Type responses to questions in the response boxes

Mr. Jones
Overview

Mr. Jones, a man in his 40s, was hospitalized on an emergency basis after disrupting a
concert by leaping on the stage. Just 2 days before that incident, he was detained because
he tried to “fly” off a roof at a construction site where he was working. Mr. Jones was
released from the earlier hospitalization after responding to Haldol and being deemed no
longer a danger to himself or others. Following an unsuccessful attempt at involuntary
commitment by his psychiatrist, Dr. Elizabeth Bowen, Mr. Jones was once again released
from the hospital.

Eventually, Mr. Jones begins to experience symptoms of depression and overwhelming

emotions. He agrees to be hospitalized, saying, “I just can’t take the sadness.” You are a
nurse working at the hospital where Mr. Jones has been admitted.

Client Name: Mr. Jones

Psychiatric diagnosis: Bipolar I Disorder

*For the criteria supporting this diagnosis, please refer to the Diagnostic and Statistical
Manual of Mental Disorders, 5th edition, by the American Psychiatric Association,
and/or your Wolters Kluwer mental-health nursing textbook.

Date: 06/30/2020

Your name: Jasmine McMorris

Name of the client you are assessing: Mr. Jones

Name of the movie: Mr. Jones

What is the chief complaint? (In the client’s own words, and report of others)

Response:
Mr. Jones during a manic episode says that he has a big personality and is basically
just a kid that never grew up. He doesn’t believe that he has a mental illness or that
there is anything wrong with him.
Others have reported that Mr. Jones takes dangerous risks. He is flirtatious and
doesn’t take no for an answer.
During his depressive episodes, Mr. Jones is sad and doesn’t seem to care about his
personal hygiene as much. He is more emotional, doesn’t talk with those around
him, and struggles with performing daily tasks.

Based on the above information and a close viewing of the movie, what questions would
you raise during history taking? What are some possible answers? You might base your
questions on the:
 History of the client’s illness.

Copyright © 2015 Wolters Kluwer • All Rights Reserved

Mr. Jones - 1
This study source was downloaded by 100000799484947 from CourseHero.com on 02-04-2022 04:21:24 GMT -06:00

https://www.coursehero.com/file/84311770/Mr-Jones-Case-Study-doc/
 Type responses to questions in the response boxes

 Past psychiatric history, treatment, and treatment outcomes.

 Psychosocial history.

Response:
1) When did Mr. Jones first start having symptoms? How long has this been
going on?
 Mr. Jones downplays what could be a suicide attempt in college. He
overdosed on Tylenol but says that he isn’t sure if it was intentional.
 He believes that they started in college.
2) Does Mr. Jones have any close friends or family?
 Howard is a friend of Mr. Jones, other than him Jones has no other friends.
 It is believed that because Mr. Jones didn’t recognize his illness he drove
those closest to him away because he tends to say that everyone is “dead”
when they really aren’t.
3) What is Mr. Jones’ past treatments? Were they any barriers?
 Mr. Jones doesn’t stick to a medication regimen. He throws out his pills
and says that he “probably won’t” follow up with his doctor.
 In a manic phase, Mr. Jones feels invincible and unstoppable. He doesn’t
like how the medication makes him feel (slowed down, less energy).

What other observations do you have about the client’s behavior?

Response:
He becomes irritated and annoyed very quick when things do not go as he wants them to.
He tends to yell and curse when he is upset/angry. He is obviously a very smart man
because of his mathematic abilities, but he is unemployed, lives in a dingy apartment, and
has no car.

In your opinion, is the diagnosis discussed above accurate?

Response:
Yes

What requirements does the client meet that support this diagnosis, based on the DSM-5
criteria?

Response:
Mr. Jones, when manic, has rapid speech and thoughts. He is very distracted. He
goes on spending sprees. He becomes “friendly” with everyone he meets and has a
dangerous/risky behavior to him that causes him to be hospitalized.
Mr. Jones, when depressed, is sad, cries, and doesn’t engage with others or in
activites. He seems very somber-like. He has no energy and lags with psychomotor
skills.

What treatment plan would you outline?

Copyright © 2015 Wolters Kluwer • All Rights Reserved

Mr. Jones - 2
This study source was downloaded by 100000799484947 from CourseHero.com on 02-04-2022 04:21:24 GMT -06:00

https://www.coursehero.com/file/84311770/Mr-Jones-Case-Study-doc/
 Type responses to questions in the response boxes

Response:
Medication with little side effects; structured daily routine, and being able to build
social skills and relationships; find a way to ensure that he is complying with the
treatment plan

With what expected outcomes?

Response:
Most important outcome is that Mr. Jones will comply with ALL treatment. He will
begin to acknowledge his bipolar disorder. He will function well in the community,
job/income. He will develop meaningful relationships and set appropriate
boundaries.

What factors made Dr. Elizabeth Bowen susceptible to the nonprofessional, unethical
relationship with Mr. Jones?

Response:
She had just been through a break up and was hoping to work things out with her
ex-partner. Dr. Bowen described her ex as a robot and Mr. Jones was just the
opposite of that.
Dr. Bowen became unprofessional when she told him to “shut up” because he wasn’t
committed and then she had a sexual encounter with him.

Regarding the character, Amanda, who also has bipolar disorder and eventually commits
suicide: What risk factors were present?

Response:
 Amanda discussed suicide with Dr. Bowen and saw it as an aswer to her problems
 She had a history of suicide attempts
 Clients who have bipolar are at a higher risk of suicide

Copyright © 2015 Wolters Kluwer • All Rights Reserved

Mr. Jones - 3
This study source was downloaded by 100000799484947 from CourseHero.com on 02-04-2022 04:21:24 GMT -06:00

https://www.coursehero.com/file/84311770/Mr-Jones-Case-Study-doc/
Powered by TCPDF (www.tcpdf.org)