Exam (elaborations) FA Davis Erika Hightower Linda Watson (NUR432)
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Course
FA Davis Erika Hightower Linda Watson (NUR432)
Institution
Coppin State University
Exam (elaborations) FA Davis Erika Hightower Linda Watson (NUR432)
Linda Watson | Interview the Patient | Review
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Answers and Rationale
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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.
Your
Rationale Relevanc Answer
y
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 Relevant Relevant
equipment (PPE).
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 Irrelevant Irrelevant
helpful.
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
,Erika
Hightower
Linda
Watson.
Irrelevant Irrelevant
the client and would not be therapeutic or
helpful.
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
, Erika
Hightower
Linda
Watson.
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.
9.
Have you accessed community resources?
Rationale Relevancy Your Answer
This question assesses the client’s
knowledge and use of available Relevant Relevant
community resources.
Patient: I did see a counselor for several months when my marriage
broke up and I attended a support group for people who were also going
through separation and divorce.
Copyright @2017 by FA Davis
Linda Watson | Assess the Patient | Review
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Psychosocial Assessment
Inspection
Palpation
Auscultation
Percussion
1.
Assess Linda’s current level of anxiety and distress.
Relevanc Your
Rationale y 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. Relevant Relevant
Assessment Data/Patient Results: Linda is slightly anxious but is willing to participa
2.
Assess for signs and symptoms of depression.
Your RelevancyAnswer
Rationale
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