NURS 432 FA Davis Mindy Wright Interview the Patient | Review

NURS 432 FA Davis Mindy Wright Interview the Patient | Review| 

Lee Arthur

Mindy Wright

Mindy Wright | Interview the Patient | Review

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Answers and Rationale

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1.

You said that you are experiencing some periods of sadness.

Rationale

Relevancy

Your Answer

Because the criteria for depression involve identification of symptoms of sadness, dejection, anger, guilt, helplessness, hopelessness, despondency, etc., this broad opening allows the client to start speaking about what “sadness” means to her.

Relevant

Relevant

Client: Yes. It started about 2 months ago and I thought I could work through it myself.

2.

Do you get the sensation of heart palpitations when you are feeling sad?

Rationale

Relevancy

Your Answer

Physical symptoms such as heart palpitations occur with anxiety, not depression.

Irrelevant

Irrelevant

Client: I do not have heart palpitations.

3.

Does it seem like your feelings of sadness occur at certain times of the year? (Do you feel better in the summer, for example?)

Rationale

Relevancy

Your Answer

Seasonal affective disorder is identified by seasonal variances in the depressive symptoms. The client’s symptoms have been occurring for only 2 months so it may be hard for her to quantify whether the season makes a difference.

Irrelevant

Irrelevant

Client: Not that I know of. This has only been going on for 2 months.

4.

Did something in particular happen that triggered these feelings of sadness?

Rationale

Relevancy

Your Answer

Depression can begin after a situational occurrence that is of significance to the client. It is important to understand if an event in the client’s life precipitated her symptoms.

Relevant

Relevant

Client: Yes. These feelings started shortly after my mom died. She had been sick a long time so we knew she was dying, but I just really miss her. I don’t know why God allowed her to be that sick and suffer so much. I thought I was prepared for her death, but I continue to think about her dying and how much she suffered.

5.

Have you ever experienced the feeling of a “racing heart?”

Rationale

Relevancy

Your Answer

Physical symptoms such as heart palpitations and the sensation of a “racing heart” occur with anxiety, not depression.

Irrelevant

Irrelevant

Client: I’ve never felt like that.