Question 1: Describe how the current setting in which the patient lives and the appointment setting impact your care or treatment plan?
Question 2: What are the possible strengths and weaknesses of the patient?
Question 3: Discuss essential things to assess during the physical assessment and any laboratory tests you would order, including the labs' rationale.
Question 4: If you could obtain collateral information on the patient, whom would you want to receive collateral information from, and what questions would you ask?
Case #1
Demographics: 7-year-old Latino boy
Living Situation: Lives in a group home, in foster care
Appointment Setting: Community mental health clinic
Chief Complaint: "He keeps running away."
Presentation: Fidgety during the appointment, hits group home leader at times and has to be redirected, limited engagement
Summary:
Running away from group home at least twice a week, says he is "going home to his mom."
Mom was deported to Mexico
Negative interactions with other children in the group home, including tripping them, stealing their food, and making fun of others