A 17 yo male patient, J.P., is being transported to the local emergency department (ED) by EMS. The nurse receives in report that the adolescent’s parents called 911 when their son ran out into street traffic and started yelling out, waving his hands, and acting “worse than we’ve ever seen him”. When the EMS arrived, JP would not speak to them and attempted to jump over the hoods of cars to run away. The patient was yelling, “Don’t trust them! I told them to stop yelling at me. They are going to send people to get me.” and started yelling “shut up, stop talking” even though the EMS providers were not saying anything. During your intake assessment, the patient appears hypervigilant and is scanning the room, giving the appearance that he is looking for things that you cannot see or hear. When you ask him if he is experiencing hallucinations, JP responds “You have no idea what you’re talking about. They know everything. I’m in danger, like that time I went hiking and got lost. This is real danger. That was just fun. We had gone camping and I just forgot a map back at our tent. I just couldn’t find the trail again, but it was right there and I found it.” His mother tells you that his grades have been going down ever since the school started back up in August and JP hasn’t been interested in seeing his friends. She asks you if she should have pushed him out of the house more and made him study and participate in more activities. She is concerned that by allowing her son to isolate himself, she caused this to happen. 1: Based on the patient’s presentation, what symptoms does it seem like he is experiencing? How would you classify these symptoms? Define positive and negative symptoms. How would you respond to the mother’s concerns and what would your family teaching plan include?
[Solved]: A 17 yo male patient, J.P., is being transported to…
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