NURSING 432 - FA Melissa Finlay | Interview the Patient | Review - Answers and Rationale.

Erika Hightower Melissa Finlay Melissa Finlay | 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 are some changes that you have noticed in your health status lately? Rationale Relevancy Your Answer Determining the client’s history is important to assess the physiological impact of the illness. Relevant Relevant Client: I seem to be cold all the time and I can’t seem to keep warm. I don’t get dizzy that often—just in cheer practice mainly. I haven’t had a menstrual period in about 6 months. 2. What do you see when you look in the mirror? Rationale Relevancy Your Answer Assessing the client’s body image is important. Relevant Relevant Client: I am concerned I will be dropped from the team. All the other girls look good and I just feel like an elephant next to them. 3. Do you ever experience feelings of sadness, hopelessness, or anxiety? Rationale Relevancy Your Answer Feelings of depression and anxiety are common with individuals who are diagnosed with an eating disorder. Relevant Relevant Client: Sometimes I just think that I am no longer in control and that makes me anxious. 4. Tell me about your eating and exercise patterns. Rationale Relevancy Your Answer It is important to assess the client’s perspective about her own health. Relevant Relevant Client: I think it is okay. I try to eat healthy and exercise to stay in shape but sometimes it doesn’t matter what I do, I just can’t seem to achieve my goals. 5. Do you ever feel like your thoughts are racing? Rationale Relevancy Your Answer There has been no indication that the client is experiencing racing thoughts. Irrelevant Irrelevant Client: No, although sometimes I just find it difficult to concentrate. Learning a new cheer routine isn’t as easy as it used to be. 6. Tell me about your relationship with your mom. Rationale Relevancy Your Answer Melissa and her mother have indicated that they have conflict over Melissa’s eating patterns. Relevant Relevant Client: She always tries to control me. She stresses me out. Client’s Mother: I just want Melissa to be okay. I think if I don’t keep things under control, she will get sick. I hate it when we fight. 7. How often do you drink alcohol? Rationale Relevancy Your Answer There is no indication that Melissa is abusing alcohol. Irrelevant Irrelevant Client: I never drink alcohol. Do you know how many calories it has? Copyright @2017 by FA Davis Melissa Finlay | 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.  Auscultation  Palpation  Inspection 1. Assess Melissa’s blood pressure. Rationale Relevancy Your Answer Assessing baseline vital signs is important. Melissa is exhibiting signs and symptoms of physiological complications as a result of her anorexia. Relevant Relevant Assessment Data/Patient Results: Melissa’s heart rate and blood pressure is lower than normal.