FA Davis Erika Hightower Collin Dickerson (NUR432)
Exam (elaborations)
Exam (elaborations) FA Davis Erika Hightower Collin Dickerson (NUR432)
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Course
FA Davis Erika Hightower Collin Dickerson (NUR432)
Institution
Coppin State University
Exam (elaborations) FA Davis Erika Hightower Collin Dickerson (NUR432).
Collin Dickerson | Interview the Patient | Review
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Answers and Rationale
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Collin Dickerson | Interview the Patient | Review
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Answers and Rationale
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1.
Do you find yourself constantly “on the go” or talking all the time?
Your
Rationale Relevan Answer
cy
Being “on the go,” constantly in motion, and
talking all the time are key indicators of the
hyperactivity component of ADHD. Collin has
denied these symptoms, substantiating that he
primarily has concerns with maintaining Irrelevant Irrelevan
attention and focus. t
Client’s Mother: Collin has always been very active. We used to call
him our “perpetual motion machine.” He just has a lot of energy.
Client: I don’t like to sit around and be bored. I like to do things.
2.
When did you begin experiencing difficulty?
Your
Rationale Relevancy Answer
ADHD symptoms must have lasted for at least 6
months; therefore, the provider must establish
the correct timeline for the onset or first Relevant Relevant
realization of symptoms.
Client’s Mother: Collin has always been very active and an “in your
face” kind of kid. However, the last year has become increasingly
difficult.
Client: The teacher always picks on me.
3.
Is it hard for you to get organized to do your homework, such as making sure
you have all of your books and the supplies needed to do the work?
Relevan Your
Rationale c y Answer
Establishing whether the client can organize
himself to do work is important as this is a
supportive diagnostic criterion of ADHD. Individuals
with ADHD often appear not to be listening even
when they are spoken to directly. This is another Relevant Relevan
supportive diagnostic criterion to establish a t
diagnosis of ADHD.
, .Erika Hightower Collin Dickerson
Client: (Initially, does not hear the question, so it has to be repeated.)
Ask my mom. I never have everything I need. I’ll have the pencils and
paper and forget the textbook at school. Or, I’ll have the textbook and
forget the assignment sheets that the teacher gave me. Or, I’ll lose the
assignment sheet or the book and can’t remember what I did with
them. It’s like I’m too dumb to keep up with anything. My school binder
and notebooks are disorganized. I have papers falling out and often
cannot find important notes or assignments.
4.
Do you find that teachers or your parents easily annoy you?
Your
Rationale Relevancy Answer
Disobedient and hostile behavior toward
authority figures is associated with
oppositional defiant disorder, not ADHD. Irrelevant Irrelevant
Client: No, I seem to annoy them though.
5.
What have you been told about Collin’s diagnosis?
Your
Rationale Relevancy Answer
Assessing the client/family knowledge level is
important in order to provide appropriate Relevant Relevant
client teaching.
Client’s Mother: They told us that Collin has ADHD. I have read a
little about it but I am not sure about the diet that he should be on.
Client: Maybe I should just try harder to listen and sit still.
6.
Do you find that even when you do your homework you are making mistakes
that you later consider to be careless or silly errors?
Relevan Your
Rationale c y Answer
Individuals with ADHD often admit to making
careless mistakes when performing schoolwork or
chores. These mistakes later might seem very
obvious to the individual, but at the time they were
required to focus on the task at hand they were Relevant Relevan
unable to concentrate effectively to perform t
accurately.
Client: Yes, I study my spelling words, but when we have the test, I just
make dumb mistakes.
7.
, .Erika Hightower Collin Dickerson
Do you have feelings that drive you to run away from home, skip school,
or not come home at night when your parents are expecting you?
Your
Rationale Relevanc Answer
y
Staying out at night without permission, running
away from home, and truancy from school are
behaviors associated with conduct disorder, not Irrelevant Irrelevant
with ADHD.
Client: No.
8.
Are you unable to read over your schoolwork instructions completely before
working on an assignment?
Relevan Your
Rationale c y Answer
In order to confirm a diagnosis of ADHD, it is
important to establish at least six inattentive
symptoms consistent with ADHD. At this point in the
interview, the client’s response indicates that he is
having trouble following through on instructions
consistently, which is supportive of the diagnosis of Relevant Relevan
ADHD. t
Client’s Mother: The teacher said he gets easily distracted and then
seems to forget what he should be doing so none of his work gets
finished in class.
Client: It seems like noise and stuff bothers me, like when people get
up to sharpen pencils or if I see someone walking outside when they go
by the windows. I stop and look or listen, and then I kind of forget what
I’m supposed to be doing.
9.
Have you ever stolen or vandalized something or used a weapon because
of your anger?
Rationale Relevancy Your
Answer
Stealing, vandalizing, and using weapons
are associated with conduct disorder, not Irrelevant Irrelevant
with ADHD.
Client: No. Why are you asking me these questions?
Client’s Mother: Collin has always tried to be good. He has never done
anything really bad.
10.
You said that sometimes you cannot think. Do you find that it’s easier to
concentrate on schoolwork at home rather than at school?
Relevan Your
Rationale c y Answer
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