Week 7: Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic
Disorders, and Medication-Induced Movement Disorders
Name
Walden University
Psychopathology and Diagnostic Reasoning (NRNP 6635N)
Instructor
Date
, NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template
Week 7: Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic
Disorders, and Medication-Induced Movement Disorders
Training Title 24
Subjective:
CC (chief complaint): Paranoia
HPI: Ms. Davies is a 30-year-old female brought in for evaluation by her two roommates due to
concerning behavioral changes. According to collateral information, Ms. Davies began
experiencing psychological symptoms following her aunt's death, with significant deterioration
over the past 12 days since witnessing her brother's fatal gunshot wound during a gas station
robbery. The patient has a limited support system, being estranged from her parents and having
lost her only sibling.
Ms. Davies presents with paranoid ideation, believing that her Russian neighbors are spies who
listen from next door and send information back by drilling. She exhibits disorganized thinking,
claiming these neighbors speak Russian in code despite her roommates reporting they speak
Spanish. The patient describes auditory hallucinations, stating I hear them talking when no one
else can. Her paranoia has led to concerning behaviors, including spending six hours in her car to
avoid being coded and covering walls with markings to prevent others from seeing blueprints she
believes are visible.
Ms. Davies demonstrates poor insight into her condition, making statements like "you act like
you don't know, but you know" and they think I'm living in a movie... maybe I am a movie." She
exhibits disrupted sleep patterns (sleeping only 2 hours per 24-hour period) and restricted eating
habits (consuming only canned foods). She denies current substance use despite a reported
history of daily cannabis use since age 17 and occasional alcohol consumption. The patient
© 2021 Walden University Page 2 of 13
Disorders, and Medication-Induced Movement Disorders
Name
Walden University
Psychopathology and Diagnostic Reasoning (NRNP 6635N)
Instructor
Date
, NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template
Week 7: Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic
Disorders, and Medication-Induced Movement Disorders
Training Title 24
Subjective:
CC (chief complaint): Paranoia
HPI: Ms. Davies is a 30-year-old female brought in for evaluation by her two roommates due to
concerning behavioral changes. According to collateral information, Ms. Davies began
experiencing psychological symptoms following her aunt's death, with significant deterioration
over the past 12 days since witnessing her brother's fatal gunshot wound during a gas station
robbery. The patient has a limited support system, being estranged from her parents and having
lost her only sibling.
Ms. Davies presents with paranoid ideation, believing that her Russian neighbors are spies who
listen from next door and send information back by drilling. She exhibits disorganized thinking,
claiming these neighbors speak Russian in code despite her roommates reporting they speak
Spanish. The patient describes auditory hallucinations, stating I hear them talking when no one
else can. Her paranoia has led to concerning behaviors, including spending six hours in her car to
avoid being coded and covering walls with markings to prevent others from seeing blueprints she
believes are visible.
Ms. Davies demonstrates poor insight into her condition, making statements like "you act like
you don't know, but you know" and they think I'm living in a movie... maybe I am a movie." She
exhibits disrupted sleep patterns (sleeping only 2 hours per 24-hour period) and restricted eating
habits (consuming only canned foods). She denies current substance use despite a reported
history of daily cannabis use since age 17 and occasional alcohol consumption. The patient
© 2021 Walden University Page 2 of 13
