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NURSING NU 333 Schizophrenia Case Study 1 Complete

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UNFOLDING Clinical Reasoning Case Study NURSING NU 333 Schizophrenia Case Study 1 History of Present Problem: Jeremy Brown is a 30-year-old Caucasian male who was brought to the emergency department (ED) by the police after being involved in an altercation at work. Jeremy was at work today...

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  • March 10, 2022
  • 13
  • 2021/2022
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UNFOLDING Clinical Reasoning Case Study


NURSING NU 333 Schizophrenia Case Study 1

History of Present Problem:
Jeremy Brown is a 30-year-old Caucasian male who was brought to the emergency department (ED) by the police after
being involved in an altercation at work. Jeremy was at work today, and he threw a large piece of metal at a coworker
and began yelling, “Stop following me, I know what you have been up to!” Because Jeremy was very agitated and upset,
and the police were called.
Since arriving in the ED, he has been agitated, displaying rapid pressured speech and repeating the phrases he hears
the police and others in the ED said. Jeremy reported that he recently stopped taking his risperidone and citalopram
because he believed his coworkers have been breaking into his house and poisoning his medications. Jeremy’s manager
reports that he was diagnosed with schizophrenia five years ago.

Personal/Social History:
Jeremy graduated from college with a 4.0 GPA and was in his first year at law school when he
experienced the first episode of acute mental illness and was diagnosed with schizophrenia. He had to drop out of law
school at age 24 and never finished. Jeremy lives at home with his mother and father and recently broke up with his
girlfriend.
Jeremy likes his job at the foundry but feels he is a disappointment because both of his sisters are lawyers, as is his
father. Jeremy has no close friends and only a few acquaintances. Jeremy’s mental health had been stable up until the
last three months. He has been feeling more paranoid the past three months and experienced a dramatic increase in
symptoms when he stopped taking all of his medications one month ago.

What data from the histories are RELEVANT and have clinical significance to the nurse?
RELEVANT Data from Present Problem: Clinical Significance:
Heightened emotions and tension must be monitored closely
He threw up a large piece of metal at
a coworking Continual repetition of another words like in a parrot-like manner

Rapid pressured speech Not taking medications may lead to further decompensation

Diagnosed with schizophrenia six years ago Suspiciousness or paranoia that is unrealistic

Believed his co working have been
breaking into his house




RELEVANT Data from Social History: Clinical Significance:

, Recently broke up with his girlfriend Emotional trigger and increase symptoms of schizophrenia,
increase stress
Feels like a disappointment because both
of his sisters are lawyers Can lead to depression and

The past 3 months has been feeling anxiety Been off this meds
more paranoid

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