NURSING 432 - FA Davis Justin Carter | Interview the Patient | Review Answers and Rationale

Erika Hightower 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? Rationale Relevancy Your 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 timeconsuming 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. Rationale Relevanc y Your 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 who has concerns that are related to anxiety. Relevant Relevan t Assessment Data/Patient Results: Justin is in no acute distress. 2. Assess Justin’s vital signs