.Erika Hightower Ryan Rodriguez
Ryan Rodriguez | Interview the Patient | Review
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Answers and Rationale
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regarding feedback, click "Help".
When you are finished reviewing, click "Continue" to proceed to next section.
1.
Good afternoon, Mr. Rodriguez. My name is Greg, and I will be your nurse
today.
Your
Rationale Relevanc Answer
y
Before any assessments or procedures, the nurse
should knock on the door and introduce himself,
explain the purpose of the encounter, ensure
patient privacy, wash hands, and don appropriate Relevant Relevant
personal protective equipment (PPE).
Patient: Hey, call me Ryan. Mr. Rodriguez is my dad. We’re not talking
right now. I am okay. I don’t know what is going to happen to me. I
can’t go back to jail.
2.
Why are you so agitated right now?
Rationale Relevancy Your
Answer
This comment could be seen as
confrontational and the client could become Irrelevant Irrelevant
more agitated and aggressive.
Patient: Are you kidding me? The police want to take me to jail. My
dad has kicked me out. My mom is probably dying. Don’t you get it?
3.
You seem agitated. Tell me what has been happening.
Rationale Relevancy Your
Answer
Asking an open-ended question allows the
client to tell his illness narrative and the nurse
is then able to assess the client’s mental Relevant Relevant
status.
Patient: Well, I’ve been living with my dad, but he doesn’t want me
there anymore. My mom has been diagnosed with cancer. She’s not
doing well, so I can’t live with her either. The police want to arrest me.
They said I breached my probation, but I think they are just out to get
me. I won’t go back to jail. I can’t.
4.
When did you last have medication for your withdrawal symptoms?
Rationale Relevancy Your Answer
, .Erika Hightower Ryan Rodriguez
Assess the client’s need for medication to
address his withdrawal symptoms. Relevant Relevant
Patient: I don’t know, probably about 2 or 3 hours ago. It took the edge
off a little, but I’m starting to feel anxious again.
5.
Have you been hearing voices?
Your
Rationale Relevancy Answer
Individuals withdrawing from substances
sometimes experience auditory and/or visual Relevant Relevant
hallucinations.
Patient: No. I’m not crazy!
6.
Have you ever been a victim of physical or sexual abuse?
Rationale Relevancy Your Answer
There is no indication that this has
been an issue in the past. Irrelevant Irrelevant
Patient: What? This is stupid.
7.
When was the last time you had a bowel movement?
Rationale Relevancy Your Answer
This is currently not a priority issue
with this client. Irrelevant Irrelevant
Patient: Who cares?!
8.
Has your drug abuse interfered with your life?
Your
Rationale Relevanc Answer
y
This question would be more appropriate once
the client has settled and is no longer
experiencing withdrawal symptoms and is Irrelevant Irrelevant
willing to address his addiction issues.
Patient: I don’t know. I suppose. Now I don’t have anywhere to live.
My dad said he is not dealing with me anymore. The police want to
arrest me again, so yeah. But I can’t think about that right now. It just
makes me so angry.
9.
Ryan Rodriguez | 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, Mr. Rodriguez. My name is Greg, and I will be your nurse
today.
Your
Rationale Relevanc Answer
y
Before any assessments or procedures, the nurse
should knock on the door and introduce himself,
explain the purpose of the encounter, ensure
patient privacy, wash hands, and don appropriate Relevant Relevant
personal protective equipment (PPE).
Patient: Hey, call me Ryan. Mr. Rodriguez is my dad. We’re not talking
right now. I am okay. I don’t know what is going to happen to me. I
can’t go back to jail.
2.
Why are you so agitated right now?
Rationale Relevancy Your
Answer
This comment could be seen as
confrontational and the client could become Irrelevant Irrelevant
more agitated and aggressive.
Patient: Are you kidding me? The police want to take me to jail. My
dad has kicked me out. My mom is probably dying. Don’t you get it?
3.
You seem agitated. Tell me what has been happening.
Rationale Relevancy Your
Answer
Asking an open-ended question allows the
client to tell his illness narrative and the nurse
is then able to assess the client’s mental Relevant Relevant
status.
Patient: Well, I’ve been living with my dad, but he doesn’t want me
there anymore. My mom has been diagnosed with cancer. She’s not
doing well, so I can’t live with her either. The police want to arrest me.
They said I breached my probation, but I think they are just out to get
me. I won’t go back to jail. I can’t.
4.
When did you last have medication for your withdrawal symptoms?
Rationale Relevancy Your Answer
, .Erika Hightower Ryan Rodriguez
Assess the client’s need for medication to
address his withdrawal symptoms. Relevant Relevant
Patient: I don’t know, probably about 2 or 3 hours ago. It took the edge
off a little, but I’m starting to feel anxious again.
5.
Have you been hearing voices?
Your
Rationale Relevancy Answer
Individuals withdrawing from substances
sometimes experience auditory and/or visual Relevant Relevant
hallucinations.
Patient: No. I’m not crazy!
6.
Have you ever been a victim of physical or sexual abuse?
Rationale Relevancy Your Answer
There is no indication that this has
been an issue in the past. Irrelevant Irrelevant
Patient: What? This is stupid.
7.
When was the last time you had a bowel movement?
Rationale Relevancy Your Answer
This is currently not a priority issue
with this client. Irrelevant Irrelevant
Patient: Who cares?!
8.
Has your drug abuse interfered with your life?
Your
Rationale Relevanc Answer
y
This question would be more appropriate once
the client has settled and is no longer
experiencing withdrawal symptoms and is Irrelevant Irrelevant
willing to address his addiction issues.
Patient: I don’t know. I suppose. Now I don’t have anywhere to live.
My dad said he is not dealing with me anymore. The police want to
arrest me again, so yeah. But I can’t think about that right now. It just
makes me so angry.
9.
