Bianca Chandler is a 14-year-old African American female who lives with her maternal grandmother, Peace Chandler, age 70, who is her legal guardian. Bianca was diagnosed with schizophrenia two years ago during a series of three psychiatric admissions when she was experiencing auditory hallucinations and paranoid delusions. She was placed on Risperdal (risperidone) 2 mg BID.
Peace brings Bianca to you for an outpatient evaluation. She reports that Bianca has been experiencing more auditory hallucinations, refuses to shower or bathe, and is not sleeping at night. She reports that Bianca has refused to attend church lately, something very important to her close-knit, extended Southern Baptist family. Her granddaughter’s appearance is always unkempt.
Bianca has poor interpersonal skills and does not interact much with you, but she does answer questions. Her affect is flat and presents as depressed. She is not suicidal or homicidal. Her grandmother monitors her medication and assures you that Bianca is taking it as directed.
From your perspective as Bianca’s psychiatric nurse practitioner, answer the following questions in a two- to three-page double-spaced paper (not including the reference page) and in APA format. Include at least three peer-reviewed, evidence-based references.
Based on the DSM-5, what are the criteria for schizophrenia in patients Bianca’s age? Does Bianca meet the criteria for a schizophrenia diagnosis? Why?
What screening tool or instrument would you use to help determine the severity of Bianca’s symptoms? Please include how to score it and what determines a positive or negative score.
What treatment plan would you use to manage Bianca’s symptoms? What level of care would you recommend? How would you coordinate that care and monitor her progress? What type of therapy would you recommend? Provide the rationale to support these recommendations.
How would you work with the family as a unit? What issues would you prioritize and why?
Furthermore, the methodology of this research project is via a qualitative approach as it acknowledges ethical issues, finds meaning through the eyes of the participants, and it’s ideal to explore and understand people’s experiences, attitudes, behaviour and interactions. The use of focus groups, personal experiences of victims and telephone interviews with international human rights groups like ‘Human Rights watch’ and ‘Amnesty International’ would be pertinent to carry out this research. Reports from credible human rights organisations would also be considered. Ethical issues are bound to arise within this research project considering its sensitivity. The ethical responsibility of the researcher is necessary throughout all the stages of the research process, from recruiting participants to the treatment of participants and to the consequences of their participation. The issue of informed consent is an ethical issue that could arise within this project. According to Miller and Brewer (2003), it is important that clear and accurate information regarding the research is communicated to the participants, including its possible benefits and risk. Information pertaining to the aims and objectives of the research, its methodology and intended outcomes should be given, presented in lay terms to enhance easy understanding. In addressing the issue of consent, the researcher should ensure that the participant is adequately informed and the consent is explicitly and voluntarily given. The researcher should never coerce anyone to participate in a research study and should make participants aware of their rights which include the fact that they could withdraw at anytime without penalty (Endacott, 2004). Confidentiality and anonymity are other ethical issues that could come up in this research project as the process can divulge sensitive and confidential information such as the disclosure of names, addresses, location and occupational details. The researcher should ensure that information shared by the participants is protected from unauthorized observation. It is not enough for the researcher to say he/she will ensure confidentiality, rather the researcher should demonstrate to the participants how. To do this, the researcher should present data public>GET ANSWER