NURSING 432- FA Seth Armstrong | Interview the Patient | Review - Answers and Rationale.

Seth Armstrong Interview 1. Good afternoon, Mr. Armstrong. My name is Julie and I am the registered nurse who will be meeting with you today. Rationale Relevanc y Your Answer Before any assessments or procedures, the nurse should knock on the door (if applicable) and introduce herself, identify her professional designation, explain the purpose of the encounter, ensure patient privacy, wash hands, and don appropriate personal protective equipment (PPE). Relevant Relevant Patient: Hi. Please call me Seth. 2. When your doctor referred you to the clinic, he indicated that you have been having a very hard time lately. Can you tell me what has been happening? Rationale Relevancy Your Answer Open-ended questions encourage the client to talk about his story, which helps to build the therapeutic relationship. Relevant Relevant Patient: Well, 8 months ago, my 6-year-old daughter, Samara, and I were in a car accident. Samara was killed instantly. 3. That must have been a terrible experience for you. Rationale Relevancy Your Answer Provides a prompter which encourages the client to continue with his story. Relevant Relevant Patient: My life will never be the same. It was my fault. I asked her if she wanted to come with me. If only I had left her at home. Why did this have to happen? 4. You think that you are to blame because you asked her to come with you? Rationale Relevancy Your Answer Clarifies the client’s thoughts and feelings and encourages him to expand upon them. Relevant Relevant Patient: Yes. I thought I would give her a special treat and take her for ice cream. Instead, I killed her. 5. Why do you feel you caused the accident? Rationale Relevancy Your Answer Generally, “why” type questions are non-therapeutic and in this case might reinforce the client’s belief that he caused his daughter’s death. Irrelevant Relevant Patient: I should have seen the other car running the light. I should have left her at home. I did this. 6. What has it been like at home? Rationale Relevancy Your Answer Encourages the client to continue to engage in the therapeutic conversation. Relevant Relevant Patient: I don’t sleep well. I haven’t been able to return to work. I start to panic just thinking about driving in the car with my son and wife. 7. Do you think you should be admitted to the Mental Health Unit until you are feeling better? Rationale Relevancy Your Answer This could make the client defensive and discontinue the therapeutic relationship. Irrelevant Irrelevant Patient: No. I’m not crazy, you know. 8. Tell me about your relationship with your wife since this happened. Rationale Relevancy Your Answer Assesses the client’s relationship and support network. Relevant Relevant Patient: We never talk anymore. I know she blames me. I don’t think she trusts me with my son. We have just been drifting along. Every day is a struggle to survive. 9. Who have you been able to talk with? Rationale Relevancy Your Answer