270 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER C. As the client has been approached in a calmer manner, his/her psychotic agitation has decreased. D. The client continues to display increased agitation, d espite the use of calm, open, and soothing mannerisms. 2. Identify History of Psychosis ( 2) A. The client was asked to identify his/her history of hallucinations, delusions, or other psychotic symptoms. B. The client was provided with positive feedback as he/she was clearly able to identify his/her pattern of psychotic symptoms. C. The client denied any pattern of psychotic symptoms and was provided with contrary feedback in this area. 3. Identify Current Psychotic Symptoms ( 3) A. The client was asked about his/her current pattern of psychotic symptoms. B. The client was reinforced for displaying understanding of his/her current pattern of psychotic symptoms. C. The client denied any current psychotic symptoms and was provided with contrary feedback in this area. 4. Refer for Psychological Testing (4) A. The client was referred for psychological testing to evaluate the depth of his/her psychosis. B. The client was compliant with the testing, which indicated a significant pattern of psychotic sympto ms. C. The psychological test results indicate only mild psychotic symptoms, and this was reviewed. D. The psychological testing results indicate that the client's psychosis has significantly abated, and this was reviewed. E. The client was not complian t with the psychological testing and was redirected to this referral. 5. Obtain a History from the Family ( 5) A. The client's family members were asked to provide information about his/her history of psychotic behaviors. B. The client's family members p rovided information about his/her history of psychotic behaviors, and this was processed with him/her. 6. Refer to a Physician (6) A. The client was referred to a physician for an evaluation for a prescription of psychotropic medications. B. The client was reinforced for following through on a referral to a physician for an assessment for a prescription of psychotropic medications, but none were prescribed. C. The client has been prescribed psychotropic medications. D. The client declined evaluation by a physician for a prescription of psychotropic medications and was redirected to cooperate with this referral. 7. Refer to a Supervised Environment (7) A. Because the client was judged to be uncontrollably harmful to himself/herself, arrangements were m ade for psychiatric hospitalization. 