SIM Scenario Exchange

Patient diagnosed with schizophrenia and a history of alcohol and drug addiction

Contributed on July 4, 2022, last updated July 21, 2022.



Andrew Cawston, John Abbott College

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In this scenario, learners will have the opportunity to assess and manage care for an adult who has schizophrenia with paranoid delusions, and is experiencing a dystonic reaction. Learners will conduct an initial and focused assessment as well as recognize abnormal findings. The simulation will occur during a day shift on an in-patient psychiatric unit.

Learning Objectives:

Introduce themselves & correctly identify the patient

Uses therapeutic communication to engage the patient and complete nursing care

Conducts initial and focused assessments including MSE and recognizes abnormal findings

Reassess V/S including respiratory assessment to rule out allergic reaction to medications

Recognizes signs of EPS and selects appropriate interventions

Identifies when to call the physician and communicates pertinent information using the ISBSARR format

Chooses the appropriate medication and time to administer medication to the patient

Simulation Modality:

Virtual gaming simulation / virtual patient


This simulation’s scenario and script were formally peer-reviewed by two external institutions, then the final simulation was pilot tested by several students on a student testing committee then as part of the Virtu-WIL Student Program’s rollout.


097p, OpenLabyrinth


Cawston A. Patient diagnosed with schizophrenia and a history of alcohol and drug addiction. Simulation resource published by Simulation Canada; 2022. Available from

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Target Learners






Undergraduate / post-secondary

Fields / Disciplines:

Mental health

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