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Case Study
The police bring a 21-year-old individual to the emergency department after they were found sitting in the middle of a traffic on a busy street. By way of explanation the patient states, "the voices told me to do it". For at least a year, the client experienced delusion and auditory hallucinations. The hallucinations consist of several voices commenting on the patient's behavior and giving commands to do "bad things." The client has become socially isolated and dysfunctional as a result of the symptoms. They deny current drug use or medical problems. A mental status examination shows several abnormalities. Disturbance in grooming, hygiene and behavior (paranoid) are noted with a flat affect. Thought processes are occasionally loose and the client reports auditory hallucination and delusion.
· Read the following case study and answer the questions below.
· Remember to include in-text citations and references at the end.
Questions
1. What symptoms did the patient manifest that supports a diagnosis of schizophrenia?
2. What other conditions need to be ruled out to fully establish the diagnosis of schizophrenia?
3. Should the patient be hospitalized? Provide a rationale for your answer.
4. Provide 1 priority nursing diagnosis and 4 priority interventions.
5. Make a chart to describe the similarities and differences in signs and symptoms of bipolar disorder and schizophrenia.
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