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Case Study, MohrCHAPTER 10, the Interview and Assessment
ProcessIn completing the case study, students will be addressing
the following learning objective:Describe essential elements to
include in psychiatric interviews and the assessment process.1. The
student nurse is accompanying the psychiatric nurse during the
nursing interview and assessment of a newly admitted patient. The
psychiatric nurse told the student that preparation with subjective
and objective data collection is an important part of the process.
The nurse explains that assessment has reference to the
interviewer’s interpretation and prioritization of all data for the
client. The nurse must have self-awareness and self-knowledge to be
objective and avoid influencing the responses of the client.
Anxiety on the part of the nurse may limit the ability for thorough
data collection and interpretation. Anxiety in the nurse may evoke
anxiety on the part of the client. The psychiatric nurse stressed
that a process recording, or written analysis of the interaction
between the client and nurse, is essential for nurses to recognize
the effects of their communication style in the assessment process.
A review of the client’s history is important, and a private
setting for the interview is necessary. The content of the nursing
assessment should include the ability and reliability of the
client’s response to questions of the interviewer and the skill of
the nurse in identification of relevant facts. The nurse should
discuss with the client prior health history, any present illness,
and the reason for seeking healthcare at this time. Medication
history with compliance and allergies of the client require
investigation. Substance use by the client, past illnesses, and
family history need exploration.
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