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Exam (elaborations)

NURSING432- FA Davis Linda Watson | Interview the Patient | Review Answers and Rationale.

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Erika Hightower Linda Watson Linda Watson | 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. Watson. May I check your armband? My name is Pat and I am a Registered Nurse. Rationale Relevancy Your Answer Before any assessments or procedures, the nurse should knock on the door (if applicable) and introduce himself or herself, explain the purpose of the encounter, ensure patient privacy, wash hands, and don appropriate personal protective equipment (PPE). Relevant Relevant Patient: Yes, I suppose. 2. Can you tell me what has been happening lately? Rationale Relevancy Your Answer Encourages the client to express her feelings and identify her concerns. Relevant Relevant Patient: I have just been feeling so bad for so long. I feel as if my life will never get better. 3. Why would you decide to try to take your life? Rationale Relevancy Your Answer This question could be seen as judgmental by the client and would not be therapeutic or helpful. Irrelevant Irrelevant Patient: There were no other options for me. 4. Didn’t you think about what this would do to your family? Rationale Relevancy Your Answer This question could be seen as judgmental by the client and would not be therapeutic or helpful. Irrelevant Irrelevant Patient: They would be better off without me. 5. Tell me about one stressor that you have that seems overwhelming right now. Rationale Relevancy Your Answer Encourages the client to identify contributing factors. Relevant Relevant Patient: I was recently transferred to a new area at work. I just can’t seem to fit in. My coworkers and supervisor identify mistakes I have made daily. I feel like such a failure. If I lose my job I don’t know what I will do. 6. What made you decide to overdose with pills? Rationale Relevancy Your Answer This question might be seen as judgmental by the client and would not be therapeutic. Irrelevant Irrelevant Patient: I just decided I couldn’t deal with it anymore. 7. What have you used in the past to cope with stress? Rationale Relevancy Your Answer Determining previously used coping behaviors and the client’s perception of those behaviors will enable her to problem solve. Relevant Relevant Patient: I had supportive mentors and colleagues in the department that I was in. We problem solved together when an issue came up. 8. Who are your support people? Who do you talk with when your life seems overwhelming? Rationale Relevancy Your Answer Encouraging the client to identify support people in her life enables her to develop additional coping resources. Relevant Relevant Patient: Previous coworkers became friends and support people; however, we have lost touch and I haven’t talked to them lately. I used to be close to my sister-in-law, but when my marriage broke up several years ago, that became awkward. I have a brother and a niece here and a sister, but she moved to Europe 6 months ago. My daughter is away at university and I don’t like to bother her with my problems

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Uploaded on
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