NURSING 432 - FA Amanda Black | Interview the Patient | Review - Answers and Rationale.

Erika Hightower Amanda Black Amanda Black | 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. Good afternoon, Ms. Black. How are you feeling today? My name is Megan. I am a nurse at the center and I will be doing your assessment today. Rationale Relevancy Your Answer Before any assessments or procedures, the nurse should knock on the door and introduce herself, explain the purpose of the encounter, ensure patient privacy, and perform hand washing. Relevant Relevant Patient: I know the nurses in emergency were concerned about me getting hurt, but really it wasn’t a big thing. My wrist feels better, although it’s a little difficult to look after the kids. I’m not supposed to get the cast wet, so bathing them is really hard. 2. Tell me about what happened when you fractured your wrist. Rationale Relevancy Your Answer It is important to assess the client’s perspective of the situation. Relevant Relevant Patient: Oh, it’s nothing really. Daryl, my common-law boyfriend, is really going through a hard time right now. He bumped into me and I fell. 3. I’m concerned that you are a victim of domestic violence and abuse. Rationale Relevancy Your Answer Confronting the client and using terms like violence and abusemay make her defensive and she will deny having been abused. Irrelevant Irrelevant Patient: Nothing like that. He doesn’t really hit me. Yeah, we have had fights in the past, but sometimes I really get in his face, you know? 4. I noticed that you have been in the emergency room with injuries in the past. Rationale Relevancy Your Answer It would be important to assess the history of violence that the client has experienced. Relevant Relevant Patient: Well, most of the time things are okay, but when Daryl starts to get stressed sometimes he loses control and yells and pushes me. I know it is not a good situation for the kids. I have been thinking that it would be best if we separated. I’m not sure what to do. I don’t know how I will manage financially and look after the kids. I only have a high school education. Who would hire me and how could I pay for child care? 5. Have your children ever been injured when Daryl loses control? Rationale Relevancy Your Answer Assessing the risk to the children involved and their exposure to family violence is important to ensure their safety. Relevant Relevant Patient: Sometimes when he starts yelling, they start to cry, which makes him even angrier. I know it’s not a good situation for them. I try to keep the kids quiet when I know he is stressed, but it doesn’t always work and the angrier he gets the more they cry. 6. Have you thought about what you want to do? Rationale Relevancy Your Answer Allowing the client to make her own decisions is an important factor in empowering her. Relevant Relevant Patient: Yes, I know that we need to leave before things get really out of control. I am sad and overwhelmed by the thought of being a single parent, but I need to think about what is best for the kids. Copyright @2017 by FA Davis Amanda Black | 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  Psychosocial Assessment 1. Assess the circulation in Amanda’s left hand and fingers. Rationale Relevancy Your Answer Following casting, it is important to ensure adequate circulation in the affected limb. Relevant Relevant Assessment Data/Patient Results: The color, circulation, sensation, and movement in Amanda’s left hand is adequate. Her fingers are slightly puffy, but blanche within 2 seconds, and she denies numbness and tingling. 2. Assess Amanda’s vital signs. Rationale Relevancy Your Answer Obtaining baseline assessment data is important when performing an initial assessment. Relevant Relevant Assessment Data/Patient Results: Amanda’s vital signs are within normal limits. 3. Perform an abdominal assessment. Rationale Relevancy Your Answer There is no indication that Amanda has concerns related to bowel or bladder function. Irrelevant Irrelevant Assessment Data/Patient Results: Amanda’s abdominal assessment is within normal parameters. 4. Perform a neurological assessment. Rationale Relevancy Your Answer There is no indication at the present time that Amanda has any neurological deficits or concerns. Irrelevant Irrelevant Assessment Data/Patient Results: Amanda’s neurological assessment is normal. Copyright @2017 by FA Davis Amanda Black | 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  Psychosocial Assessment 1. Assess the circulation in Amanda’s left hand and fingers. Rationale Relevancy Your Answer Following casting, it is important to ensure adequate circulation in the affected limb. Relevant Relevant Assessment Data/Patient Results: The color, circulation, sensation, and movement in Amanda’s left hand is adequate. Her fingers are slightly puffy, but blanche within 2 secon