Western Governors University_ PSYCH C487Focused Exam_ Schizophrenia _ Completed _ Shadow Health objectiveFocused_Exam__Schizophrenia___Completed___Shadow_Health_8/31/2018 Focused Exam: Schizophrenia | Completed | Shadow Health Focused Exam: Schizophrenia Results | Turned In C487 Psych/Mental Hea…
Psychiatric Interviews for Teaching: Psychosis
Eric Ford Schizophrenia Shadow health
| Hello. My name is xxx. I will interview and examine you |
Greet 07/02/22 4:36 AM EDT |
| Hey there. | |
| While this question is open-ended, it lacks empathy and may be perceived as confrontational. Try again. Eric Ford Schizophrenia Shadow health | |
| Great job! This question is open-ended enough to allow the patient to respond flexibly about the symptoms bothering them and their reason for being in the hospital. | |
| What brings you to the hospital today? |
Question 07/02/22 4:41 AM EDT |
| Look. I’m not crazy, OK. I’ve got some problems, I know, but I’m not crazy. It’s these voices I get. They’re everywhere and everyone and they just kept getting louder. They kept getting harsher… just awful. | |
| Great job! This question seeks further clarification about what the patient has said without outright rejecting or validating what they are experiencing. | |
| Can I ask who is telling you that your life is almost over? |
Question 07/02/22 4:44 AM EDT |
| I mean these voices I keep hearing, they keep telling me my life is almost over and I can’t get them to stop. Do you hear them? | |
| Great job! This empathetic response acknowledges the potentially frightening nature of auditory hallucinations and presents reality in way that does not diminish the patient’s experience. | |
| I don’t hear anything. That sounds frightening, but please know you are safe here in the hospital. |
Question 07/02/22 4:45 AM EDT |
| Thanks. I know I have had issues in the past with hallucinations, but sometimes they feel so real. | |
| Great job! This educational response casts doubt on the patient’s delusion, and gives reassurance about the safety, and information about the therapeutic effects of his medication. | |
| I don’t see any evidence of that. Taking your medication may lower the frequency of voices you hear. |
Question 07/02/22 4:46 AM EDT |
| I guess that’s true. Not everything these voices tell me is true and maybe the medication would help get rid of them. | |
| . |
Educate 07/02/22 4:48 AM EDT |
| That’s an interesting way of putting it, but yeah, I agree. | |
| . |
Educate 07/02/22 4:48 AM EDT |
| OK, I’m following. | |
| . |
Educate 07/02/22 4:48 AM EDT |
| Yeah. I think that should be good. | |
| . |
Educate 07/02/22 4:48 AM EDT |
| Let’s do it. | |
| hello |
Greet 07/02/22 5:01 AM EDT |
| Hey there. | |
| Great job! This question is open-ended enough to allow the patient to respond flexibly about the symptoms bothering them and their reason for being in the hospital. | |
| What brings you to the hospital today? |
Question 07/02/22 5:12 AM EDT |
| Look. I’m not crazy, OK. I’ve got some problems, I know, but I’m not crazy. It’s these voices I get. They’re everywhere and everyone and they just kept getting louder. They kept getting harsher… just awful. | |
| Great job! This question seeks further clarification about what the patient has said without outright rejecting or validating what they are experiencing. | |
| Can I ask who is telling you that your life is almost over? |
Question 07/02/22 5:24 AM EDT |
| I mean these voices I keep hearing, they keep telling me my life is almost over and I can’t get them to stop. Do you hear them? | |
| Great job! This empathetic response acknowledges the potentially frightening nature of auditory hallucinations and presents reality in way that does not diminish the patient’s experience. | |
| I don’t hear anything. That sounds frightening, but please know you are safe here in the hospital. |
Question 07/02/22 5:26 AM EDT |
| Thanks. I know I have had issues in the past with hallucinations, but sometimes they feel so real. | |
| Great job! This educational response casts doubt on the patient’s delusion, and gives reassurance about the safety, and information about the therapeutic effects of his medication. | |
| I don’t see any evidence of that. Taking your medication may lower the frequency of voices you hear. |
Question 07/02/22 5:27 AM EDT |
| I guess that’s true. Not everything these voices tell me is true and maybe the medication would help get rid of them. | |
| When did your symptoms begin? |
Question 07/02/22 5:32 AM EDT |
