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Process 3

Mrs. Suma, a 36-year-old female diagnosed with anxiety neurosis, presented with symptoms including reduced sleep, hyperactivity, and inappropriate affect. During the assessment, she demonstrated good memory, judgment, and concentration, while also expressing concerns about auditory hallucinations. The patient was cooperative and showed interest in her recovery and future plans.

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15 views2 pages

Process 3

Mrs. Suma, a 36-year-old female diagnosed with anxiety neurosis, presented with symptoms including reduced sleep, hyperactivity, and inappropriate affect. During the assessment, she demonstrated good memory, judgment, and concentration, while also expressing concerns about auditory hallucinations. The patient was cooperative and showed interest in her recovery and future plans.

Uploaded by

Adline
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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PROCESS RECORDING

PATIENT PROFLIE

Name of the patient : Mrs. Suma

Age : 36 years

Sex : female

Address :

Diagnosis : Anxiety neurosis

Date of process recording :

Time :

Duration : 20 mts

DESCRIPTION OF PATIENT

Client was admitted with complaints of reduced sleep, increased psychomotor


activity, euphoria, increased talk etc. She is euphoric, hyperactive and had slurred speech and
impaired judgement.

OBJECTIVE

 To establish good rapport.


 To collect history and to assess mental status
 To identify signs and symptoms of illness.

Nurse’s response Patient’s response comments

Good morning! Good morning, sir! Gait normal


Immediate memory intact.
What is your name? Suma
Did you have your breakfast? No sir.
What is the problem with you? I am feared without reasons and
Affect is inappropriate
feel anxious.
Did you take treatment No, I am taking treatment here
Copies to treatment and shows
anywhere other than this only. interest in recovery
hospital?
Do you take treatment Yes, I will come every month to
regularly? get medicines and if I get
excess anxiousness I
immediately approach the
doctor.
Do you hear any voices or Yes, I can hear a male voice
sounds when you are alone? saying that I am impotent and Has auditory hallucination
my life is over.
When did you get married? Ten years back.
Remote memory intact
Can you tell the similarity Both have three legs.
between chair and table?
Can you tell the difference We can eat the apple and play
between ball and apple? with the ball. Abstract thinking is normal
You are walking alone, on the I will post the envelope
way you are seeing an envelope Judgement is good
with address, what will you do?
Tell me something about your I am having 4 children. 3 boys
children? and 1 girl
Do you love your children and Yes, I love my children and
Patient is attached with his
husband? husband.
children and husband.
Does anyone in your family No one, except from me.
Accept her psychiatric problem.
affected with psychiatric
illness?
What is your future plan? I want to earn more money and
spend for my children. Concentration is good.
Will you follow your plan? Yes! I am going sir.
Where are you going? I want to see the doctor, so I am
going.
Ok, Thank you.

SUMMARY

Client was very co-operative and she was interested in the communication.

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