Question

In: Nursing

CASE STUDY. You are working on an inpatient psychiatric unit and need to do an initial...

CASE STUDY.

You are working on an inpatient psychiatric unit and need to do an initial assessment of R.B., who has just been admitted. He has a diagnosis of schizophrenia, paranoid type. He is 22 years old and has been attending the local university and living at home with his parents. He has always been a good student and has been active socially. Last semester his grades began declining and he became very withdrawn. He spends most of his time alone in his room. His grooming has deteriorated; he can go days without bathing. For several weeks before admission, he insisted on keeping all of the blinds and curtains in the house closed. He refuses to join family gatherings and games. For the past 2 days he has refused to eat, saying, "They have contaminated the food." As you approach R.B., you note that he appears to be carrying on a conversation with someone, but there is no one there. When you talk to him, he looks around and answers in a whisper but gives you little information. He states, "They are watching me and told me not to cooperate.


Explain what a negative symptom of schizophrenia is, and identify at least three negative
symptoms of schizophrenia that R.B. might be experiencing.


Explain what a positive symptom of schizophrenia is, and identify at least two positive
symptoms of schizophrenia that R.B. might be experiencing


What are the most important initial interventions in treating R.B.?

Solutions

Expert Solution

1. Schizophrenia is a term used to define a psychatric situation, mental incapability to adjust with ones own thoughts and situations as a social being. Mostly a szhizoprenic patient may not understand or try to understand what is happening around him.This is diagnosed with certain symptoms like negative symptoms and pisitive symptoms.

Negative symptoms - may include withdrawal from social activities, the patient may not attend any kind of social response and mainly emotional response. He lacks apathy and empathy. Lacking good relationship with family and socity.sitting long time alone and keep away from all other gathering responsibility

Postive symptoms also finds with R.B experiencing schizophrenic patient

Hallucinations is always a positive symptoms in schizophrenic patient in which mental status a patient may feel certain sensation that is not real.he may be feeling a unknown touching or presence of some one around him or there is a chance of searching for thing or person in althrough his day to day life.

Nursing Intervention

It is quite difficult to deal with a schizoprenic patient, that is why a nurse should make a good therapeutic environment to the patient.Like making good enough to understand his real medical history

Prepare medical history attend pharmacological intervention and other take care of patient from other infections.


Related Solutions

CASE STUDY. You are working on an inpatient psychiatric unit and need to do an initial...
CASE STUDY. You are working on an inpatient psychiatric unit and need to do an initial assessment of R.B., who has just been admitted. He has a diagnosis of schizophrenia, paranoid type. He is 22 years old and has been attending the local university and living at home with his parents. He has always been a good student and has been active socially. Last semester his grades began declining and he became very withdrawn. He spends most of his time...
CASE STUDY. You are working on an inpatient psychiatric unit and need to do an initial...
CASE STUDY. You are working on an inpatient psychiatric unit and need to do an initial assessment of R.B., who has just been admitted. He has a diagnosis of schizophrenia, paranoid type. He is 22 years old and has been attending the local university and living at home with his parents. He has always been a good student and has been active socially. Last semester his grades began declining and he became very withdrawn. He spends most of his time...
You are working the afternoon shift in an inpatient psychiatric unit. The patients are in the...
You are working the afternoon shift in an inpatient psychiatric unit. The patients are in the day room watching a movie when suddenly someone starts yelling. You and other staff rush to the day room to find J.J., a 48-year-old male patient, crouched in the corner behind a chair, yelling at the other patients, "Get down. Get down quick." You and the other staff are able to calm J.J. and the other patients and take J.J. to his room. He...
You are a nurse on an inpatient psychiatric unit. J.M., a 23-year-old woman, was admitted to...
You are a nurse on an inpatient psychiatric unit. J.M., a 23-year-old woman, was admitted to the psychiatric unit last night after assessment and treatment at a local hospital emergency department for "blacking out at school." She has been given a preliminary diagnosis of anorexia nervosa. As you begin to assess her, you notice that she has very loose clothing, she is wrapped in a blanket, and her extremities are very thin. She tells you, "I don't know why I'm...
For this assessment, you are an advanced practice nurse working on an inpatient rehabilitation unit. You...
For this assessment, you are an advanced practice nurse working on an inpatient rehabilitation unit. You care for many patients after they experience strokes, paralysis after spinal cord injuries, severe burn injuries, and amputations after illness or injury. The patients stay for 3-8 weeks depending on the severity of their illness and their baseline level of strength. Each patient participates in at least 3 hours per day of a combination of physical, occupational, and/or speech therapy in order to speed...
A 48-year-old woman is admitted to a psychiatric inpatient unit for observation and evaluation after an...
A 48-year-old woman is admitted to a psychiatric inpatient unit for observation and evaluation after an episode in which she murdered her husband of 22 years, a well-renowned legislator, after finding out that he had been having an affair with his 23-year-old political assistant. The case has received tremendous media coverage. Upon admission, the patient expresses both suicidal idealization as well as homicidal idealization with a plan to kill her husband’s young lover. She also reveals that her husband had...
You are working the day shift on a medical inpatient unit. You are discussing discharge instructions...
You are working the day shift on a medical inpatient unit. You are discussing discharge instructions with J.B., an 86-year-old man who was admitted for mitral valve repair. His serum blood glucose had been averaging 250 mg/dL or higher for the past several months. During this admission, his dosage of insulin was adjusted and he was given additional education in managing his diet. While you are giving these instructions, J.B. tells you his wife died 9 months ago. He becomes...
You are working the day shift on a medical inpatient unit. You are discussing discharge instructions...
You are working the day shift on a medical inpatient unit. You are discussing discharge instructions with J.B., an 86-year-old man who was admitted for mitral valve repair. His serum blood glucose is 250 mg/dL (13.9 mmol/L) and increasing for the past several months. During this admission, his dosage of insulin was adjusted, and he was given additional education in managing his diet. While you are giving these instructions, J.B. tells you his wife died 9 months ago. He becomes...
You are working the day shift on a medical inpatient unit. You are discussing discharge instructions...
You are working the day shift on a medical inpatient unit. You are discussing discharge instructions with J.B., an 86-year-old man who was admitted for mitral valve repair. His serum blood glucose had been averaging 250 mg/dL or higher for the past several months. During this admission, his dosage of insulin was adjusted and he was given additional education in managing his diet. While you are giving these instructions, J.B. tells you his wife died 9 months ago. He becomes...
You are working the day shift on a medicine inpatient unit. You are discussing discharge instructions...
You are working the day shift on a medicine inpatient unit. You are discussing discharge instructions with J.B., an 86-year-old man who was admitted for mitral valve repair. His serum blood glucose had been averaging 13.8 mmol/L or higher for the past several months. During this admission, his dosage of insulin was adjusted, and he was given additional education in managing his diet. While you are giving these instructions, J.B. tells you his wife died 9 months ago. He becomes...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT