I just started working in corrections, but still have my job in the ED. We get a lot of fake seizures in the ED. One thing I usually find, is that the fake seizures are usually preceded by some comment like," if I don't get my pain med, xanax, ect, I will have a seizure." Then lo and behold, when we tell the patient they are not getting the meds, voila! seizure! One night I had I had a young girl tell me if she didn't get her morphine dose, she would seize. I left the room only to be called back by the tech and sure enough, she was flopping on the bed, eyes rolled back. I called another nurse in (he also works in corrections) and very loudly asked him how to perform the "Oklahoma Seizure Test". He responded back, while doing it, that if you rub the instep of the left foot, the right arm will jerk. Interestingly, we got just that response from the young lady. Needless to say, she did not receive any pain meds and was discharged home.
Later that night, I had another young lady do the same thing. She was actually not the patient, but a visitor of the patient. She would have her seizure,and her girlfriend would coddle and coo all over her. She passed the Oklahoma seizure test also. Then whenever I tried to discharge her, she would do the staring blankly at the wall and become unresponsive. I finally got tired of it and used an ammonia capsule. Not only did she become fully responsive, she jumped back about 3 feet (she previously state she couldn't walk), yelled "***", grabbed her coat and ran our the room.