IHUMAN Case Study: Mr. Justin Johnson
NURS5342
Advanced Health Assessment
Molly Toon, DNP, APRN, CPNP-PCCC: 19 y/o M/F
Chief complaint is a short 1-2 statement or word phrase
from patient and should be listed in “qu
...
IHUMAN Case Study: Mr. Justin Johnson
NURS5342
Advanced Health Assessment
Molly Toon, DNP, APRN, CPNP-PCCC: 19 y/o M/F
Chief complaint is a short 1-2 statement or word phrase
from patient and should be listed in “quotes”
Statement from Mother
“Justin is having problem, … His behavior has changed.
He is concerned people are spying on him and stealing his
intellectual property… I am worried. He is not the Justin I
know.”
HPI: pertinent s/s; +/- ROS/prior episodes/recent travel/ill contacts
Justin Johnson, a 19 yr. old patient presented to the clinic with his mother because of change in
behavior that has persisted for 6 months. He was dismissed from school for trespassing and
making false claims against his dean about theft of his intellectual property. The behavior change
happened after he stopped taking his ADHD medication. He was diagnosed with ADHD at the
age of 13. He admits smoking marijuana; has stopped social interactions and going to class. His
mother reports he has been exhibiting paranoid behavior and ignoring self-care.
Onset: Most symptoms 6 months ago while still in school after the stop of
ADHD medications
Location: NA
Duration: Daily and symptoms have persisted for 6 months
Character: Paranoid delusions and auditory hallucinations, and personality
change
Aggravating/alleviating factors: Sore throat is aggravated by cough and
swallowing.
Related symptoms: Bizarre and ritualistic behaviors, irritability, disengagement
from usual activities, staring spells, ADHD -medication cessation, self-neglect,
poor grooming and hygiene, repetitive head, and neck movements.
Treatments: Both patient and mother deny any treatment
Significance: He has been dismissed from school and his mother is distressed
with the change in his personalityPMHx child/adult
illness/hospitalizations/immunizations
ADHD diagnosed at age 13
Childhood asthma
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