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Week 7 Schizophrenia and Other Psychotic Disorders; Medication Induced Movement Disorders

NRNP 6635 Case History Reports

Use these case histories to supplement the information about the patients in the video case

studies.  

 

Week 7 Schizophrenia and Other Psychotic Disorders; Medication Induced Movement Disorders

Training Title 9

Name: Ms. Nijah Branning

Gender: female

Age: 25 years old

T- 98.4 P- 80 R 18 128/78 Ht 5’0 Wt 120lbs

Background: Raised by parents, lives alone in Santa Monica, CA. Only child. Works in office

supply sales, has a bachelor’s in business degree. Has medical history of hypothyroidism,

currently treated with daily levothyroxine. Guarded and declined to discuss past psychiatric

history. Denied family mental health issues, declined to allow you to speak to parents for

collaborative information. Allergies: medical tape; menses regular

Symptom Media. (Producer). (2016). Training title 9 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-9

 

Training Title 24

Name: Ms. Jess Cunningham

Gender: female

Age: 28 years old

T- 98.6 P- 86 R 20 120/70 Ht 5’2 Wt 126lbs

Background: Jess is brought for evaluation by her 2 roommates who are concerned with

behaviors that began 12 days after Jess’s younger brother committed suicide in front of her via

GSW after his girlfriend broke up with him. She is estranged from her parents and her brother

was her only sibling. She is only sleeping 1–2 hours/24hrs; she will only canned foods. She

smokes cannabis daily since she was 16, goes out on weekdays 2–3 times with her roommates

and has couple drinks of beer. She was prescribed alprazolam 1mg twice daily as needed by her

PCP for 15 days. She works as a bartender.

Symptom Media. (Producer). (2016). Training title 24 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-24

 

Training Title 29

Name: Mr. Jay Feldman

Gender: male

Age:19 years old

T- 98.3 P- 69 R 16 106/72 Ht 5’7 Wt 117lbs

Background: European-American male. He has two younger brothers, one with history of

ADHD, the other with history of anxiety. His mother has anxiety; his father has paranoia

schizophrenia. He is home for spring break. He has no previous medical problems.

Developmental milestones met as child. Appetite is inconsistent and it seems he has lost 18lbs

since first going back to school in the fall. Jason has not acted this way before but did have a

short trial of aripiprazole in the last six months of high school for mild paranoia. He stopped the

medication after graduation as he could not tolerate due to side effects of akathisia. Jason has

several friends but has not kept in touch with them since being back home. He has not been

showering. Sleeping 4–5 hrs.

Symptom Media. (Producer). (2016). Training title 29 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-29

 

Training Title 134

Name: Mrs. Bunny Warren

Gender: female

Age: 33 years old

Background: Bunny was brought in by her best friend, Patty, after the police responded to her

home the fifth time today. The police was threatening to arrest her for misuse of the 911

system, Bunny called you and you informed the police she needed to go the emergency room.

She has been calling 911 saying people are looking in her windows, standing across the street

watching her, stated they are watching for her husband to return home so they can hurt him.

Today, she has a stomachache. She believes there is a snake inside of her stomach which she

would like to have removed. She stopped eating 2 days ago because of this.

During the assessment, the patient seemed on edge, anxious, and paranoid. The patient has

history of scoliosis. This is her third presentation to this hospital, she had one psychiatric

admission 2 years ago. No self-harm behaviors but has been physically aggressive toward

others in the past. She is guarded and refuses to answer questions whether there are memory

or concentration problems. She denies any recent head injuries. She states that she has been

sleeping nightly, one or two hours at a time and waking up throughout the night. Refuses labs,

refuses to have her vital signs obtained.

She obtains SSDI. She lives in Atlanta, GA. Bunny denies ever using any drugs and drinks

occasionally, once a month. She has a sister who is ten years older, both parents deceased in

the last two years. She has no children, her husband is out of town, truck driver. Family history

includes that her father had two previous inpatient psychiatric hospitalizations after bad drug

experiences in the 1970s, for one week each time. Mother had diagnosis and ongoing

treatment for depression. Her paternal grandmother was state hospitalized for several years. 

She denies any past history of traumatic experiences, but her friend does say that losing her

parents was hard for her emotionally. No history of military service. No legal issues currently.

Has HS diploma. Allergies: haloperidol

Symptom Media. (Producer). (2018). Training title 134 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-134

 

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