Exam (elaborations)
Seth Armstrong Interview Nursing 432
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Seth Armstrong Interview Nursing 432. Answers
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Seth ArmstrongInterview
1.
Good afternoon, Mr. Armstrong. My name is Julie and I am the registered nurse who will be
meeting with you today.
Relevanc Your
Rationale y Answer
Before any assessments or procedures, the nurse should knock
on the door (if applicable) and introduce herself, identify her
professional designation, explain the purpose of the encounter,
ensure patient privacy, wash hands, and don appropriate
personal protective equipment (PPE). Relevant Relevant
Patient: Hi. Please call me Seth.
2.
When your doctor referred you to the clinic, he indicated that you have been having a very
hard time lately. Can you tell me what has been happening?
Your
Rationale Relevancy Answer
Open-ended questions encourage the client to talk about
his story, which helps to build the therapeutic
relationship. Relevant Relevant
Patient: Well, 8 months ago, my 6-year-old daughter, Samara, and I were in a car
accident. Samara was killed instantly.
3.
That must have been a terrible experience for you.
Rationale Relevancy Your Answer
Provides a prompter which encourages the client to
continue with his story. Relevant Relevant
Patient: My life will never be the same. It was my fault. I asked her if she wanted to come
with me. If only I had left her at home. Why did this have to happen?
4.
You think that you are to blame because you asked her to come with you?
Rationale Relevancy Your Answer
Clarifies the client’s thoughts and feelings and
encourages him to expand upon them. Relevant Relevant
Patient: Yes. I thought I would give her a special treat and take her for ice cream. Instead,
, I killed her.
5.
Why do you feel you caused the accident?
Your
Rationale Relevancy Answer
Generally, “why” type questions are non-therapeutic and in
this case might reinforce the client’s belief that he caused
his daughter’s death. Irrelevant Relevant
Patient: I should have seen the other car running the light. I should have left her at home.
I did this.
6.
What has it been like at home?
Rationale Relevancy Your Answer
Encourages the client to continue to engage in the
therapeutic conversation. Relevant Relevant
Patient: I don’t sleep well. I haven’t been able to return to work. I start to panic just
thinking about driving in the car with my son and wife.
7.
Do you think you should be admitted to the Mental Health Unit until you are feeling better?
Rationale Relevancy Your Answer
This could make the client defensive and discontinue
the therapeutic relationship. Irrelevant Irrelevant
Patient: No. I’m not crazy, you know.
8.
Tell me about your relationship with your wife since this happened.
Rationale Relevancy Your Answer
Assesses the client’s relationship and support
network. Relevant Relevant
Patient: We never talk anymore. I know she blames me. I don’t think she trusts me with
my son. We have just been drifting along. Every day is a struggle to survive.
9.
Who have you been able to talk with?
Rationale Relevancy Your Answer
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