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NRNP/PRAC 6665 & 6675 Comprehensive Focused SOAP Psychiatric Evaluation Template

WK5 ASSIGN NRNP 6675

Week 5: Schizophrenia Spectrum and Other Psychotic Disorders; Medication-Induced Movement Disorders

Two groups of symptoms found with schizophrenia spectrum and related psychotic disorders are “positive” and “negative” symptoms. Positive symptoms generally “add” and include things such as delusions, hallucinations, and repetitive movements. Negative symptoms generally “detract” and may include difficulty showing emotions, withdraw from social relationships, or apathy.

While many disorders result in the development of “positive” symptoms, not all of these conditions represent schizophrenia. When treating schizophrenia spectrum and other psychotic disorders, place emphasis not only on treating the positive symptoms but the negative and residual symptoms as well.

Medication-induced movement disorders, one example of which is tremors, can stem from both recreational and therapeutic drugs, with dopamine receptor blocking drugs, such as antipsychotic and antiemetics, being common causes. These types of disorders can range from subtle to lethal.

This week, you will explore a wide variety of disorders along the schizophrenia spectrum as well as medication-induced movement disorders.

Learning Objectives

Students will:

· Assess patients with schizophrenia, other psychotic, and medication-induced movement disorders

· Develop differential diagnoses for patients with schizophrenia, other psychotic, and medication-induced movement disorders

· Develop appropriate treatment plans for patients with schizophrenia, other psychotic, and medication-induced movement disorders

· Advocate health promotion and patient education strategies for patients with schizophrenia, other psychotic, and medication-induced movement disorders

Learning Resources

Required Readings (click to expand/reduce)

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. (For review as needed)

· Chapter 7, “Schizophrenia Spectrum and Other Psychotic Disorders”

· Chapter 29.2, “Medication-Induced Movement Disorders”

· Chapter 29.3, “α2-Adrenergic Receptor Agonists, α1-Adrenergic Receptor Antagonists: Clonidine, Guanfacine, Prazosin, and Yohimbine”

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.

· Chapter 43, “Pharmacological, Medically-Led and Related Disorders”

· Chapter 57, “Schizophrenia and Psychosis”

Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.

· Chapter 9, “Psychotic Disorders and Delusions”

Document: Focused SOAP Note Template

HYPERLINK “https://content.waldenu.edu/content/dam/laureate/laureate-academics/wal/ms-nurs/nrnp-6675/week-03/NRNP_PRAC_6665_6675_FocusedSOAP_Note_Exemplar_rev.4.2022.docx” \o “Focused SOAP Note Exemplar”

Document: Focused SOAP Note Exemplar

Required Media (click to expand/reduce)

PsychScene Hub. (2017, April 24). Movement disorders with antipsychotic medication – Conversations with Dr. Stephen Stahl [Video]. YouTube. https://www.youtube.com/watch?v=ipW5AcbFzzE

HYPERLINK “https://www.youtube.com/watch?v=63lHuGMbscU” \o “Realistic schizophrenia simulation” \t “_blank”

Vallejo, E. (2020). Realistic schizophrenia simulation [Video]. YouTube. https://www.youtube.com/watch?v=63lHuGMbscU

Walden University. (2021). Case study: Sherman Tremaine. Walden University Blackboard. https://class.waldenu.edu

Table of Contents

Assignment: Focused SOAP Note for Schizophrenia Spectrum, Other Psychotic, and Medication-Induced Movement Disorders

Psychotic disorders change one’s sense of reality and cause abnormal thinking and perception. Patients presenting with psychotic disorders may suffer from delusions or hallucinations or may display negative symptoms such as lack of emotion or withdraw from social situations or relationships. Symptoms of medication-induced movement disorders can be mild or lethal and can include, for example, tremors, dystonic reactions, or serotonin syndrome.

For this Assignment, you will complete a focused SOAP note for a patient in a case study who has either a schizophrenia spectrum, other psychotic, or medication-induced movement disorder.

To Prepare

· Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating schizophrenia spectrum, other psychotic, and medication-induced movement disorders.