Communication Techniques and Interview
Interview
Carrying out a patient interview in an institutional or hospital setup is an important and essential skill for any nurse practitioner. Through interviews, a nursing practitioner develops a good relationship with his or her client. Effective communication, on the other hand, not only improves the patient outcome but also ensures a holistic treatment is provided. Holistic treatment focuses on the physical, social, emotional, and spiritual aspects of the 16-year-old patient (Ball et al., 2015). Owing to her place of origin, which is the inner city, open-ended questions would be of choice during management. Identification of any underlying thoughts, beliefs, and worries helps to give an insight into the more help the patient will need. Hire our assignment writing services in case your assignment is devastating you.
Communication Techniques
This 16-year-old is filled with fear and worries because she comes from an inner-city where pregnancy at 16 is considered too early or teenage pregnancy. Therefore, communication techniques such as comfortability during communication help to tap into even the most sensitive issues concerning the 6-year-old’s pregnancy (Ball et al., 2015). It is also important to maintain eye contact and remain at ease to minimize tension in the consultation room. These communication techniques assure the patient of your readiness as a nurse to help them and show them that you care.
Risk Assessment
Depression during pregnancy and after pregnancy is another factor to assess during risk identification. Pregnancies and depression have a close association with teenagers (Vigod et al., 2016). It is important to check if the 16-year-old has had any suicidal thoughts or feelings of helplessness. Depression during pregnancy is important for assessment because stress may be the primary factor. Stress, on the other hand, has a possibility of causing miscarriages. To minimize miscarriages, there is a need to assess for depression. Post-partum depression is another risk that should be assessed by a nursing practitioner. This is done in the second trimester, where questions on interests, hobbies, mood, self-harm, and affect are asked, and the client fills in (Fortin et al.,2012).
Targeted Questions
These questions help to give an insight into the social, physical, and emotional environment that the client lives in. Many questions can help a nursing practitioner understand his or her client. They also help the nurse identify the risks associated with the pregnancy of the 16-year-old.
The five targeted questions that would be asked of the patient are:
How do you feel about your pregnancy?
How has the pregnancy affected your life so far?
How do your parents, family, and close friends feel about your pregnancy?
Who would you tell your secrets to first, and why?
Any thoughts of causing harm to yourself?
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination. St. Louis, MO: Elsevier. https://drive.google.com/file/d/1husNV6ifjXfpOnhXgaTmeYjDtRxFFsFq/view
Fortin, A. H., Dwamena, F. C., Frankel, R. M., & Smith, R. C. (2012), Smith’s patient-centered interviewing: An evidence-based method (3rd ed.). New York, NY: McGraw-Hill
Vigod, S. N., Wilson, C. A., & Howard, L. M. (2016). Depression in pregnancy. Bmj, 352. https://doi.org/10.1136/bmj.i1547
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Question
16-year-old white pregnant female living in an inner-city neighborhood.
With the information presented in Chapter 1 of Ball et al. in mind, consider the following:
By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
How would your communication and interview techniques for building a health history differ with each patient?
How might you target your questions for building a health history based on the patient’s social determinants of health?
What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
Identify any potential health-related risks based on the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text or another tool with which you are familiar, related to your selected patient.
Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.