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Case Scenario Group

A 25-year-old woman was brought to the emergency department by police after being found walking in traffic. She stated voices told her to kill herself. On examination, she appeared disheveled with flat affect, shifting between unrelated ideas. She experienced auditory hallucinations and was unable to articulate her experiences coherently. She became distracted by internal stimuli and said voices were talking to her. Her family reported she withdrew after university and struggled academically.

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Zienab Ibrahem
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271 views4 pages

Case Scenario Group

A 25-year-old woman was brought to the emergency department by police after being found walking in traffic. She stated voices told her to kill herself. On examination, she appeared disheveled with flat affect, shifting between unrelated ideas. She experienced auditory hallucinations and was unable to articulate her experiences coherently. She became distracted by internal stimuli and said voices were talking to her. Her family reported she withdrew after university and struggled academically.

Uploaded by

Zienab Ibrahem
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Case scenario group (A)

A 25-year-old woman is brought to the accident and emergency


department by the police after being found walking in traffic at
downtown. The police place her on an involuntary commitment after she
states that she was instructed to kill herself by accusatory, commanding
voices. On examination the patient appears disheveled, with an
indifferent and flat affect, and Shifting between unrelated, unconnected
ideas and subjects. Thinking appears vague and illogical. She answers
most questions with incoherent mixture of words and phrases. . When
questioned about experiencing auditory hallucinations she is unable to
.articulate coherently the details of her experience
Throughout the examinations she appears intermittently distracted
by internal stimuli; when asked what her experience is in the moment, she
states: 'They are talking to me.' The patients family reports that she
became increasingly withdrawn after she moved away from home to
attend graduate studies at a local university. The family reports that her
academic performance in college was above average, but since starting
university she has struggled to complete her school work. Since moving,
she has also become more isolative: she made no new friends, stopped
talking to her college friends, and maintained only periodic contact with
.her family
Patient signs and symptoms Evidences from the paragraph

Patients needs/ problems Nursing diagnosis


1. Actual 1.
2. 2.
3. 3.
4. Potential4.
Nursing diagnosis .Short term goals
1. 1.
2. 2.
3. 3.
4. 4.
Case scenario group ( B )

"J " 24 yrs old male , graduated from high school and got a job working in a
video store. After working for about 6 months Jack began to hear voices that told him
he was no good. He also began to believe that his boss was planting small
videocameras in the returned tapes to catch him making mistakes. Jack became
increasingly agitated at work, particularly during busy times, and began "talking
strangely" to customers. For example one customer asked for a tape to be reserved
and Jack indicated that that tape may not be available because it had "surveilance
photos of him that were being reviewed by the CIA".

After about a year Jack quit his job one night, yelling at his boss that he couldn't
take the constant abuse of being watched by all the TV screens in the store and even
in his own home.

Jack lived with his parents at that time. He became increasingly confused and
agitated. His parent took him to the hospital where he was admitted. During the
assessment "J" started to make over physical activity, usually
unproductive and appeared tens or agitated, neglects his hygiene and refuse
.to eat and claimed that his parents want to poisoning him
Patient signs and symptoms Evidences from the paragraph

Patients needs/ problems Nursing diagnosis


1. Actual 1.
2. 2.
3. 3.
4. Potential4.
Nursing diagnosis .Short term goals
1. 1.
2. 2.
3. 3.
4. 4.
Case scenario group (c)

A 40 years old female patient was brought to the out-patient department


by her son. She had tried to hang herself. When she was looking intently
at a fixed point on the floor. Every now and then she cries deeply and
whisper to herself. Initially, she refused to answer questions. She
admitted to the in-patient, she lie in bed for hours and hours neither
moving, speaking, eating nor drinking. She had talked about how
everything was her fault. She believed that she must have committed
some unforgiving crimes and that she should be punished. The patient
had feelings of worthlessness and negative feeling about her capabilities.
she started to neglect her hygiene and un able to enter sleep easily at
night

Patient signs and symptoms Evidences from the paragraph

Patients needs/ problems Nursing diagnosis


1. Actual 1.
2. 2.
3. 3.
4. Potential4.
Nursing diagnosis .Short term goals
1. 1.
2. 2.
3. 3.
4. 4.

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