NR 546 Week 3 Case Study
Patient’s Chief Complaints:
“ I think I am hearing voices”
History of Present Illness
KB states she believes her boyfriend is cheating on her, which her boyfriend denies. She states she can hear two women talking about her boyfriend and her, how they have sex with her boyfriend and how KB isn’t good enough for him. This has been occurring for a few weeks. Her boyfriend has been caught cheating in the past and she is now wondering if the women she hears talking about her boyfriend are real or not. She has not asked anyone else if they can hear the women talking because what they have to say is so negative. She hears these women taking mostly at home with her boyfriend but sometimes she hears them when she is out too, especially when she is out in public with her boyfriend.
Past psychiatric history: None
Past Medical History: Occasional headaches
· Father is alive, has hypertension.
· Mother is alive, has history of bipolar depression
· One brother has history of substance abuse
· one son age 2, alive and well
· Lives with boyfriend and son
· does not have any friends
· is not employed
· High school graduate
· Drinks socially, 1-2 times a week
· Several cups of coke or sweet tea during the day
· vapes CBD occasionally, 1-2 times a week.
· no formal exercise
Review of Systems
· occasional headache, relieved with acetaminophen
· appetite good, weight stable
· sleeps 7-9 hours at night
|Physical Examination: General
Alert, appropriately dressed African-Americanfemale in no apparent distress. She appearsolder than her stated age.
Vital Signs: BP-116/76, T-98.6F, P-86, RR-20, SpO2: 100%
Wgt 120 lbs, Ht 5’6”
|Mental status exam:
•Cranial nerves II-VIII intact
•Denies headache and dizziness
Appearance: appropriate dress for age and situation, well nourished, eye contact poor, No apparent distress
Alertness and Orientation: fully oriented to person‚ place‚ time‚ and situation, Alert
Speech: soft, flat
Affect: constricted, congruent
Thought Process: logical‚ linear
Thought content: No thoughts of suicide‚ self harm‚ or passive deathwish
Perceptions: No evidence of psychosis, not responding to internal stimuli, reports auditory hallucinations.
Memory: Recent and remote WNL
Judgement/Insight: Insight is fair, Judgement is fair
Attention and observed intellectual functioning: Attention intact for purpose of assessment.
Fund of knowledge: Good general fund of knowledge and vocabulary
Musculoskeletal: normal gait and station
Diagnosis: F20.9 Schizophrenia, unspecified
Psychopharmacology Questions: see the discussion guidelines rubric
Review the announcements for your assigned case study.
- Application of Course Knowledge
- Select one drug to treat the diagnosis(es) or symptoms.
- List medication class and mechanism of action for the chosen medication.
- Write the prescription in prescription format.
- Provide an evidence-based rationale for the selected medication using at least one scholarly reference. Textbooks may be used for additional references but are not the primary reference.
- List any side effects or adverse effects associated with the medication.
- Include any required diagnostic testing. State the time frame for this testing (testing is before medication initiation or q 3 months, etc.). Includes normal results range for any listed laboratory tests.
- Provide a minimum of three appropriate medication-related teaching points for the client and/or family.
2. Integration of Evidence: The student post provides support from a minimum of one scholarly in-text citation in addition to.
Select one drug to treat the diagnosis(es) or symptoms
The case study assigned is that of a patient diagnosed with Schizophrenia, unspecified. Antipsychotic agents are considered the first line of treatment for Schizophrenia because they are effective in managing symptoms and behaviors associated with Schizophrenia. The atypical antipsychotics are preferred in treating Schizophrenia, unlike conventional antipsychotics that cause severe side effects. A common atypical antipsychotic prescribed is clozapine. This drug is effective in reducing both positive and negative symptoms (Nucifora et al., 2017). For instance, it can reduce and improves some cognitive functions such as verbal fluency, verbal learning, and……..To access the solution click the icon below to purchase at $10