A 33-year-old patient is admitted involuntarily to an inpatient psychiatric unit after reporting thoughts of sexually
A 33-year-old patient is admitted involuntarily to an inpatient psychiatric unit after reporting thoughts of sexually and physically assaulting others to the police. The patient reports hearing voices telling them to carry out these acts. The patient believes that others have been trying to harm them for some time, which justifies any violent behavior. At times, the patient’s speech is tangential and illogical. When contacted by the nurse practitioner, the patient’s parent reports that the patient has reported similar symptoms for at least 7 months and recently struck a neighbor. When not agitated, the patient stares at the television or sleeps for long periods. Before developing more severe symptoms, there was a 6-month period during which the patient gradually withdrew from the world. The patient lost a job and an apartment about a year ago after repeatedly failing to attend work or pay rent. The patient lost contact with most of their friends during this period. The nurse practitioner wants to assess this patient further. Which assessment findings would provide the best target for psychosocial interventions that could improve this patient’s safety in the long term?
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