SIM Scenario Exchange

Patient with schizophrenia having a dystonic reaction

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



Aileen Anderson, Saskatchewan Polytech

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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:

Use therapeutic communication to engage the patient and complete nursing care.

Conduct initial and focused assessments including the mental status exam and recognize abnormal findings.

Reassess vital signs including respiratory assessment to rule out allergic reaction to medications.

Recognize extra-pyramidal signs and select appropriate interventions.

Identify when to call the physician and communicate pertinent information using the ISBSARR format.

Choose 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.


097n, OpenLabyrinth


Anderson A. Patient with schizophrenia having a dystonic reaction. 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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