3 Part Client Interview

8/2/2019 3 Part Client Interview

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Student Name Christopher Mabe Client Initials L. W. Room # 303-2 Age: 96 Male

Three part client interview:

Identify and get permission from a client to perform this three-part interview. You may select more than one client for thisassignment if the interview becomes to tedious for one client.

1) Interview:Stress and Coping: Potter and Perry (2009), Chapter 31Identify a client to interview and assess regarding stressors. The intent is to provide opportunity to explore

how the person perceives and is affected by stress, how the client manages stress, and nursing interventions

to assist in management of stress.

1. Review textbook

2. Explain intent of assignment to client.

3. Elicit from the client examples of stressors (a minimum ofthree) and how the client

manages the resulting stress. Be sure to review Box 31-6, page 492, of Potter and Perry for nursing

assessment questions for your selected client. Record the responses in the designated columns.

4. Submit completed work to instructor for grading on WebCT

Client Interview: Influence of Stress on Health

Client Perception of Stress Client Management of Stress:

Maladaptive coping used and

adherence to healthy practices.

Nursing Intervention in Stress

Management

Client expressed some stress

concerning his movement/falling

alarm on the back of his wheelchair

and bed.

Client regrets that he cannot drive

anymore. He mentioned that he no

longer has the freedom or

authorization to drive.

Client mentioned that he was

originally stressed about lack of

opportunity to practice his

photography hobby.

Client pointed out that he had very

few close friends at the facility. He

luckily still has his wife (who

happens to also live at the facility).

After many unintended falls, the

client has understood the primary

reason behind the alarm is his own

personal safety and protection.

Client understands that in his current

physical condition, he cannot

operate an autmobile saflely any

longer.

Client had all of his personal hobby

photography tools of the trade

brought to him at the residence. He

can now practice his hobby anytime.

Client has be-friended his roommate

as well as some other people he has

recently met while eating in the

dining room at the facility.

Nurse could assign a CAN or friend,

etc. to spend a certain amount of

time each day, 1-2 hours with client.

This way, he could enjoy not being

tethered to this alarmdevice.

Client has learned to avail himself of

the facilities transportation services

as well as family, friends and staff.

Staff could help to encourage the

enjoyment of his hobby by enlisting

him to be the facilities resident

photographer.

Staff could foster social get

togethers or mixers so the client as

well as others have more opportunity

to meet new faces and get to know

them better.


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2) Health and Wellness: Potter and Perry (2009), Chapter 6Interview and assess a client regarding his/her perception of current status of wellness-illness. Apply

knowledge and skills gained in NURS 3032 Therapeutic Communication to interact with the client. The

intent is to provide opportunity to explore how the person feels in each of the following five dimensions

at this given point in time: Physically, psychologically/emotionally, intellectually/cognitively, socially,

and spiritually.

1. Prior to the interview prepare question(s) for each of the five categories stated above.

2. Explain the intent of your assignment to the client.

3. Conduct interview/assessment

4. Using open-ended questions, ask the client about his/her state of being (how s/he is feeling) in each

of the categories.

5. Write brief quotes from the client in the appropriate column.

6. Over-all, how did your client perceive him/herself: Healthy? Well? Was this different from how you

perceived the client? Describe how? Elaborate on their input.

7. What other internal and external variables did you discover? (See Potter & Perry, page 73-74).

8. Include self-evaluation of strengths and weaknesses of the interview.

9. Submit to instructor for grading on the WebCT assignment site.

Client Interview: States of Wellness-Illness

Interview the client on his/her current state of health in the five dimensions.

Physical Dimension Question(s)

How do you currently view your personal health?

Responses

Even with a plethora physical maladies, the client

still seems himself in general good health. He

considers himself lucky to be in such a nice facility

with so many people to take care of him.

Psychological/Emotional Dimension Question(s)

How happy have you been able to stay here at this

facility?

Client has very positive outlook on his overall

happiness. He recently celebrated his 96th

birthday

and his 70th

wedding anniversary. He keeps busy

with his favorite hobby, photography.

Intellectual/Cognitive Dimension Question(s)

How have you been able to stay mentally active?

Client was a Professor/Doctor of Animology &

Botany at the University of Arkansas. He still keeps

his mind sharp by reading, surfing the internet,

listening, observing. He recently turned over some

of his professional animal photography to the UA.

Social Dimension Question(s)

How often you have friends and family over to

visit? What do you do to keep your spirits up?

Client responded that, his daughters are not able to

come since they both live far away, but they do


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come when they can. He does his best to keep

busy and tries to socialize with others at the

facility.

Spiritual Dimension Question(s)

I know that you adhere to the Baptist faith. How

often do you get to go to church services?

Client responded that, I dont get to go often butthey do sometimes have services here at the

facility.

Persons perception of his/her own wellness/illness? Was this different from your perception? How?

Internal variables you discovered?

Self-Evaluation: Your own strengths and weaknesses (areas to work on) related to the interview:

3) Client Interview: Culture and Ethnicity: Potter and Perry (2009), Chapter 9The intent of this assignment is to explore how culture influences the individual especially in the area of

health practices to prevent illness and to maintain and/or restore health. If you have the opportunity, within

your agency, to interview someone from another country, thats great. Realistically, this is unlikely. Focus

your interview on exploring differences within our so-called dominant culture.

1. Prepare the client for the interview2. Use the following format for questions.3. Column one: Elicit a minimum of two preventive health care practices and two maintenance or treatment

practices of illnesses which the client learned while growing up. Example: Takes lemon juice in hot water

to promote bowel function every morning; takes diabetic medication every day; visits chiropractor for back

pain.4. Column two: Describe how/where/when the client developed the practice. Examples: Taught by mother as

a child; prescribed by physician; recommended by a friend.

5. Column three: Estimate the degree of value the practices have for the clienta. Strongly valuesbelieves its helpful and practices it consistentlyb. Moderately values itbelieves it may help some and practices it on an irregular basis when

remembered or other measures fail

c. Slightly values it; doesnt believe it helps and rarely practices itCulture and Health Practices Assessment Guide

Preventive Health Practices How, When, and Where AcquiredDegree of Value

What do you or have you done to

stay or keep healthy? Are there

Overall the client does not believe in too many

folklore remedies since he is formally

The client does not put

much stock into either


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any alternative preventive health

practices that you have used?

Are there any maintenance

preventive health practices that

you have used?

educated and a scientist at heart. He did

mention that his mother used to give his

family castor oil to keep them digestively

regular and healthy. He also mentioned

that his Grandmother used to rub her aching

joints with hot vinegar before going to bed.

Client mentioned that he has remained

physically active most of his 96 years by

walking everywhere he went. He also

presribes to a happy marriage as helping him

remain healthy. He obviously is doing

something right since hes already 96!

one of these Old

Folk-Home Remedies

anymore.

The Client firmly

believes in exercise of

the body, mind and

spirit. He also says

that a good marriage

is healthy for a long

life and heart.

Strengths and weaknesses of the interview process:

Some strengths during the interview were using probing questions helping to unearth more information on each

topic. Unfortunately, the client was very sleep due to eating and being of 14 different types of meds. It was very

challenging trying to work around this and keep him awake long enough to finish.

Some weaknesses were I should have taken my time more and spaced out the interview over a couple of days

instead. Also, I could have asked staff when his eating and med admin. were normally given so as to work around

the tiredness.

Pbl 8/11

Documents

3 Part Client Interview