Case Study 1

The psychiatric nurse is initiating an interview with Mr. Johnson. He is a 33-year-old male client admitted to the Behavioral Center with a diagnosis of schizophrenia. The nurse begins the interaction by saying, “How shall we start today?”

Why is this an appropriate opening statement to initialize a clinical interview session?
Why should the nurse use simple, concrete, and direct messages with the client? (Hint: refer to Chapter 6)

Case Study 2

John is a 37-year-old client who has recently attempted suicide. The nurse has brought John bath linens for his bath. The psychiatric nurse’s cell phone rings and she answers and speaks to a friend. John is telling the nurse that his mother is visiting him this afternoon and he does not want her to know why he has been admitted to the psychiatric unit. The nurse asks, “What did you say?” John repeats his request to the nurse. The nurse tells John, “I will not share information with your family or friends without your permission.”

That afternoon, the client’s mother visits John and asks the psychiatric nurse the reason her son has been admitted for treatment. The nurse tells John’s mother that he took a bottle of Tylenol and a friend took him to the emergency room.

What component of the nurse-client relationship has the nurse violated? (Hint: refer to Chapter 5)

Psychiatric-Mental Health Nursing 8th edition Sheila Videbeck

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