NUR 169 David Carter vSims part 2 Clinical Worksheet.

DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) PATIENT INFORMATION ANTICIPATED PHYSICAL FINDINGS ANTICIPATED NURSING INTERVENTIONS Schizophrenia is a mental disorder in which there exists disturbances in thought content and form, perception, affect, language, social activity, sense of self, volition, interpersonal relationships, and psychomotor behavior. A biochemical hypothesis holds that schizophrenia results from excessive activity at dopaminergic synapses, leading to active psychotic signs and symptoms; a decrease in prefrontal activity of dopaminergic pathways leads to negative and cognitive symptoms. Other neurotransmitter alterations may also contribute to schizophrenic signs and symptoms, such as norepinephrine, serotonin, glutamate Laboratory and diagnostic testing may be done to rule out other disorders. Electroencephalography rules out seizure disorder. Neuropsychiatric testing may reveal difficulty with processing information, impaired memory, and easy distractibility. Mental status examination findings fit DSM-5 criteria for schizophrenia. Decreased emotional expression or socially awkward Long pauses before answering questions Right-left confusion Inability to identify objects by touch or numbers traced on the skin David Carter, a 28 yearold male, has a 10 year history with schizophrenia and has previously been stable with medications. He has paranoid delusions, believin