Case Study, Chapter 2, Neurobiologic Theories and
1. Mary is the student nurse caring for a 27-year-old client who has been newly
diagnosed with schizophrenia. The client has been prescribed ziprasidone
(Geodon). The client asks Mary how long the medication will need to be taken.
(Learning Objectives: 2, 3, 4)
a. What is the student nurse’s responsibility to the client regarding client
b. What questions might the student nurse, Mary, have for the client in order to
provide information at a level that the client can understand?
Case Study, Chapter 15, Obsessive–Compulsive and Related
1. James, a 24-year-old senior computer engineering student, is referred to the
college’s Positive Coping group by his engineering adviser when he fails to
attend most of his classes. At the first group meeting, James refuses to shake
hands with anyone, awkwardly stating that he has been sick and does not want
to pass his germs on to anyone. Initially, he stands, but when the group leader
politely asks James to take a seat, he ignores the upholstered chairs forming the
group circle and instead pulls a hard wooden chair over on which he precariously
perches on the edge. He is careful not to touch his back or his arms to the chair.
After the group meeting ends, when the group leader asks James to meet with
him privately, James admits that he has a problem with being outside around
other people. He states, “I don’t like to leave my room. There are so many
germs out here! People have no idea. Just being around other people coats your
skin with germs; you breathe them in, you take them back to your apartment,
and then it’s a lot of work to get rid of them. That’s the reason I can’t go to
class. The cleaning takes so much time. But you have to do it, and you have to
do it right; otherwise, you’re never going to be clean.” (Learning Objectives: 3
a. What education does the group leader need to provide to James?
b. What treatment option(s) might the group leader suggest for James?