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Exam (elaborations)

I-HUMAN CASE JAMES JASON LATEST UPDTED VERSION GRADED A+

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I-HUMAN CASE JAMES JASON LATEST UPDTED VERSION GRADED A+

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I-HUMAN CASE JAMES JASON LATEST UPDTED VERSION
2026 2027 GRADED A+




Pre briefing question 1

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

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

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

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

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

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