Psychosis In Young People

1. When a patient experiencing psychosis is left feeling fearful and unsafe, it can lead to:

Non-engagement

Agitation and aggression

A better assessment

Sadness

When a patient experiencing psychosis feels fearful and unsafe, it can trigger a heightened state of agitation and aggression. This response may be a result of their distorted perception of reality, leading them to react defensively or aggressively towards perceived threats. The patient's fear and lack of safety can exacerbate their symptoms and make it challenging for healthcare professionals to engage with them effectively. Understanding and addressing the patient's feelings of fear and insecurity is crucial in managing their agitation and aggression and promoting a more positive therapeutic environment.

Explanation

When a patient experiencing psychosis feels fearful and unsafe, it can trigger a heightened state of agitation and aggression. This response may be a result of their distorted perception of reality, leading them to react defensively or aggressively towards perceived threats. The patient's fear and lack of safety can exacerbate their symptoms and make it challenging for healthcare professionals to engage with them effectively. Understanding and addressing the patient's feelings of fear and insecurity is crucial in managing their agitation and aggression and promoting a more positive therapeutic environment.

2. One of the most important assessment components with psychosis is:

Asking about delusions and hallucinations

Assessing social withdrawal

Engaging the young person

Finding out their treatment history

Engaging the young person is an important assessment component in psychosis because it allows the healthcare provider to establish a rapport and build trust with the individual. By engaging the young person, the healthcare provider can gather valuable information about their experiences, symptoms, and concerns. This information is crucial for making an accurate diagnosis and developing an appropriate treatment plan. Additionally, engaging the young person can help in identifying any potential barriers to treatment adherence and promoting a collaborative approach to their care.

Explanation

Engaging the young person is an important assessment component in psychosis because it allows the healthcare provider to establish a rapport and build trust with the individual. By engaging the young person, the healthcare provider can gather valuable information about their experiences, symptoms, and concerns. This information is crucial for making an accurate diagnosis and developing an appropriate treatment plan. Additionally, engaging the young person can help in identifying any potential barriers to treatment adherence and promoting a collaborative approach to their care.

3. Some of the ways you might be able to engage Josh include (you can select more than one response):

Finding out if he would feel more comfortable in a different room

Having more people interview him

Asking if he would like his mother present or not

Asking questions that don't necessarily relate to the psychosis

Offering that he might feel better going home

The suggested ways to engage Josh include finding out if he would feel more comfortable in a different room, asking if he would like his mother present or not, and asking questions that don't necessarily relate to the psychosis. These approaches aim to create a more comfortable and supportive environment for Josh during the interview process, allowing him to feel more at ease and open to communication.

Explanation

The suggested ways to engage Josh include finding out if he would feel more comfortable in a different room, asking if he would like his mother present or not, and asking questions that don't necessarily relate to the psychosis. These approaches aim to create a more comfortable and supportive environment for Josh during the interview process, allowing him to feel more at ease and open to communication.

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4. You discover through your assessment that Josh believes people have been listening into his phone conversations in an attempt to kill him. These psychotic symptoms would be considered:

Delusions

Hallucinations

Paranoid Schizophrenia

Drug induced psychosis

The correct answer is delusions. Delusions are false beliefs that are not based in reality and are often a symptom of psychotic disorders such as schizophrenia. In this scenario, Josh's belief that people are listening to his phone conversations in order to harm him is a delusion because there is no evidence to support this belief.

Explanation

The correct answer is delusions. Delusions are false beliefs that are not based in reality and are often a symptom of psychotic disorders such as schizophrenia. In this scenario, Josh's belief that people are listening to his phone conversations in order to harm him is a delusion because there is no evidence to support this belief.

5. Other information that can be useful as part of assessing psychosis in young people is (you can select more than one response):

Changes in functioning

Comorbid substance use

Periods of depression or anxiety

Suicidal or homicidal ideation

Collateral information from other sources

Assessing psychosis in young people requires considering various factors. Changes in functioning are important to assess as they can indicate the impact of psychosis on daily life activities. Comorbid substance use is relevant as it can exacerbate or interact with psychotic symptoms. Periods of depression or anxiety can co-occur with psychosis and affect the overall presentation. Suicidal or homicidal ideation is crucial to evaluate as it indicates the severity of the condition and the risk of harm. Collateral information from other sources can provide additional insights into the individual's symptoms and functioning.

Explanation

Assessing psychosis in young people requires considering various factors. Changes in functioning are important to assess as they can indicate the impact of psychosis on daily life activities. Comorbid substance use is relevant as it can exacerbate or interact with psychotic symptoms. Periods of depression or anxiety can co-occur with psychosis and affect the overall presentation. Suicidal or homicidal ideation is crucial to evaluate as it indicates the severity of the condition and the risk of harm. Collateral information from other sources can provide additional insights into the individual's symptoms and functioning.

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