Scenario  T.J. is a 54-year-old Caucasian female brought in…

Questions

Scenаriо  T.J. is а 54-yeаr-оld Caucasian female brоught in by the police after she was found walking down the street in her pajamas and a parka at 0100 on a hot summer night. Her hair is disheveled and appears unkempt.  Although cooperative with the interview, her responses consist of one- to two-word answers. She appears guarded. Posture is slumped with head tilting to the right side. Eye contact is minimal. Patient admits to feeling fearful and anxious. Affect is blunted. Patient denies suicidal/homicidal ideation or intent.  Patient looks up and intermittently whispers softly to herself.  When questioned, patient states, “At night, God talks to me through the television telling me to leave my house and repent or die. I do not know if dogs can die, but dyeing Easter eggs at Christmas is what I do best. Are you the best?” Based on the description of the patient, the nurse might conclude: