Exam (elaborations)
NURS 432 FA Davis Linda Watson| Interview the Patient | Review
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NURS 432 FA Davis Linda Watson| Interview the Patient | Review| Comprehensive Solutions.
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Lee ArthurLinda Watson
Linda Watson | Interview the Patient | Review
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Answers and Rationale
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1.
Good afternoon, Ms. Watson. May I check your armband? My name is Pat and I am a
Registered Nurse.
Your
Rationale Relevancy 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?
Your
Rationale Relevancy 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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