Week 7 Schizophrenia and Other Psychotic Disorders; Medication Induced Movement Disorders
NRNP 6635 Case History Reports
Use these case histories to supplement the information about the patients in the video case
studies.
Week 7 Schizophrenia and Other Psychotic Disorders; Medication Induced Movement Disorders
Training Title 9
Name: Ms. Nijah Branning
Gender: female
Age: 25 years old
T- 98.4 P- 80 R 18 128/78 Ht 5’0 Wt 120lbs
Background: Raised by parents, lives alone in Santa Monica, CA. Only child. Works in office
supply sales, has a bachelor’s in business degree. Has medical history of hypothyroidism,
currently treated with daily levothyroxine. Guarded and declined to discuss past psychiatric
history. Denied family mental health issues, declined to allow you to speak to parents for
collaborative information. Allergies: medical tape; menses regular
Symptom Media. (Producer). (2016). Training title 9 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-9
Training Title 24
Name: Ms. Jess Cunningham
Gender: female
Age: 28 years old
T- 98.6 P- 86 R 20 120/70 Ht 5’2 Wt 126lbs
Background: Jess is brought for evaluation by her 2 roommates who are concerned with
behaviors that began 12 days after Jess’s younger brother committed suicide in front of her via
GSW after his girlfriend broke up with him. She is estranged from her parents and her brother
was her only sibling. She is only sleeping 1–2 hours/24hrs; she will only canned foods. She
smokes cannabis daily since she was 16, goes out on weekdays 2–3 times with her roommates
and has couple drinks of beer. She was prescribed alprazolam 1mg twice daily as needed by her
PCP for 15 days. She works as a bartender.
Symptom Media. (Producer). (2016). Training title 24 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-24
Training Title 29
Name: Mr. Jay Feldman
Gender: male
Age:19 years old
T- 98.3 P- 69 R 16 106/72 Ht 5’7 Wt 117lbs
Background: European-American male. He has two younger brothers, one with history of
ADHD, the other with history of anxiety. His mother has anxiety; his father has paranoia
schizophrenia. He is home for spring break. He has no previous medical problems.
Developmental milestones met as child. Appetite is inconsistent and it seems he has lost 18lbs
since first going back to school in the fall. Jason has not acted this way before but did have a
short trial of aripiprazole in the last six months of high school for mild paranoia. He stopped the
medication after graduation as he could not tolerate due to side effects of akathisia. Jason has
several friends but has not kept in touch with them since being back home. He has not been
showering. Sleeping 4–5 hrs.
Symptom Media. (Producer). (2016). Training title 29 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-29
Training Title 134
Name: Mrs. Bunny Warren
Gender: female
Age: 33 years old
Background: Bunny was brought in by her best friend, Patty, after the police responded to her
home the fifth time today. The police was threatening to arrest her for misuse of the 911
system, Bunny called you and you informed the police she needed to go the emergency room.
She has been calling 911 saying people are looking in her windows, standing across the street
watching her, stated they are watching for her husband to return home so they can hurt him.
Today, she has a stomachache. She believes there is a snake inside of her stomach which she
would like to have removed. She stopped eating 2 days ago because of this.
During the assessment, the patient seemed on edge, anxious, and paranoid. The patient has
history of scoliosis. This is her third presentation to this hospital, she had one psychiatric
admission 2 years ago. No self-harm behaviors but has been physically aggressive toward
others in the past. She is guarded and refuses to answer questions whether there are memory
or concentration problems. She denies any recent head injuries. She states that she has been
sleeping nightly, one or two hours at a time and waking up throughout the night. Refuses labs,
refuses to have her vital signs obtained.
She obtains SSDI. She lives in Atlanta, GA. Bunny denies ever using any drugs and drinks
occasionally, once a month. She has a sister who is ten years older, both parents deceased in
the last two years. She has no children, her husband is out of town, truck driver. Family history
includes that her father had two previous inpatient psychiatric hospitalizations after bad drug
experiences in the 1970s, for one week each time. Mother had diagnosis and ongoing
treatment for depression. Her paternal grandmother was state hospitalized for several years.
She denies any past history of traumatic experiences, but her friend does say that losing her
parents was hard for her emotionally. No history of military service. No legal issues currently.
Has HS diploma. Allergies: haloperidol
Symptom Media. (Producer). (2018). Training title 134 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-134
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