In: Nursing
Chapter 10, The Interview and Assessment Process
1.You have been asked to conduct an interview for a psychiatric–mental health client.
a} What part of conducting an interview to obtain psychosocial data on a client is most difficult for you?`
b} What part of conducting an interview to obtain psychosocial data on a client is relatively easy for you?
What are your strengths as an interviewer and what skills do you need to develop?
You are working at a psychiatric–mental health facility that uses the PERSONS acronym for collecting data in the initial patient assessment.
c} Choose one of the letters of this acronym and explain the data that would be collected under that letter.
d} For your chosen area, list five questions that you would ask to elicit information from a psychiatric–mental health client.
The nurse is caring for a 39-year-old American Indian psychiatric mental health client.
e} What is the importance of assessing cultural needs in a psychiatric–mental health client?
f} What is the importance of assessing spiritual needs in a psychiatric–mental health client?
Your nursing instructor lectured on standardized tools in class today. You took good notes and you are attempting to explain these tools for a fellow nursing student who was sick and missed class.
g} What are some of the standardized tools your instructor discussed? Which healthcare professional would use the tools discussed? What are the tools used for?
h} Why do healthcare professionals use standardized tools?
chapter 10 - interview and assessment process:
1.
a. the most difficult part is collecting the information on premorbid personality, family and childhood history as it needs a family member who is closely associated with the patient such as mother, grandmother.this would help to find if the information is reliable.
b. the easy part of interviewing the client is on the religious and cultural beliefs of the indvidual as it is provided by the person and it could be researchable.
as an interviewer, my strengths are observation, active listening, being empathetic and compassionate towards the patient. i need to improve my level of patience and ability to maintain control over emotions.
c. PERSONS acronym
s - i will use "s" letter to collect the history of signs and symptoms experienced by the patient.
d.
could you please explain about your school days?
could you please tell about your interests in job area?
could you please explain more about the incident when you felt happy about yourself?
could you explain me about the occasion where you felt the most painful?
e. in assessing the cultural needs, it is better to interact with patient and family to verify the information. it is illegal to make treatment decision against the patient's cultural needs and therefore, the family must be included while making these decisions.
f. it is important to assessing spiritual needs, as it helps to know the spiritual well being of the patient and helps in restoring the patient's premorbid level of spiritual ability.
g.
panss - positive and negative scale - to assess symptoms of schizophrenia
bush francis catatonia rating scale - to assess catatonia
dass scale - to assess depression, anxiety and stress symptoms
h. standardized tools are used because these are globally tested, accepted and adopted. these tools are already verified by clinical experts and are easy to apply. these tools consume less time and energy for data collection.