Assignment task: Thomas is a 44 year-old male with a diagnosis of schizophrenia. He is a new admission to your floor on inpatient psychiatry. Open his admission he says "you know I can leave if I want, I own this place." Thomas smokes 2 packs of cigarettes a day and denies interest in stopping. Upon admission his medications are olanzapine 15mg PO daily and Invega Sustenna 150mg IM Q3Weeks. Thomas was getting his injection from a community clinic but stopped showing up 6 weeks ago.
Q1. What type of delusion is Thomas presenting with upon admission? *Tip-use the MSA terms resource
Q2. Define the difference between a Delusion, an Illusion and Hallucination.
Q3. Thomas agrees to start taking his injection. He asks you how come he doesn't have to take it everyday, only once in 3 weeks? What is the best response to this?
Q4. After 4 weeks in the hospital you find olanzapine pills on Thomas' bedside table. He says "I don't need them, I'm doing great." How can you make sure that Thomas is taking his medication moving forward?
Q5. Thomas says he doesn't like the way Invega Sustenna makes his feel. What are some common side-effects with Invega Sustenna?
Q6. Upon reviewing his chart you see Tardive Dyskinesia mentioned in his health history. What is this?
Q7. After 2 months in the hospital Thomas is doing well. The team has a meeting about discharge planning with Thomas. List 1 community resource that you would make a referral to and why it would be essential for Thomas to thrive in the community.
Q8. Upon discharge Thomas says to you "you're the best nurse here, thank you for everything you have done." Thomas asks you "can I get your phone number, it would be great to stay in touch."? What is your response?