UNIT 8 . Assisting with Examinations apter Application se Studies
UNIT 8 . Assisting with Examinations apter Application se Studies with Critical Thinking Questions enario 1 rome comes into the clinic today to have his blood pressure checked. When going over his history he starts tell you that he is under a lot of stress at home and at work and sometimes feels extremely overwhelmed. e seems embarrassed to talk about it but states he sometimes feels like giving up. What information do you need to gather from Jerome? 2. What resources are available to give Jerome? Scenario 2 You are working with Dr. Ling and a 42-year-old male new patient comes in to talk about a recent back injury that occurred. He tells you he had a tumble down the stairs a few days ago and is now having a lot of pain in his back. He repeatedly tells you that he wants something stronger prescribed like “oxys” for his pain, as he has been taking ibuprofen and it has been ineffective. He denies using alcohol or any other substances, although you can clearly smell alcohol on his breath and his speech is slurred. When you ask him to sign a release to get his prior health care records transferred to your clinic, he states that he does not remember the name of the clinic or physician he had seen in the past. 1. What might be going on with this patient? 2. What referrals or treatments may the provider indicate for the patient? Competency Practice 1. Responding to Abnormal Behavior Patterns. Role play responding appropriately to a patient that displays abnormal behavior patterns during a patient education interaction. Use Procedure 40-1 as a guide along with the scenarios provided below. PROCEDURE 40-1 SCENARIO The following scenarios are provided for use with the Competency Checklists. They are optional; instructor may modify the scenario or make up their own. PROCEDURE 40-1 SCENARIOS (Abnormal Behavior) Scenario A Mike Thompson is a 55-year-old patient of Dr. Marita Carey. Dr. Carey has asked you to provide education a referral to a counselor. As you begin to discuss the information with Mr. Thompson, you note that he is making eye contact, his responses are abrupt and loud, and he seems angry and agitated. Scenario B Kate Massengale is a 50-year-old patient of Casey Mountjoy, FNP-C. MS. Massengale is being seen for a fo up for a medication check that was prescribed a month ago for depression. During the screening, Ms. Mas gale seems groggy, lethargic, and confused. She has a hard time following questions and answering app ately. You noted on your way to the exam room, that Ms. Massengale was having difficulty walking to the and was stumbling. 2022 Cengage Learning, Inc. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
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