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Focused Exam: Schizophrenia Results | Turned In
Nursing Praxis V - Mental Health - Cornwall - Fall 2025, LUSL 3084
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Overview
Transcript
Transcript
Started: Sep 29, 2025 | Total Time: 122 min
Subjective Data Collection
All Lines (201) Interview Questions (164) Statements (13) Exam Actions (24)
Objective Data Collection
Education & Empathy Gr
Hello, I am Inny and i will be taking care of you today
09/29/25 3:02 PM E
QSEN Competencies
Documentation Hey there.
Care Plan
Great job! This question is open-ended enough to allow the patient to respond
Reflections flexibly about the symptoms bothering them and their reason for being in the
hospital.
Quest
What brings you to the hospital today?
09/29/25 3:05 PM E
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.
Quest
Can I ask who is telling you that your life is almost over?
09/29/25 3:06 PM E
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 Quest
in the hospital. 09/29/25 3:07 PM E
Thanks. I know I have had issues in the past with hallucinations, but sometimes
they feel so real.
1/20
,Assessed vitals
Auscultated breath sounds
Auscultated breath sounds
Auscultated heart sounds
Inspected interior of arms and wrists: no visible abnormalities
Inspected facial and oral movements: normal
Inspected upper extremities for involuntary movement: normal
Inspected lower extremities for involuntary movement: normal
Inspected torso for involuntary movement: normal
Assessed general appearance: clothing is disheveled, signs indicating lack of grooming or self-care
Assessed attitude: suspicious, guarded, or evasive
Assessed speech: expected rate of speech, appropriate volume, and no issues with articulation
Assessed mood and affect: stable mood, but affect is blunted or flat
Assessed thought process: "word salad" or clanging associations present
Assessed thought content: presence of suicidal ideation and auditory hallucinations
2/20
, Confirmed orientation
Assessed cognition
Assessed cognition
Assessed cognition
Assessed cognition
Assessed cognition
Assessed cognition
Assessed insight: demonstrates awareness of illness and willingness to seek treatment
3/20