BSN 346 ARTHUR SILVERSTEIN ROOM SCENARIO | A 68-YEAR-OLD HOMELESS VIETNAM VETERAN RECENTLY HOSPITALIZED FOR PTSD | FALL 2025/2026 UPDATE WITH COMPLETE SOLUTIONS.Case Study: Arthur Silverstein Room Scenario Patient Name: Arthur Silverstein Age: 68 Gender: Male Occupation: Retired (Vietnam War veteran) Living Situation: :omeless Reason for Encounter: Recently hospitalized for PTSD exacerbation; now in transitional care unit Patient History (HPI & PMH) Chief Complaint: = cant sleep. = keep seeing the war again. = feel unsafe everywhere. History of Present Illness (HPI): Mr. Silverstein is a 68-year-old male presenting to the transitional care unit following hospitalization for severe PTSD exacerbation. :e reports frequent flashbacks, nightmares, hypervigilance, and severe insomnia. :e has been homeless for the past 5 years and struggles with social isolation. :e reports difficulty accessing regular care and medications. :e states he avoids crowded spaces and has minimal contact with family. Past Medical History (PMH): PTSD (diagnosed 20 years ago, exacerbated after recent life stressors) :ypertension, diagnosed 10 years ago :yperlipidemia Chronic back pain (from service-related injury) Past Psychiatric History: Multiple hospitalizations for PTSD, last admission 2 weeks ago Prescribed sertraline and prazosin previously, adherence inconsistent Surgical History: None reported Medications: Sertraline 100 mg PO daily (irregular) Prazosin