David Carter Age: 28 years Diagnosis: Schizophrenia Score 1 1 0 90% Feedback Log 0:00 Patient 0:00 You checked scene safety. It was correct to check scene safety in order to maintain your own safety. 0:06 You introduced
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David Carter Age: 28 years Diagnosis: Schizophrenia Score 1 1 0 90% Feedback Log 0:00 Patient 0:00 You checked scene safety. It was correct to check scene safety in order to maintain your own safety. 0:06 You introduced yourself. 0:35 You washed your hands. 0:42 You identified the patient. 1:02 You asked if the patient had any known allergies. 1:26 You asked the patient: Is it OK for your mother to be here, while we talk? It was correct to let the patient give his consent for letting his mother be a part of the interview. You should have asked for permission to ask questions related to the mental status examination before submitting the form. 1:40 The patient said: I feel bad that I scared my mom.\nYou answered: What seemed to lead up to your conflict with your mom? \nYou used the therapeutic technique of placing event in time or sequence. 1:42 You performed medication reconciliation. 2:00 You assessed the respiration. 2:12 You checked the pulse oximetry. 2:28 You checked the radial pulse. 2:41 You measured the blood pressure. 2:57 You measured the temperature. 3:11 You asked the patient: What is your full name? The patient said: My name is David Carter. 3:17 You asked the patient: Have you taken your medication? 3:30 The patient said: I will try to remember to take my medicine.\nYou answered: Do you have concerns about taking your medication? \nYou used the therapeutic technique of encouraging description and encouraging expression. 3:40 You asked the patient: Can you tell me a little bit more about what's going on with you today? It was appropriate to ask the patient what was going on with him to get an understanding of this. 3:52 The patient said: I'm worried that the voices will come back.\nYou answered: If the voices do come back, how might you handle it? \nYou used the therapeutic technique of formulating a plan of action. 3:53 You asked the patient: Over the past year, when did you feel your best? 4:05 The patient said: I'm afraid that I'll get sick again.\nYou answered: Go on. \nYou used the therapeutic technique of offering general leads. 4:19 You asked the patient: Do you have any pain? The patient said: No, I don't have any pain. 4:33 You asked the patient: Have you had any changes in your appetite over the past month? 4:43 The patient said: I'm going to be very careful about what I eat.\nYou answered: What do you mean by "careful"? \nYou used the therapeutic technique of seeking information. 5:02 You asked the patient: Tell me about any changes you have had in your sleep over the past few weeks? The patient said: I am sleeping okay. They make me get up for meetings so I don't stay in bed as long. 5:16 You asked the patient: Do you have energy to do the normal activities necessary to get through the day? 5:31 The patient said: It's important that I take care of myself, shower, and wear clean clothes.\nYou answered: Do you have any concerns about taking care of yourself? \nYou used the therapeutic technique of exploring. 6:16 You asked the patient: Do you have energy to do the activities that give you enjoyment? 6:31 The patient said: I'm not nearly as tired as I was before.\nYou answered: Maybe you and I can talk about healthy sleep habits before you leave. \nYou used the therapeutic technique of translating. 13:26 You submitted the Mental Status Examination form. Some of your assessment answers were incorrect.Regarding the indicator "3. Mood. Indicate mood": You should not have checked any indications.Regarding the indicator "6. Thought content. Indications of": You should have indicated "Delusions" and "Worries."Regarding the indicator "7. Hallucinations. Indications of": You should not have checked any indications.Regarding the indicator "11. Orientation and cognitive functions. Orientation.": You should have indicated "Person" and "Place." 13:44 You observed the appearance. 13:56 You assessed the attention. 14:03 You observed the motor activity. 14:08 You assessed the speech. 14:14 You assessed the thought processes. 14:31 You asked the patient: Please tell me your name. The patient said: David Carter. 14:38 You asked the patient: Can you tell me where we are? The patient said: Still in the hospital. 14:48 You asked the patient: How would you describe your mood? The patient said: My mood is okay. 14:56 You asked the patient: Have you lost interest in activities that you once enjoyed? The patient said: No, not really. 15:09 You asked the patient: Can you tell me what you ate for breakfast? The patient said: I had some coffee and a bowl of cold cereal. 15:26 You asked the patient: Do you have any thoughts or wishes to harm or kill yourself? The patient said: No, I don't have any ideas about hurting myself. 16:33 You asked the patient: Have you ever tried to harm or kill yourself? The patient said: No. 16:51 You asked the patient: Do you have any thoughts or wishes to harm anybody else? The patient said: No. 16:58 You asked the patient: Can you tell me what a desired outcome of treatment would be for you? 17:12 The patient said: I hope I can go back to work.\nYou answered: What are your feelings about going back to work? \nYou used the therapeutic technique of encouraging expression. 17:23 You asked the patient: How do you understand your problems? 17:34 The patient said: I'd like to be able to live on my own soon.\nYou answered: What are some things you need to accomplish to live on your own? \nYou used the therapeutic technique of focusing. 18:26 You asked the patient: Do you ever see or hear things that other people do not? The patient said: No, I'm not hearing voices anymore, and I'm not seeing things that aren't there. 18:43 You asked the patient: Do you find that you worry more than others? 18:54 The patient said: I'm still worried about the hackers.\nYou answered: You are worried about the hackers? \nYou used the therapeutic technique of restating. 18:57 You asked the patient: Are you frightened of anything? 19:08 The patient said: I hope they stay away from me.\nYou answered: I'm not sure I understand. Can you clarify who you are talking about? \nYou used the therapeutic technique of seeking information. 20:10 You educated about new medications. 21:04 You educated about side effects. 23:48 You educated about AIMS. 25:01 You educated about extrapyramidal symptoms. 25:47 You educated about partial discharge. 26:40 You educated about the psychiatric diagnosis. 27:51 You called the social worker. Schizophrenia is a mental disorder often characterized by abnormal social behavior and disordered thinking. In the acute phase, there is typically a loss of emotion and motivation and decreased social interaction. People experiencing an acute episode may have hallucinations, delusions, disordered and disorganized thinking, and emotional lability. These symptoms generally become less overt in remission, but often don’t completely vanish.lt;/p>lt;p>It is important for students to understand the possible side effects of the typical antipsychotic medications and why the AIMS is used. This tool is generally administered when a patient starts an antipsychotic medication and re-administered every 6 months to evaluate atypical movements. Such medications as benztropine may be added to counter these side effects. Students should understand the difference between intramuscular administration of benztropine for an acute dystonic reaction and its routine use.lt;/p>lt;p>The provider’s orders state that David will be re-evaluated at the mental health clinic in 2 weeks. At that time, the provider will discuss the use of long-term fluphenazine decanoate. Students should know about this type of medication, how it is administered, and why it might be a good choice for David.lt;/p>lt;p>Students should be able to discuss community resources that could be available.lt;/p> You got 90%
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