Posted: April 25th, 2025

WK# 3 Schizophrenia

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

   Select one drug to treat the diagnosis(es) or symptoms.
   List medication class and mechanism of action for the chosen medication.
   Write the prescription in prescription format.
   Provide an evidence-based rationale for the selected medication using at least one scholarly reference. Textbooks may be used for additional references but are not the primary reference.
   List any side effects or adverse effects associated with the medication.
   Include any required diagnostic testing. State the time frame for this testing (testing is before medication initiation or q 3 months, etc.). Includes normal results range for any listed laboratory tests.
   Provide a minimum of three appropriate medication-related teaching points for the client and/or family.

Preparing the Discussion

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.

General Directions

Review the provided case study to complete this week’s discussion.

Include the following sections:

1.
Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

a. Select one drug to treat the diagnosis(es) or symptoms.

b. List medication class and mechanism of action for the chosen medication.

c. Write the prescription in prescription format.

d. Provide an evidence-based rationale for the selected medication using at least one scholarly reference. Textbooks may be used for additional references but are not the primary reference.

e. List any side effects or adverse effects associated with the medication.

f. Include any required diagnostic testing. State the time frame for this testing (testing is before medication initiation or q 3 months, etc.). Includes normal results range for any listed laboratory tests.

g. Provide a minimum of three appropriate medication-related teaching points for the client and/or family.

2.
Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations:

a. Cite a scholarly source in the initial post.

b. Cite a scholarly source in one faculty response post.

c. Cite a scholarly source in one peer post.

d. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.

e.  Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.

3.

NR546 W3 Case Study Discussion Rubric

NR546 W3 Case Study Discussion Rubric
Criteria		Ratings	Pts
This criterion is linked to a Learning OutcomeApplication of Course Knowledge 6 Required Criteria Answer all questions/criteria with explanations and detail: 1. Select one drug to treat the diagnosis(es) or symptoms. 2. List medication class and mechanism of action for the chosen medication. 3. Write the prescription in prescription format. 4. List any side effects or adverse effects associated with the medication. 5. Include any required diagnostic testing. State the time frame for this testing (testing is before medication initiation or q 3 months, etc.). Includes normal results range for any listed laboratory tests. 6. Provide a minimum of three appropriate medication-related teaching points for the client and/or family.	40 pts Excellent All requirements met. 36 pts V. Good 5 requirements met. 33 pts Satisfactory 4 requirements met. 20 pts Needs Improvement 1-3 requirements met. 0 pts Unsatisfactory No requirements met.	40 pts
This criterion is linked to a Learning OutcomeIntegration of Evidence 5 Required Criteria Integrate relevant scholarly sources as defined by program expectations: 1. Cite a scholarly source in the initial post. 2. Cite a scholarly source in one faculty response post. 3. Cite a scholarly source in one peer post. 4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week. 5. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.	20 pts Excellent All requirements met. 18 pts V. Good 4 requirements met. 16 pts Satisfactory 3 requirements met. 10 pts Needs Improvement 1-2 requirements met. 0 pts Unsatisfactory No requirements met.

9.24 MWS

NR 546 Week 3 Case Study

Subjective Objective

Patient’s Chief Complaints:

“They are out to get me”

History of Present Illness

T.M. is a 20-year-old African American male

brought into the clinic by his parents due to

increasingly erratic behavior, social withdrawal,

and impaired occupational functioning. He

believes he is being followed and that “the CIA

is out to get me” T.M. hears two voices that tell

him he is being watched and that people want to

lock him up. These auditory hallucinations have

been occurring for the past 8 months and have

become more frequent. T.M. displays

disorganized thoughts, paranoid ideation, and

auditory hallucinations. His family is concerned

about his well-being and has sought

professional help due to his decline in

functioning.

Past psychiatric history: None

Past Medical History: Occasional

headaches, treated with OTC pain

relievers.

Family History

• Father is alive, has diabetes

• Mother is alive, has history of

hypertension

Physical Examination: General

Alert, appropriately dressed African American male in no

apparent distress. He appears older than his stated age.

Vital Signs: BP-128/84, T-98.8F, P-84, RR-20, SpO2: 98%

Wt 220 lbs, Ht 5’10”

9.24 MWS

• Two older sister- both healthy

• Mother reports her brother has

schizophrenia

Social History

• Lives with parents

• Does not have many friends

• unemployed, has not been able to keep

a job due to worsening paranoia

• High school graduate

• Smokes 1 pack a day

• Drinks socially, 1-2 times a week,

mostly beer

• Several gasses of coke or sweet tea

during the day

• Smoke marijuana daily, 3-4 times a day

• no formal exercise

• no hobbies

Review of Systems

• Occasional headaches relieved with

acetaminophen

• Appetite good, weight stable

• Sleeps 4-5 hours at night

Allergies: NKDA

Mental status exam:

•Cranial nerves II-VIII intact

•Gait steady

•Denies headache and dizziness

Appearance: Disheveled appropriate dress for age and

situation, well nourished, eye contact poor, No apparent

distress

Alertness and Orientation: Fully oriented to person‚ place‚

time‚ and situation, Alert

Behavior: Cooperative

Speech: Soft, flat

Mood: Euthymic

Affect: Constricted, congruent

Thought Process: Tangential, loose associations

Thought content: Paranoid with delusions that he is being

followed by the CIA. No thoughts of suicide‚ self-harm‚ or

passive death wish, denies thoughts of wanting to harm

others.

Perceptions: No response to internal stimuli noted during

interview, however, seen talking to himself while being

observed from a distance, reports auditory hallucinations.

Memory: Recent and remote WNL

Judgement/Insight: Insight is poor, Judgement is poor

Attention and observed intellectual functioning: Attention

intact for purpose of assessment.

Fund of knowledge: Good general fund of knowledge and

vocabulary

Musculoskeletal: Normal gait and station

Diagnosis: F20.9 Schizophrenia, unspecified

Psychopharmacology Questions: see the discussion guidelines rubric