**Exhibit 1: Admission Assessment****Day 1****1930:**- **Client admitted to the ED** by police after report of violent behavior in public. Client smashed a glass window with their hands. Client is stating, "I am Jesus." Client is attempting to hit staff. Client placed in restraints. - **Neuro:** Client is alert and oriented x 0. Client is swinging their arms and shouting. Client is unable to answer questions and their speech is rapid and unorganized. - **Heart rate:** 108/min, regular - **Integumentary:** Laceration noted to the client's left hand (2 cm x 2.5 cm). Laceration noted to the left forearm (4 cm x 6 cm). Profuse bleeding noted. Multiple small lacerations noted to face, left arm, and right arm. - **Allergies:** Unable to assess**Assessment Findings**For each potential assessment finding, specify if the finding is consistent with schizophrenia or bipolar 1 disorder. Each finding may support more than one disease process.| Assessment Findings | Schizophrenia | Bipolar 1 Disorder ||----------------------|---------------|--------------------|| Pressured speech | | || Social impairment | | || Grandiose delusions | | || Dependency | | ✔️ | **Nurses' Notes****Day 1****2000:**- **Neurologic:** Client is alert and oriented x 0. Client is lethargic, mumbling words, and unable to answer questions.- **Integumentary:** Laceration noted to left hand (2 cm x 2.5 cm). Laceration noted to left forearm (4 cm x 6 cm). Pressure applied to wounds.**2045:**- **Neurologic:** Client is alert and oriented x 0. Client is sleeping. Client is unable to answer questions.- **Heart rate:** 108/min- **Integumentary:** Provider sutured left forearm lacerations. Client tolerated procedure. No excessive bleeding noted. Bandages applied over sutures.---**Assessment Findings Table**This table is used to specify if each assessment finding is consistent with schizophrenia or bipolar 1 disorder. Each finding may support more than one disease process.| Assessment Findings | Schizophrenia | Bipolar 1 Disorder ||------------------------|---------------|--------------------|| Pressured speech | | ☑️ || Social impairment | ☑️ | || Grandiose delusions | ☑️ | ☑️ || Dependency | | ☑️ |

Client admitted to the ED by police after report of violent behavior in public. Client smashed a glass window with their hands. Client is stating, "I am Jesus." Client is attempting to hit staff. Client placed in restraints.Neuro: Client is alert and oriented x 0. Client is swinging their arms and shouting. Client is unable to answer questions and their speech is rapid and unorganized. Heart rate is 108/min, regular Integumentary: Laceration noted to the client's left hand (2 cm x 2.5 cm).Laceration noted to the left forearm (4 cm x 6 cm). Profuse bleeding noted. Multiple small lacerations noted to face, left arm, and right arm.Allergies: Unable to assessPlease Note:“Since you have posted multiple questions, we will provide the solution only to the first question as per our Q&A guidelines. Please repost the remaining questions separately.”Assessment findingsSchizophreniaBipolar I DisorderPressured speechyesyesSocial impairmentyesyesGrandiose delusionsyesyesDependencynoyesExplanation:Pressured Speech:Pressured speech can be seen in both schizophrenia and bipolar I disorder. This symptom can be seen in both of the bipolar I disorder and disorganized type of schizophrenia.Social Impairment:This is a common symptom in both schizophrenia and bipolar I disorder. Patient with manic or psychotic episodes in bipolar I disorder may have this symptom similar to those with schizophrenia.Grandiose Delusions:Both schizophrenia and bipolar I disorder can show this. In schizophrenia this is a common symptom but in bipolar I disorder they usually occur during manic episodes.Dependency:Dependency is commonly seen in schizophrenia but can be seen in bipolar I disorder during depressive episodes when they want other people's support.Assessment findingsSchizophreniaBipolar I DisorderPressured speechyesyesSocial impairmentyesyesGrandiose delusionsyesyesDependencynoyes