Question

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 Last semester his grades began declining and he became very withdrawn.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.?

Answer 1

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.