Chief Complaint ans: Established chief complaint
History of Present Illness ans: - Ask about onset and duration of symptoms
- Ask about characteristics of symptoms
- Follow up on content of hallucinations
- Ask about aggravating factors of symptoms
- Ask about coping strategies
Past Medical History ans: - Ask about existing health conditions
- Ask about history of mental health
- Follow up on schizophrenia diagnosis
- Follow up on insomnia
- Ask about previous psychiatric hospitalizations
- Followed up on previous hospitalizations
- Ask about suicidal ideations and self-harm
- Ask About past suicide attempts
- Follow up on suicide planning
- Ask about homicidal ideation
Home Medications ans: - Ask about home medications and treatment of symptoms
- Ask about medication regimen adherence
- Follow up on last dose of home medications
- Follow up on medication for schizophrenia
- Follow up on medication for insomnia
Social History ans: - Ask about drug use
- Ask about alcohol use
- Follow up on alcohol use
- Ask about tobacco and nicotine use
- Follow up tobacco and nicotine use
- Ask about occupation and education
- Ask about living situation, safety, and support system
- Ask about activities of daily living
- Ask about appetite
Review of Systems ans: - Ask about general symptoms
- Ask about reviews for respiratory
- Ask about reviews for gastrointestinal
- Ask about reviews for neurological
- Ask about dental status
- Ask about awareness of involuntary movements
- Ask if involuntary movements interfere with daily life