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Mrs. Kathleen Jones Gender: Female
Age: 41 Ethnicity: Caucasian
Education: Associates Degree Income: Private employment, Private Insurance
Religious/Spirituality: Methodist Family: Husband, Son 22 diagnosis of schizophrenia, Daughter 16 deceased suicide 1 year ago
Diagnosis: Major Depressive Disorder (MDD)
Chief Complaint
“There is no point to my life, I want to end it all.”
History of Present Illness
Client admitted following husband calling an ambulance when Kathleen was found unconscious in the family home. Kathleen has been on the unit for 3 weeks, she has limited interaction with other clients in the milieu. She prefers to sit alone near the window and keeps her body in a hunched position with her eyes downcast.
Kathleen admits to taking several of her sleeping pills in an attempt to commit suicide. Kathleen’s husband has limited contact with her and when he does visit he makes no physical contact and only stays briefly. The client and her husband do not appear to converse when he visits.
Kathleen has stated several times in therapy that she intends to attempt suicide again if given the chance and has recently been discovered cheeking her pills.
Past Psychiatric History
No previous psychiatric treatment or hospitalizations. Prescriptions for escitalopram and zolpidem. Under care of a general physician for medication.
Substance Abuse History
Patient has history of tobacco and alcohol use, denies recreational drug use. Pt. spouse confirms.
Family History
Client’s parents both alive ages 70 (mother) and 86 (father) and have no psychiatric history. Both parents have hypertension and her father has type II diabetes. Client has 1 brother (age 45) with a diagnosis of hyperlipidemia, hypertension and bipolar disorder.
Social History
Client born and raised in the United States. Father in the military and frequently moved during childhood. Client married her husband at age 18 and had 2 children. A son who is 22 with a diagnosis of paranoid schizophrenia and a daughter that would be 17, died 1 year ago at the age of 16 to suicide. She is an accountant and financial advisor. She is insured and on FMLA. No financial concerns. Client is Methodist and questioning her faith in a higher power. Has a prior history of alcohol addiction and frequented Alcoholics Anonymous meetings prior to the death of her daughter when she began drinking again.
Mental Status Exam
Client presenting to the day room in pajamas, states that she is too tired to dress. Has not showered in several days and has a stooped posture. She has orders for psychotherapy and group therapy and states that there is no point in attending because nobody could understand what she is going through. She continually attempts to go back to her room and has begun hiding pills during medication pass, which was discovered upon a room search.
Past Medical History
Wisdom teeth removal 15 years ago
Cesarean section 22 years ago and 17 years ago
Medications
Escitalopram 20 mg PO Daily
Zolpidem 10 mg PO HS
Allergies
Aspirin
PCN
Questions:

  1. What information is pertinent to you as the nurse?
  2. What do you think the problem is?
  3. Prepare a list of goals for the interview
  4. Write down a few sentences of how you will introduce yourself to the client
  5. Write down a list of questions you will ask the client

Sample Answer

Compelling correspondence is essential to the achievement all things considered but since of the changing idea of the present working environments, successful correspondence turns out to be more troublesome, and because of the numerous impediments that will permit beneficiaries to acknowledge the plan of the sender It is restricted. Misguided judgments.In spite of the fact that correspondence inside the association is rarely completely open, numerous straightforward arrangements can be executed to advance the effect of these hindrances.

Concerning specific contextual analysis, two significant correspondence standards, correspondence channel determination and commotion are self-evident. This course presents the standards of correspondence, the act of general correspondence, and different speculations to all the more likely comprehend the correspondence exchanges experienced in regular daily existence. The standards and practices that you learn in this course give the premise to additionally learning and correspondence.

This course starts with an outline of the correspondence cycle, the method of reasoning and hypothesis. In resulting modules of the course, we will look at explicit use of relational connections in close to home and expert life. These incorporate relational correspondence, bunch correspondence and dynamic, authoritative correspondence in the work environment or relational correspondence. Rule of Business Communication In request to make correspondence viable, it is important to follow a few rules and standards. Seven of them are fundamental and applicable, and these are clear, finished, brief, obliging, right, thought to be, concrete. These standards are frequently called 7C for business correspondence. The subtleties of these correspondence standards are examined underneath: Politeness Principle: When conveying, we should build up a cordial relationship with every individual who sends data to us.

To be inviting and polite is indistinguishable, and politeness requires an insightful and amicable activity against others. Axioms are notable that gracious “pay of graciousness is the main thing to win everything”. Correspondence staff ought to consistently remember this. The accompanying standards may assist with improving courtesy:Preliminary considering correspondence with family All glad families have the mystery of progress. This achievement originates from a strong establishment of closeness and closeness. Indeed, through private correspondence these cozy family connections become all the more intently. Correspondence is the foundation of different affiliations, building solid partners of obedient devotion, improving family way of life, and assisting with accomplishing satisfaction (Gosche, p. 1). In any case, so as to keep up an amicable relationship, a few families experienced tumultuous encounters. Correspondence in the family is an intricate and alluring marvel. Correspondence between families isn’t restricted to single messages between families or verbal correspondence.

It is a unique cycle that oversees force, closeness and limits, cohesiveness and flexibility of route frameworks, and makes pictures, topics, stories, ceremonies, rules, jobs, making implications, making a feeling of family life An intelligent cycle that makes a model. This model has passed ages. Notwithstanding the view as a family and family automatic framework, one of the greatest exploration establishments in between family correspondence centers around a family correspondence model. Family correspondence model (FCP) hypothesis clarifies why families impart in their own specific manner dependent on one another ‘s psychological direction. Early FCP research established in media research is keen on how families handle broad communications data. Family correspondence was perceived as an exceptional scholastic exploration field by the National Communications Association in 1989. Family correspondence researchers were at first impacted by family research, social brain science, and relational hypothesis, before long built up the hypothesis and began research in a family framework zeroed in on a significant job. Until 2001, the primary issue of the Family Communication Research Journal, Family Communication Magazine, was given. Family correspondence is more than the field of correspondence analysts in the family. Examination on family correspondence is normally done by individuals in brain science, humanism, and family research, to give some examples models. However, as the popular family correspondence researcher Leslie Baxter stated, it is the focal point of this intelligent semantic creation measure making the grant of family correspondence special. In the field of in-home correspondence, correspondence is normally not founded on autonomous messages from one sender to one beneficiary, yet dependent on the dynamic interdependency of data shared among families It is conceptualized. The focal point of this methodology is on the shared trait of semantic development inside family frameworks. As such, producing doesn’t happen in vacuum, however it happens in a wide scope of ages and social exchange.

Standards are rules end up being followed when performing work to agree to a given objective. Hierarchical achievement relies significantly upon compelling correspondence. So as to successfully impart, it is important to follow a few standards and rules. Coming up next are rules to guarantee powerful correspondence: clearness: lucidity of data is a significant guideline of correspondence. For beneficiaries to know the message plainly, the messages ought to be sorted out in a basic language. To guarantee that beneficiaries can without much of a stretch comprehend the importance of the message, the sender needs to impart unmistakably and unhesitatingly so the beneficiary can plainly and unquestionably comprehend the data.>

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