NURSING 432 FA Nathan Childers | Interview the Patient | Review - Answers and Rationale. Coppin State University.Your responses and feedback are displayed
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1.
Hello, my name is Julie. I am a registered nurse and I will be meeting with you today. Nathan,
how are you feeling?
Rationale Relevancy
Your
Answer
Before progressing with an assessment or interview, the
nurse should introduce herself and begin to develop a
rapport with the client. Relevant Relevant
Nathan: I’m ok, I guess…
2.
Can we start out by talking about who is in your family?
Rationale Relevancy
Your
Answer
Nurses should utilize the Calgary Family Assessment Model
(CFAM) when developing the therapeutic relationship and
gathering information about the family unit when they are
working with children and adolescents. Relevant Relevant
Nadine: We are just a normal family. Nathan is the youngest child. He has three older
sisters. Nathan’s oldest sister is married and has a 3-year-old boy.
3.
Tell me about school.
Rationale Relevancy Your Answer
Continue to build the therapeutic relationship, assessing
additional areas of the client’s life that may be
impacting him. Relevant Relevant
Nathan: It’s just not the same. I can’t concentrate. I quit the team….
Nadine: His marks have dropped and he is failing. He used to love basketball. When they
sent out a consent form for the team members to attend an out of town tournament he
said he wasn’t going and just quit the team.
4.
What do you think we should talk about today?
Rationale Relevancy
Your
Answer
Clients should be encouraged to tell their “story” in their own
way and interrupting the flow of the conversation can give
the impression that the nurse is not listening to what they
are saying. Irrelevant Irrelevant
Nadine: Well, I just want to know why he is acting this way.
5.
Nathan?
Rationale Relevancy Your Answer
Directing the conversation at the adolescent invites
them to participate in the conversation. Relevant Relevant
Nathan: I have tried to talk with them. They don’t believe me…
6.
Why do you think they don’t believe you?
Rationale Relevancy Your Answer
Asking “why” type questions often results in
defensiveness and disrupts the therapeutic
conversation. Irrelevant Irrelevant
Nadine: He just tries to push our buttons. It’s ridiculous.
Nathan: That is exactly what I’m talking about. Why should I even talk with them? I am
always the bad guy. I can’t handle this anymore.
7.
Nathan, can you tell me what you have been trying to tell them?
Rationale Relevancy Your Answer
Validates the client’s feelings and encourages him to
discuss his concerns. Relevant Relevant
Nathan: I don’t know. It’s hard. I have tried to talk to them. They never believed me.
8.
Nathan, this is a safe place. You can talk about anything you want. I want to help you and I
want to hear what you have to say.
Rationale Relevancy Your Answer
Reassures the client of his safety and
validates his feelings. Relevant Relevant
Nathan: I have been trying to tell them. Lincoln has been messing with me. They don’t
believe me. I can’t handle this anymore. I can’t keep Shawn safe anymore. He will do it to
him, too.
9.
Nathan, tell me about what has been happening to you. [Show Less]