This report presents a comprehensive mental health assessment of a patient named Marion. The assessment details Marion's appearance, behaviors, mood, affect, speech, thought processes, perception, cognition, insight, and judgment. It identifies key clinical issues, particularly altered perception, and connects them to the DSM-5 criteria for schizophrenia. The report discusses the rationale for the chosen issue, sets goals for intervention (promoting and maintaining a decrease/absence of alteration to perception and providing psychoeducation and medication compliance), and outlines specific interventions, including building a therapeutic relationship, medication management, and providing supportive activities. The report further analyzes a therapeutic interaction between a nurse and Marion, highlighting effective communication techniques and areas for improvement, providing a well-rounded analysis of Marion's case and proposed treatment strategies. The report emphasizes the importance of a therapeutic relationship, medication adherence, and providing activities to distract Marion from her hallucinations.
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