Schizophrenia

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

Review the clinical scenario below and address the questions that follow.

Mark is a 37-year-old client with a 15-year history of schizophrenia. When he was first diagnosed, he was prescribed a second-generation antipsychotic medication. He complained about drowsiness and difficulty concentrating. He experienced a 40 lb. weight gain over a year. His girlfriend complained about his reduced sex drive and ended their relationship. He tried several different medications alone and in combination but found the side effects intolerable. He stopped taking his medications and started self-medicating with alcohol. Over time, he experienced several relapses and his condition declined markedly. He lost his housing and began living in his car. After being involuntarily committed following a psychotic episode, he was referred to the PMHNP at the outpatient clinic. When he presented for his appointment, he told the PMHNP that he stopped taking his medications due to their side effects.

Application of  Knowledge: The student post demonstrates the application of knowledge.
What is the most appropriate response by the PMHNP? How can the PMHNP support adherence for this client?
What are the ethical and legal obligations for the PMHNP in the above situation?
Goals that are not mutually shared between providers and patients can be very challenging, both clinically and emotionally. What steps can the PMHNP take to promote their personal emotional and mental health when working with clients whose health choices are likely to lead to adverse health outcomes?
Integration of Evidence: The student post provides support from a minimum of one scholarly in-text citation in addition to the textbook.  
Engagement in Meaningful Dialogue: The student responds to a student peer and course faculty to further dialogue. 
     

 

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