| This week they’ve been loud, and harsh. They kept telling me to do things I didn’t want to. I just wanted to make them stop so badly, it’s scary when it’s your own head, you know? I just wanted to make them stop… I got help before and the voices quieted down. But they got worse over this past week. | |
| Can you describe your symptoms?? |
Question 07/02/22 5:33 AM EDT |
| I hear voices, like people talking to me and whispering at me. They were under control for a while, really, but they got louder and louder so my mom brought me in here to get some help, that’s all I really want. | |
| What makes your symptoms worse? |
Question 07/02/22 5:37 AM EDT |
| Solitude. Being alone in my brain train. | |
| What are your coping strategies? |
| How often do you drink? |
Question 07/02/22 9:07 AM EDT |
| Not regularly, and only if I’m with my friends. | |
| Assessed vitals |
Exam Action 07/02/22 9:08 AM EDT |
| Auscultated breath sounds |
Exam Action 07/02/22 9:09 AM EDT |
| Auscultated heart sounds Eric Ford Schizophrenia Shadow health |
Exam Action 07/02/22 9:09 AM EDT |
| Inspected interior of arms and wrists: no visible abnormalities |
Exam Action 07/02/22 9:16 AM EDT |
| Inspected facial and oral movements: normal |
Exam Action 07/02/22 9:48 AM EDT |
| Inspected upper extremities for involuntary movement: normal |
Exam Action 07/02/22 9:48 AM EDT |
| Inspected lower extremities for involuntary movement: normal |
Exam Action 07/02/22 9:49 AM EDT |
| Inspected torso for involuntary movement: normal |
Exam Action 07/02/22 9:50 AM EDT |
| Assessed general appearance: clothing is disheveled, signs indicating lack of grooming or self-care |
Exam Action 07/02/22 12:23 PM EDT |
| Assessed attitude: suspicious, guarded, or evasive |
Exam Action 07/02/22 12:23 PM EDT |
| Assessed speech: expected rate of speech, appropriate volume, and no issues with articulation |
Exam Action 07/02/22 12:23 PM EDT |
| Assessed mood and affect: stable mood, but affect is blunted or flat |
Exam Action 07/02/22 12:24 PM EDT |
| Assessed thought process: “word salad” or clanging associations present |
Exam Action 07/02/22 12:24 PM EDT |
| Assessed thought content: presence of suicidal ideation and auditory hallucinations |
Exam Action 07/02/22 12:24 PM EDT |
| Confirmed orientation |
Exam Action 07/02/22 12:24 PM EDT |
| What is your name and date of birth? |
Question 07/02/22 12:26 PM EDT |
| My name is Eric Ford and my date of birth is . . . [Mr. Ford reports his correct date of birth.] | |
| What building are you in now? Eric Ford Schizophrenia Shadow health |
Question 07/02/22 12:27 PM EDT |
| We’re in the hospital. | |
| What is the date and year? |
Question 07/02/22 12:28 PM EDT |
| It’s . . . [Mr. Ford reports the correct date and year.] | |
| Assessed cognition |
Exam Action 07/02/22 12:31 PM EDT |
| Count backwards from 100 by 7 until you get to the 60s. |
Question 07/02/22 12:31 PM EDT |
| 100, 93, 86, uh… 79… (Mr. Ford finishes the sequence) | |
| Assessed cognition |
Exam Action 07/02/22 12:32 PM EDT |
| How are apples and oranges alike? |
Question 07/02/22 12:36 PM EDT |
| Uh, they both grow on trees. Eric Ford Schizophrenia Shadow health | |
| How are a lake and an ocean alike? |
Question 07/02/22 12:36 PM EDT |
| You can swim in both of them. | |
| How are a trumpet and a flute alike? |
Question 07/02/22 12:37 PM EDT |
| You have to blow into both of them. | |
| Assessed cognition |
Exam Action 07/02/22 12:37 PM EDT |
| Repeat and remember burger, tulip, nose, and tea. |
Question 07/02/22 12:39 PM EDT |
| Burger, tulip, nose and tea. | |
| How did you celebrate your last birthday? |
Question 07/02/22 12:41 PM EDT |
| I went to a concert with some friends. | |
| Repeat the four words from before. |
Question 07/02/22 12:41 PM EDT |
| Burger, tulip, nose, and tea. | |
| Copy the shapes exactly as you see them. |
Question 07/02/22 12:42 PM EDT |
| OK . . . | |
| Assessed insight: demonstrates awareness of illness and willingness to seek treatment |
Exam Action 07/02/22 12:42 PM EDT |
| Assessed judgment: demonstrates good judgment |
Exam Action 07/02/22 12:43 PM EDT |
| What would you do if you found a stamped envelope on your sidewalk? |
Question 07/02/22 12:44 PM EDT |
| I would put it in the mail box. | |
| It is evident that you have trouble coping with schizophrenia |
Educate 07/02/22 1:38 PM EDT |
| That’s an interesting way of putting it, but yeah, I agree. | |
| We will discuss the resources you can use to better your mental health |
Educate 07/02/22 1:40 PM EDT |
| OK, I’m following. Eric Ford Schizophrenia Shadow health |
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