Melissa Finlay
Melissa Finlay | Interview the Patient | Review
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Answers and Rationale
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1.
What are some changes that you have noticed in your health status lately?
Rationale Relevancy Your Answer
Determining the client’s history is important to assess
the physiological impact of the illness. Relevant Relevant
Client: I seem to be cold all the time and I can’t seem to keep warm. I don’t get dizzy that
often—just in cheer practice mainly. I haven’t had a menstrual period in about 6 months.
2.
What do you see when you look in the mirror?
Rationale Relevancy Your Answer
Assessing the client’s body image is important. Relevant Relevant
Client: I am concerned I will be dropped from the team. All the other girls look good and I
just feel like an elephant next to them.
3.
Do you ever experience feelings of sadness, hopelessness, or anxiety?
Your
Rationale Relevancy Answer
Feelings of depression and anxiety are common with
individuals who are diagnosed with an eating disorder. Relevant Relevant
Client: Sometimes I just think that I am no longer in control and that makes me anxious.
4.
Tell me about your eating and exercise patterns.
Rationale Relevancy Your Answer
It is important to assess the client’s perspective
about her own health. Relevant Relevant
Client: I think it is okay. I try to eat healthy and exercise to stay in shape but sometimes it
doesn’t matter what I do, I just can’t seem to achieve my goals.
5.
, Do you ever feel like your thoughts are racing?
Rationale Relevancy Your Answer
There has been no indication that the client is
experiencing racing thoughts. Irrelevant Irrelevant
Client: No, although sometimes I just find it difficult to concentrate. Learning a new cheer
routine isn’t as easy as it used to be.
6.
Tell me about your relationship with your mom.
Rationale Relevancy Your Answer
Melissa and her mother have indicated that they have
conflict over Melissa’s eating patterns. Relevant Relevant
Client: She always tries to control me. She stresses me out.
Client’s Mother: I just want Melissa to be okay. I think if I don’t keep things under control,
she will get sick. I hate it when we fight.
7.
How often do you drink alcohol?
Rationale Relevancy Your Answer
There is no indication that Melissa is abusing
alcohol. Irrelevant Irrelevant
Client: I never drink alcohol. Do you know how many calories it has?
Copyright @2017 by FA Davis
Melissa Finlay | Assess the Patient | Review
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Answers and Rationale
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Auscultation
Palpation
Inspection
1.
Assess Melissa’s blood pressure.
Your
Rationale Relevancy Answer
Assessing baseline vital signs is important. Melissa is
exhibiting signs and symptoms of physiological
complications as a result of her anorexia. Relevant Relevant
Assessment Data/Patient Results: Melissa’s heart rate and blood
pressure is lower than normal.