of knowledge and
tz
vocabulary sh
Sp
Musculoskeletal: normal gait and station
ne
la
Diagnosis: F20.9 Schizophrenia, unspecified
sh
Sp
ne
Psychopharmacology Questions: see the assignment rubric
a
tz
l
sh
Sp
A. Select one drug to treat the diagnosis(es) or symptoms.
ne
la
Aripiprazole (Abilify) for treatment of the positive (hallucinations, delusions) and
sh
Sp
negative (no friends (social isolation), constricted affect) symptoms of schizophrenia
(Stahl, 2020; Stahl, 2021).
la
Sp
