Chris is a 20-year-old Caucasian male who is in his second year of college. He is seeking treatment due to persistent fears that campus security and the local police are tracking and surveilling him. He cites occasional lags in his internet speed as evidence that surveillance devices are interfering with his electronics. His intense anxiety about this has begun getting in the way of his ability to complete schoolwork, and his friends are concerned – he says they have told him, “you’re not making sense.”
Chris occasionally laughs abruptly and inappropriately and sometimes stops speaking mid-sentence, looking off in the distance as though he sees or hears something. He expresses concern about electronics in the room (phone, computer) potentially being monitored and asks repeatedly about patient confidentiality, stating that he wants to be sure the police won’t be informed about his treatment. His beliefs are fixed, and if they are challenged, his tone becomes hostile.
1.What is the patient’s diagnostic evaluation
- Social factors
2.Diagnostic Criteria; what behavior is the client exhibiting that is consistent with the diagnosis? (you will get this info from the DSM).
3.List 3-4 medications that would commonly be described for this diagnosis. Include the dosage range, side effects, lab tests or blood levels if indicated.
4.What mental status assessment tool would be appropriate to use based on this patients diagnosis?
5. Identify 2 nursing problems that would be appropriate for your patient