Erika Hightower
Justin Carter
Justin Carter | Interview the Patient | Review
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Answers and Rationale
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1.
What was happening before you came to the hospital?
Your
Rationale Relevancy Answer
It is important to determine if the client has insight into his
behavior and assess his perspective about his health
concerns. Relevant Relevant
Client: I have so much on my mind. I need to keep things organized. They don’t
understand. I can’t think when they mess with my stuff. I have too much to think about
now.
2.
Have you experienced these feelings in the past?
Rationale Relevancy Your Answer
It is important to assess the client’s past history. Relevant Relevant
Client: Sometimes. I just need to have my things organized so I can think. It’s just the way
I am.
3.
Do the voices tell you to arrange your books?
Rationale Relevancy Your Answer
The client has never indicated that he has
command hallucinations. Irrelevant Irrelevant
Client: No. I just have to keep my things in order or I get stressed. I can’t concentrate or
think when things are not in order or organized.
4.
How much time during the day do you spend organizing your belongings?
Rationale Relevancy Your Answer
Obsessions and compulsions can be very time-
consuming and interfere with the individual’s normal
level of functioning. Relevant Relevant
, Client: Sometimes it only takes me about an hour to organize and reorganize, but lately I
have to spend 2 to 3 hours getting things the way they need to be, or I have to count. At
school, I spend a lot of time washing my hands. I can’t focus in class.
5.
Have you had any thoughts of harming yourself?
Rationale Relevancy Your Answer
There has been no indication that the client is
experiencing suicidal thoughts or feelings. Irrelevant Irrelevant
Client: No. I just get frustrated and anxious and then I get mad at my parents and yell at
them.
6.
What is contributing to your stress right now?
Rationale Relevancy Your Answer
Stress is an important factor in one’s ability to
control the symptoms of OCD. Relevant Relevant
Client: College has been hard. I feel different from my classmates. There are so many
projects and exams and they are all due at the same time. I get distracted in class and
miss what is being said.
Copyright @2017 by FA Davis
Justin Carter | Assess the Patient | Review
Back Continue
Answers and Rationale
Your responses and feedback are displayed below. For more information regarding feedback, click
"Help".
When you are finished reviewing, click "Continue" to proceed to next section.
Inspection
Palpation
Auscultation
Percussion
1.
Assess Justin’s current level of distress.
Relevanc Your
Rationale y Answer
It is important to maintain the client’s comfort level during
the interview. When the client is in distress or is overly
apprehensive or anxious, the examiner will want to make the
exam as short as feasible while still gathering necessary
data. This is especially important when working with a client Relevan
who has concerns that are related to anxiety. Relevant t
Assessment Data/Patient Results: Justin is in no acute distress.
2.
Assess Justin’s vital signs.
Justin Carter
Justin Carter | Interview the Patient | Review
Back Continue
Answers and Rationale
Your responses and feedback are displayed below. For more information regarding feedback, click
"Help".
When you are finished reviewing, click "Continue" to proceed to next section.
1.
What was happening before you came to the hospital?
Your
Rationale Relevancy Answer
It is important to determine if the client has insight into his
behavior and assess his perspective about his health
concerns. Relevant Relevant
Client: I have so much on my mind. I need to keep things organized. They don’t
understand. I can’t think when they mess with my stuff. I have too much to think about
now.
2.
Have you experienced these feelings in the past?
Rationale Relevancy Your Answer
It is important to assess the client’s past history. Relevant Relevant
Client: Sometimes. I just need to have my things organized so I can think. It’s just the way
I am.
3.
Do the voices tell you to arrange your books?
Rationale Relevancy Your Answer
The client has never indicated that he has
command hallucinations. Irrelevant Irrelevant
Client: No. I just have to keep my things in order or I get stressed. I can’t concentrate or
think when things are not in order or organized.
4.
How much time during the day do you spend organizing your belongings?
Rationale Relevancy Your Answer
Obsessions and compulsions can be very time-
consuming and interfere with the individual’s normal
level of functioning. Relevant Relevant
, Client: Sometimes it only takes me about an hour to organize and reorganize, but lately I
have to spend 2 to 3 hours getting things the way they need to be, or I have to count. At
school, I spend a lot of time washing my hands. I can’t focus in class.
5.
Have you had any thoughts of harming yourself?
Rationale Relevancy Your Answer
There has been no indication that the client is
experiencing suicidal thoughts or feelings. Irrelevant Irrelevant
Client: No. I just get frustrated and anxious and then I get mad at my parents and yell at
them.
6.
What is contributing to your stress right now?
Rationale Relevancy Your Answer
Stress is an important factor in one’s ability to
control the symptoms of OCD. Relevant Relevant
Client: College has been hard. I feel different from my classmates. There are so many
projects and exams and they are all due at the same time. I get distracted in class and
miss what is being said.
Copyright @2017 by FA Davis
Justin Carter | Assess the Patient | Review
Back Continue
Answers and Rationale
Your responses and feedback are displayed below. For more information regarding feedback, click
"Help".
When you are finished reviewing, click "Continue" to proceed to next section.
Inspection
Palpation
Auscultation
Percussion
1.
Assess Justin’s current level of distress.
Relevanc Your
Rationale y Answer
It is important to maintain the client’s comfort level during
the interview. When the client is in distress or is overly
apprehensive or anxious, the examiner will want to make the
exam as short as feasible while still gathering necessary
data. This is especially important when working with a client Relevan
who has concerns that are related to anxiety. Relevant t
Assessment Data/Patient Results: Justin is in no acute distress.
2.
Assess Justin’s vital signs.
