Question

question 1 (10 points)
read the following excerpt from this patients health record:
assessment

1. schizophrenia: stable on new medical regimen.
2. insomnia. likely related to new job stress.

according to this patients health record, she suffers from:
○ 1) a decline in mental function and an inability to sleep.
○ 2) a disease characterized by sudden, uncontrolled sleepiness and a mental illness.
○ 3) an inability to sleep and a mental illness characterized by delusions, hallucinations, and disordered sleep.
○ 4) an inability to sleep and a psychiatric disorder characterized by alternating bouts of excitement and depression.
○ 5) sleep walking and a brief loss of mental function.

Explanation:

• Analyze each option:
• Option 1: "Decline in mental function" is not an accurate description of schizophrenia, so eliminate.
• Option 2: Schizophrenia is not characterized by sudden, uncontrolled sleepiness, and the option misdescribes the conditions, eliminate.
• Option 3: The patient has insomnia (inability to sleep) and schizophrenia (a mental illness with delusions, hallucinations, and disordered sleep), this matches the health record.
• Option 4: The psychiatric disorder described (alternating excitement and depression) is bipolar disorder, not schizophrenia, eliminate.
• Option 5: The patient has insomnia and schizophrenia, not sleepwalking or brief loss of mental function, eliminate.

Answer:

1. an inability to sleep and a mental illness characterized by delusions, hallucinations, and disordered sleep.