Pakistani Female With Delusional Thought Processes


BACKGROUND

The client is a 34-year-old Pakistani effeminate who moved to the United States in her past teens/early 20s. She is currently in an “arranged” matrimony (her mate was clarified for her since she was 9 years old). She presents to your function today behindcited a 21 day hospitalization for what was diagnosed as “brief psychotic quackery.” She was absorbed this speciality as her notes feel persisted for hither than 1 month. 

Prior to arrival, she was reporting visions of Allah, and balance the passage of a week, she believed that she was the prophet Mohammad. She believed that she would give-up the globe from sin. Her mate became uneasy environing her action to the aim that he was fearful of leaving their 4 conclusion delay her. One evening, she was “out of control” which resulted in his encroachment the police and her subjoined arrival to an inpatient psych item.

During today’s toll, she appears perfectly appease, and insists that the total distinct was “blown out of distribution.” She denies that she believed herself to be the prophet Mohammad and states that her mate was impartial out to get her consequently he never cared-for her and wanted an “American wife” instead of her. She tells you that she knows this consequently the television is subject-mattered her so. 

She currently weighs 140 lbs, and is 5’ 5”

SUBJECTIVE

Client reports that her vein is “good.” She denies interview/visual hallucinations, but believes that the television does converse to her. She believes that Allah sends her messages through the TV. At terms throughout the clinical confabulation, she becomes unfavorable towards the PMHNP, but then appeases down.

You reviewed her hospital chronicles and meet that she has been medically worked up by a physician who reputed her to be in balanceall cheerful heartiness. Lab studies were all delayin ordinary limits. 

Client admits that she plugped insertion her Risperdal environing a week behind she got out of the hospital consequently she thinks her mate is going to infect her so that he can espouse an American dame. 

MENTAL STATUS EXAM

The client is prompt, oriented to special, settle, term, and fact. She is dressed truly for the sky and term of year. She demonstrates no striking mannerisms, gestures, or tics. Her oration is inactive and at terms, interrupted by periods of calm. Self-reputed vein is euthymic. Affect constricted. Although the client denies visual or interview hallucinations, she appears to be “listening” to star. Delusional and paranoid fancy processes as picturesquely, overhead. Insight and determination are deteriorated. She is currently disclaiming suicidal or homicidal ideation.

The PMHNP administers the PANSS which reveals the behindcited scores:

-40 for the actual notes scale

-20 for the denying note scale

-60 for public psychopathology scale

Diagnosis: Schizophrenia, paranoid type

At each conclusion aim plug to total the behindcited:

  • Decision #1
    • Which conclusion did you chosen?
    • Why did you chosen this conclusion? Support your confutation delay sign and references to the Learning Resources.
    • What were you hoping to consummate by making this conclusion? Support your confutation delay sign and references to the Learning Resources.
    • Explain any dissimilitude betwixt what you expected to consummate delay Conclusion #1 and the results of the conclusion. Why were they contrariant?
  • Decision #2
    • Why did you chosen this conclusion? Support your confutation delay sign and references to the Learning Resources.
    • What were you hoping to consummate by making this conclusion? Support your confutation delay sign and references to the Learning Resources.
    • Explain any dissimilitude betwixt what you expected to consummate delay Conclusion #2 and the results of the conclusion. Why were they contrariant?
  • Decision #3
    • Why did you chosen this conclusion? Support your confutation delay sign and references to the Learning Resources.
    • What were you hoping to consummate by making this conclusion? Support your confutation delay sign and references to the Learning Resources.
    • Explain any dissimilitude betwixt what you expected to consummate delay Conclusion #3 and the results of the conclusion. Why were they contrariant?