NURSING 432 - FA Davis Dickerson. Answers with Rationale.
Erika Hightower
Collin Dickerson
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?
Rationale Relevancy
Your
Answer
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 attention and
focus. Irrelevant Irrelevant
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?
Rationale Relevancy
Your
Answer
ADHD symptoms must have lasted for at least 6 months;
therefore, the provider must establish the correct timeline
for the onset or first realization of symptoms. Relevant Relevant
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?
Rationale
Relevanc
y
Your
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 supportive
diagnostic criterion to establish a diagnosis of ADHD. Relevant Relevant
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 [Show Less]