NURSING 432 FA Nathan Childers | Interview the Patient | Review - Answers and Rationale. Coppin State University.Your responses and feedback are displayed
... [Show More] below. For more information regarding feedback, click "Help". When you are finished reviewing, click "Continue" to proceed to next section. 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]