I-Human James Mason
Pre briefing question 1 - ✔✔ correct answer My primary concern would be identifying whether the
patient and the others involved are safe and okay. Then, his mental status needs to be assessed to
see if the patient is experiencing a schizophrenic episode or whether his actions have been caused by
drug, alcohol, substance use, or not adhering to his medication regimen. A physical and mental
status examination needs to be done along with getting information on the patient's medication
regimen, seeing if he has been adhering to them, and assessing his psychiatric history. The
interventions to put in place would be to have safety and fall precautions set, a psychiatric
evaluation, and address the immediate physical needs of the patient.
Pre Briefing Question 2 - ✔✔ correct answer I would anticipate that the patient is prescribed some
2nd generation antipsychotics along side mood stabilizers and Anti-Anxiety meds. These medications
would help decrease his hallucination and positive negative symptoms while helping to stabilize his
mood swings and bouts of anxiety that accompany the hallucination and psychosis.
Pre brief Question 3 - ✔✔ correct answer I would anticipate that the HCP may prescribe the patient
Lithium or Valproate (mood stabilizers), 1st / 2nd Generation antipsychotics, and Benzodiazepine.
The antipsychotics help with hallucinations, and mood stabilizers aid with mood instability. With
Benzo, it's for short term agitation and anxiety. If the patient has EPS from 1st Gen antipsychotics, we
can also give anticholinergics to help minimize those symptoms. Finally, if any issues involve
insomnia, sleeping aids would help, like Zolpidem.
Pre brief 4 - ✔✔ correct answer For discharge, the same drug classes that he has been administered
during his hospitalization would be a good guess. A 2nd gen is an antipsychotic with a mood
stabilizer, and a non-benzodiazepine would help with minimizing symptoms, insomnia and stabilizing
the mood.
Comparison of Case - ✔✔ correct answer 1. Recent Job Loss
2. Cannabis Use
3. Inattentive and Preoccupied
4. Poverty of Speech
5. Family Member with persistent mental health problems
6. Headache
7. Tobacco Use
8. mumbling quietly to himself
9. Psychological Stress/ Distress
Health History - ✔✔ correct answer 1. Hears Voice
Pre briefing question 1 - ✔✔ correct answer My primary concern would be identifying whether the
patient and the others involved are safe and okay. Then, his mental status needs to be assessed to
see if the patient is experiencing a schizophrenic episode or whether his actions have been caused by
drug, alcohol, substance use, or not adhering to his medication regimen. A physical and mental
status examination needs to be done along with getting information on the patient's medication
regimen, seeing if he has been adhering to them, and assessing his psychiatric history. The
interventions to put in place would be to have safety and fall precautions set, a psychiatric
evaluation, and address the immediate physical needs of the patient.
Pre Briefing Question 2 - ✔✔ correct answer I would anticipate that the patient is prescribed some
2nd generation antipsychotics along side mood stabilizers and Anti-Anxiety meds. These medications
would help decrease his hallucination and positive negative symptoms while helping to stabilize his
mood swings and bouts of anxiety that accompany the hallucination and psychosis.
Pre brief Question 3 - ✔✔ correct answer I would anticipate that the HCP may prescribe the patient
Lithium or Valproate (mood stabilizers), 1st / 2nd Generation antipsychotics, and Benzodiazepine.
The antipsychotics help with hallucinations, and mood stabilizers aid with mood instability. With
Benzo, it's for short term agitation and anxiety. If the patient has EPS from 1st Gen antipsychotics, we
can also give anticholinergics to help minimize those symptoms. Finally, if any issues involve
insomnia, sleeping aids would help, like Zolpidem.
Pre brief 4 - ✔✔ correct answer For discharge, the same drug classes that he has been administered
during his hospitalization would be a good guess. A 2nd gen is an antipsychotic with a mood
stabilizer, and a non-benzodiazepine would help with minimizing symptoms, insomnia and stabilizing
the mood.
Comparison of Case - ✔✔ correct answer 1. Recent Job Loss
2. Cannabis Use
3. Inattentive and Preoccupied
4. Poverty of Speech
5. Family Member with persistent mental health problems
6. Headache
7. Tobacco Use
8. mumbling quietly to himself
9. Psychological Stress/ Distress
Health History - ✔✔ correct answer 1. Hears Voice
