IHUMAN Case Study Justin Johnson - Complete Solutions

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IHUMAN Case Study: Mr. Justin Johnson NURS5342 Advanced Health Assessment Molly Toon, DNP, APRN, CPNP-PCCC: 19 y/o M/F Chief complaint is a short 1-2 statement or word phrase from patient and sho... uld be listed in “quotes” Statement from Mother “Justin is having problem, … His behavior has changed. He is concerned people are spying on him and stealing his intellectual property… I am worried. He is not the Justin I know.” HPI: pertinent s/s; +/- ROS/prior episodes/recent travel/ill contacts Justin Johnson, a 19 yr. old patient presented to the clinic with his mother because of change in behavior that has persisted for 6 months. He was dismissed from school for trespassing and making false claims against his dean about theft of his intellectual property. The behavior change happened after he stopped taking his ADHD medication. He was diagnosed with ADHD at the age of 13. He admits smoking marijuana; has stopped social interactions and going to class. His mother reports he has been exhibiting paranoid behavior and ignoring self-care. Onset: Most symptoms 6 months ago while still in school after the stop of ADHD medications Location: NA Duration: Daily and symptoms have persisted for 6 months Character: Paranoid delusions and auditory hallucinations, and personality change Aggravating/alleviating factors: Sore throat is aggravated by cough and swallowing. Related symptoms: Bizarre and ritualistic behaviors, irritability, disengagement from usual activities, staring spells, ADHD -medication cessation, self-neglect, poor grooming and hygiene, repetitive head, and neck movements. Treatments: Both patient and mother deny any treatment Significance: He has been dismissed from school and his mother is distressed with the change in his personalityPMHx child/adult illness/hospitalizations/immunizations ADHD diagnosed at age 13 Childhood asthma [Show More]

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