Assessment of the situation:
W.J is a 41-year-old single Caucasian female who voluntarily entered the urgent treatment units for profound level of depression, increased auditory hallucinations, and increased suicidal thoughts on September 6th, 2015. The patient has a history of unrelenting cycles of binging and purging resulting in a prolapsed rectum requiring recent surgical interventions. The patient also has medical diagnosis of HPV, and UTI. The patient has a history of s/p prolapsed rectum requiring recent surgical intervention. She also reports a history of physical abused from her biological father since childhoods.
Interactional Environment (setting):
I approached W.J as she was writing her progress note in the eating disorder …show more content…
This conveys to the client that you are involved in the interaction, interested in what is being said, and making a sincere effort to be attentive” (Townsend, 2015, p.136).
Verbal 2: “I just ate my breakfast, and I feel I’m ugly and fat.”
The patient has the misperception about her body image.
“Verbalizes that image of body as “fat” was misperception (Townsend, 2014, Pg270).”
Nonverbal#2 breaks eye contact
Eye Contact Breaking eye contact can reduce stress or signify that one feels uncomfortable (Townsend, Pg. 153, 270)
Verbal 3: “You think you are fat and ugly, but in realistic you are not fat and ugly. What makes you think that way?”
A student nurse gave her perception is unrealistic.
“Help client realize that perception is unrealistic, and explore this need with him or her (Townsend, Pg. 265).”
“The nurse should aim to provide help and support ina way that will heighten confidence and allow the patient to live their lives as they choose (Naomi).”
Non verbal 3: Pauses, leans closer.
“When someone leans in while having a conversation it shows the individual that is being listened to that the listener is interested in what is being said. (Townsend, 2014, Pg.