NURSING 432- FA Davis Dickerson: Collin Dickerson | Interview the Patient | Review Answers and Rationale.

Erika Hightower Collin Dickerson Collin Dickerson | Interview the Patient | Review Back Continue Answers and Rationale Your responses and feedback are displayed below. For more information regarding feedback, click "Help". When you are finished reviewing, click "Continue" to proceed to next section. 1. Do you find yourself constantly “on the go” or talking all the time? Rationale Relevancy Your Answer Being “on the go,” constantly in motion, and talking all the time are key indicators of the hyperactivity component of ADHD. Collin has denied these symptoms, substantiating that he primarily has concerns with maintaining attention and focus. Irrelevant Irrelevant Client’s Mother: Collin has always been very active. We used to call him our “perpetual motion machine.” He just has a lot of energy. Client: I don’t like to sit around and be bored. I like to do things. 2. When did you begin experiencing difficulty? Rationale Relevancy Your Answer ADHD symptoms must have lasted for at least 6 months; therefore, the provider must establish the correct timeline for the onset or first realization of symptoms. Relevant Relevant Client’s Mother: Collin has always been very active and an “in your face” kind of kid. However, the last year has become increasingly difficult. Client: The teacher always picks on me. 3. Is it hard for you to get organized to do your homework, such as making sure you have all of your books and the supplies needed to do the work? Rationale Relevanc y Your Answer Establishing whether the client can organize himself to do work is important as this is a supportive diagnostic criterion of ADHD. Individuals with ADHD often appear not to be listening even when they are spoken to directly. This is another supportive diagnostic criterion to establish a diagnosis of ADHD. Relevant Relevant Client: (Initially, does not hear the question, so it has to be repeated.) Ask my mom. I never have everything I need. I’ll have the pencils and paper and forget the textbook at school. Or, I’ll have the textbook and forget the assignment sheets that the teacher gave me. Or, I’ll lose the assignment sheet or the book and can’t remember what I did with them. It’s like I’m too dumb to keep up with anything. My school binder and notebooks are disorganized. I have papers falling out and often cannot find important notes or assignments. 4. Do you find that teachers or your parents easily annoy you? Rationale Relevancy Your Answer Disobedient and hostile behavior toward authority figures is associated with oppositional defiant disorder, not ADHD. Irrelevant Irrelevant Client: No, I seem to annoy them though. 5. What have you been told about Collin’s diagnosis? Rationale Relevancy Your Answer Assessing the client/family knowledge level is important in order to provide appropriate client teaching. Relevant Relevant Client’s Mother: They told us that Collin has ADHD. I have read a little about it but I am not sure about the diet that he should be on. Client: Maybe I should just try harder to listen and sit still. 6. Do you find that even when you do your homework you are making mistakes that you later consider to be careless or silly errors? Rationale Relevanc y Your Answer Individuals with ADHD often admit to making careless mistakes when performing schoolwork or chores. These mistakes later might seem very obvious to the individual, but at the time they were required to focus on the task at hand they were unable to concentrate effectively to perform accurately. Relevant Relevant Client: Yes, I study my spelling words, but when we have the test, I just make dumb mistakes. 7. Do you have feelings that drive you to run away from home, skip school, or not come home at night when your parents are expecting you? Rationale Relevancy Your Answer Staying out at night without permission, running away from home, and truancy from school are behaviors associated with conduct disorder, not with ADHD. Irrelevant Irrelevant Client: No. 8. Are you unable to read over your schoolwork instructions completely before working on an assignment? Rationale Relevanc y Your Answer In order to confirm a diagnosis of ADHD, it is important to establish at least six inattentive symptoms consistent with ADHD. At this point in the interview, the client’s response indicates that he is having trouble following through on instructions consistently, which is supportive of the diagnosis of ADHD. Relevant Relevant Client’s Mother: The teacher said he gets easily distracted and then seems to forget what he should be doing so none of his work gets finished in class. Client: It seems like noise and stuff bothers me, like when people get up to sharpen pencils or if I see someone walking outside when they go by the windows. I stop and look or listen, and then I kind of forget what I’m supposed to be doing. 9. Have you ever stolen or vandalized something or used a weapon because of your anger? Rationale Relevancy Your Answer Stealing, vandalizing, and using weapons are associated with conduct disorder, not with ADHD. Irrelevant Irrelevant Client: No. Why are you asking me these questions? Client’s Mother: Collin has always tried to be good. He has never done anything really bad. 10. You said that sometimes you cannot think. Do you find that it’s easier to concentrate on schoolwork at home rather than at schoo