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In: Nursing

Student nurses are often reminded to use open-ended communication techniques with patients. Why might open-ended questions...

Student nurses are often reminded to use open-ended communication techniques with patients.

Why might open-ended questions and interview techniques not always be the most effective approach with a patient who has a possible personality disorder?

Does this mean nurses should stick with “yes” or “no” questions when interviewing these patients? Or does the text suggest ways to adapt open-ended interviewing to elicit more objective responses from these patients? (Hint: Think about perspective.)

What are some example questions you would ask a patient with a personality disorder?

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Expert Solution

Ans.

Start discussing the patient's concerns with open-ended questions Suggested phrases: “Tell me more about…” “Would you like to talk more about…?” “I want to know how it started…” “Tell me what the… was like?” “What else did you notice?”

Open-ended questions are ones that keep the conversation going; ones that cannot be answered by one word (like yes or no). You are trying to explore the ambivalence (both sides) and augment the discrepancy (difference) between them.

an example of an open ended question -

An open-ended question is a question that cannot be answered with a "yes" or "no" response, or with a static response. Open-ended questions are phrased as a statement which requires a response. ... Examples of open-ended questions: Tell me about your relationship with your supervisor.

Advantages of Open-Ended Questions. Open-ended questions allow respondents to include more information, including feelings, attitudes and understanding of the subject. This allows researchers to better access the respondents' true feelings on an issue.

Here are a few basic pointers for communicating with someone with borderline personality disorder in a healthy and productive way:

  1. Be patient.
  2. Be realistic.
  3. Try to separate facts from feelings.
  4. Validate feelings first.
  5. Listen actively and be sympathetic.
  6. Seek to distract when emotions rise.

Questions Someone With Mental Illness Wishes You Would Ask

  • Can you help me understand what it's like living with your condition?
  • Is there anything you need from me or something I can do to help you?
  • Can we do something together – get coffee, go for a walk or see a movie? ...
  • What is your diagnosis and how do you feel about it?
  • Do you need to talk?

Here are 5 tips for starting conversations about mental health that you might find helpful this Time to Talk Day.

  1. Don't wait to find the perfect moment. ...
  2. Ask twice. ...
  3. Talk about yourself. ...
  4. Approach the elephant in the room. ...
  5. It doesn't have to be face to face.

communication skills are required when performing a patient interview -

Numerous interviewing skills facilitate a patient-centered approach to clinical encounters. These skills include open-ended questioning, non-verbal communication skills such as purposeful silence or non-verbal encouragement, attentive listening, and summarizing or paraphrasing.

example of an open ended question -

An open-ended question is a question that cannot be answered with a "yes" or "no" response, or with a static response. Open-ended questions are phrased as a statement which requires a response. ... Examples of open-ended questions: Tell me about your relationship with your supervisor.

some example questions you would ask a patient with a personality disorder -

Here are the 12 questions I have in mind:

1. I am suffering emotionally. Where do I go to start getting relief?

2. I can’t tell if I have a “brain problem” or a “mind problem.” How can I figure that out?

3. Who are the “designated helpers” out there? What are the differences among them?

4. The current system is based on the idea of “diagnosing and treating mental disorders.” How should I think about that?

5. If I engage a mental health service provider I’m likely to receive a “diagnosis of a mental disorder” and be labeled in a certain way. How should I think about that label?

6. What about “antidepressants,” “psychiatric medications,” and so on? How should I conceptualize the use of those chemicals?

7. Given that “mental disorders” are “diagnosed” by virtue of the “symptoms” I present, rather than on the basis of underlying causes, how should I think about that?

8. What if my circumstances are causing a portion of my emotional pain? How should I think about that?

9. What if my formed personality is causing a portion of my emotional pain? How should I think about that?

10. If I don’t have much meaning or life purpose in my life, how might my emotional pain be related to that?

11 .How should I conceptual “good mental health ”? What am I actually aiming for?

12. I am in a lot of pain and distress right now and need immediate help. What should I do?


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