Mental Health Case: David Carter, Part 2 Diana Ahmad
Guided Reflection Questions
Opening Questions
How did the simulated experience of David Carter’s case make you feel?
I felt more comfortable with performing part 2 of the simulation, for I felt like I had more background
information in regards to the patient. I feel like I did a much better job handling the questions and
concerns as well as properly answering statements using effective therapeutic techniques.
Talk about what went well in the scenario.
David Carter was much more relaxed, had a clear though process, and was open to learning about his
new prescribed medications.
Reflecting on David Carter’s case, were there any actions you would do differently? If so, what were
these actions and why?
I would of asked for the permission for his mother to be in the room before actually starting the
interview because he has the right to deny anyone being in the room with him.
Scenario Analysis Questions*
PCC What needs to be stressed during discharge teaching related to his new medication regimen
(sertraline and fluphenazine)?
Extraparymidal side effects that have to be measured periodically to pevent increasing tardive diskenesia
because of fluphenazine regimen. With sertraline David have to be careful and watch out for serotonin
syndrome.
PCC/I Identify community resources in your area that are available to David Carter and his family.
One should be for David Carter, one for his mother, and one for the family.
In my area David could function in a group home if his mother decided she could not have him home.
Also, there are adult day centers that could help his mother have time to herself. There are group
meetings for families with people with mental illness that can provide more resources and support.
PCC/S What other discharge teaching is recommended for David Carter and his family?
Teaching that will ensure compliance with medication. Most of relapses are caused by patient not taking
the medication. It is worth discoussing IM depot injections that will take the stress of skipping a dose.
From vSim for Nursing | Mental Health. © Wolters Kluwer.
Guided Reflection Questions
Opening Questions
How did the simulated experience of David Carter’s case make you feel?
I felt more comfortable with performing part 2 of the simulation, for I felt like I had more background
information in regards to the patient. I feel like I did a much better job handling the questions and
concerns as well as properly answering statements using effective therapeutic techniques.
Talk about what went well in the scenario.
David Carter was much more relaxed, had a clear though process, and was open to learning about his
new prescribed medications.
Reflecting on David Carter’s case, were there any actions you would do differently? If so, what were
these actions and why?
I would of asked for the permission for his mother to be in the room before actually starting the
interview because he has the right to deny anyone being in the room with him.
Scenario Analysis Questions*
PCC What needs to be stressed during discharge teaching related to his new medication regimen
(sertraline and fluphenazine)?
Extraparymidal side effects that have to be measured periodically to pevent increasing tardive diskenesia
because of fluphenazine regimen. With sertraline David have to be careful and watch out for serotonin
syndrome.
PCC/I Identify community resources in your area that are available to David Carter and his family.
One should be for David Carter, one for his mother, and one for the family.
In my area David could function in a group home if his mother decided she could not have him home.
Also, there are adult day centers that could help his mother have time to herself. There are group
meetings for families with people with mental illness that can provide more resources and support.
PCC/S What other discharge teaching is recommended for David Carter and his family?
Teaching that will ensure compliance with medication. Most of relapses are caused by patient not taking
the medication. It is worth discoussing IM depot injections that will take the stress of skipping a dose.
From vSim for Nursing | Mental Health. © Wolters Kluwer.
