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‘Sarah ‘is a single 23-year-old university student, brought into the ER crisis unit brought in by her roommate. The roommate explains the reasons why she brought her to the hospital, she replied she was concerned for Sarah, she has been more withdrawn over the course of the semester, missing classes and in bed for most of the day. She has heard Sarah laughing and having a conversation with herself when outside the door. The nurse reviewed Sarah’s previous chart, she found Sarah was admitted a year ago to the inpatient mental health unit and was diagnosed with a psychotic episode, possible schizophrenia. The discharge notes indicates that Sarah was prescribed Olanzapine. It also states that she has a history of childhood trauma. The crisis RN proceeds to interview Sarah by sitting at her bedside to assess for her current mental status. Sarah admitted she stopped taking her medication about 2 months ago because she believes the pharmacist was trying to poison her. As the nurse asks further, they notice Sarah stops in mid-sentence, eyes look at the door and moves her lips with no audible sound like she is talking.
Please respond to the questions below. Try to answer quesitons that have not been addressed by your peers or respond to their contribution by providing additional infmormation or ask additional questions.
1. From the brief assessment information obtained, what are the crisis RN most immediate concern for Sarah’s wellbeing?
2. What would be the priority action?
Schizophrenia:
4. What are the signs and symptoms of schizophrenia?
5. What are the risks and concerns associated with patients experiencing psychosis?
6. What side effects of Olanzapine which nurses should look for

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