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ATI Real Life Clinical Scenario- Schizophrenia and Mood Disorder

Required for clinical hours!! Answers to ATI real life scenarios for s...
Course

Management of Mental Health (NURSE 360)

25 Documents
Students shared 25 documents in this course
Academic year: 2019/2020
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University of Missouri-Kansas City

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ATI Real Life Clinical Scenario: Schizophrenia

Please answer the following questions:  Identify priority assessments for patients who have schizophrenia, especially the behavioral characteristics common to the disorder. o Assess for command hallucinations o Assess for trouble swallowing o Assess for dizziness o Use the Suicide Assessment Five Step Evaluation and Triage (SAFE-T)  List several priority nursing diagnoses for the patient who has schizophrenia. o Disturbed sensory perception r/t auditory hallucinations o Impaired social interaction r/t paranoia o Impaired verbal communication r/t hallucination  Recognize potential ethical issues that can arise with adolescent patients in acute crisis.  Identify important nursing considerations for medications used to treat schizophrenia. What are some of those medications? o Risperidone o Paliperidone  Risk of neuropoietic malignant syndrome  Complete an accurate and effective SBAR communication tool. o S: Presents to the outpatient clinic today for scheduled appointment to assess advancement of schizophrenia diagnosis

o B: 21 year-old male with a history of schizophrenia. Was prescribed risperidone but has not taken the medication in the last 4 weeks because he is afraid the pharmacist is poisoning the medications. o A: Anxious, restless, auditory hallucinations delusional ideation o R: putting the patient on an injectable medication instead of oral medication so that the idea that the pharmacist is trying to poison the pills.

ATI Real Life Clinical Scenario: Mood Disorder

Please answer the following questions:  What would you expect to find on a Mental Status Exam on a patient who has a mood disorder? Use descriptive words related to Mood Disorders. (See your textbook) o Rapid cycling o May neglect self-care or may dress in colorful clothing with excessive make up o Pressured speech o Restlessness, agitation, psychomotor agitation o Labile mood and affect o Hallucinations o Loose associations, flight of ideas o Awake, alert, lethargic or stupors o Impairment of short- and long-term memory  Develop a plan of care for a patient who has a mood disorder.

 Complete an accurate and effective SBAR communication tool. o S: Patient admitted by PCP to the inpatient psych unit due to signs of manic episode. Patient is alert and responsive o B: 33-year-old female. Has been being treated for depression with Fluoxetine. Presents today with a manic episode. o A: Dressed in colorful clothing and makeup, pressured speech, psychomotor agitation, euphoric mood, labile affect, loose association. o R: needs lithium therapy for stabilization of mood and individual therapy to work on effective coping skills.

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ATI Real Life Clinical Scenario- Schizophrenia and Mood Disorder

Course: Management of Mental Health (NURSE 360)

25 Documents
Students shared 25 documents in this course

University: University of Missouri-Kansas City

Was this document helpful?
ATI Real Life Clinical Scenario: Schizophrenia
Please answer the following questions:
Identify priority assessments for patients who have schizophrenia, especially the
behavioral characteristics common to the disorder.
oAssess for command hallucinations
oAssess for trouble swallowing
oAssess for dizziness
oUse the Suicide Assessment Five Step Evaluation and Triage (SAFE-T)
List several priority nursing diagnoses for the patient who has schizophrenia.
oDisturbed sensory perception r/t auditory hallucinations
oImpaired social interaction r/t paranoia
oImpaired verbal communication r/t hallucination
Recognize potential ethical issues that can arise with adolescent patients in acute crisis.
Identify important nursing considerations for medications used to treat schizophrenia.
What are some of those medications?
oRisperidone
oPaliperidone
Risk of neuropoietic malignant syndrome
Complete an accurate and effective SBAR communication tool.
oS: Presents to the outpatient clinic today for scheduled appointment to assess
advancement of schizophrenia diagnosis

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