NR509 Week 4 Discussion: Client Challenges

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Description

Total Points Possible

This discussion is worth a total of 75 points.

Preparing the Discussion

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.

General Instructions

Some clients present specific challenges during the interview and physical examination. Nurse practitioners (NPs) must be able to identify behaviors that impede the assessment and consider strategies to communicate effectively with these clients. This week, you will create a scenario that could occur in NP practice in which a client displays a challenging behavior as assigned below.

Your topic is assigned based on the first letter of your first name. For example, if your first name is Grant then your assigned topic is communicating with a flirtatious client.

The First Letter of Your First Name	Topic
A – D	Argumentative client
E – H	Flirtatious client
I – L	Talkative client
M – P	Client who displays racist or discriminatory behavior
Q – T	Adolescent client who is reluctant to answer questions
U – Z	Violent client

Solution

ARGUMENTATIVE CLIENT
This was an actual scenario that I witnessed that happened sometime in the Emergency Department several years ago.
A. SCENARIO:
Mr. A is a 25 years old male patient who came to the emergency due to left ankle pain he acquired after playing football x 2 days.  there were 10 patients waiting to be seen by the emergency providers that were categorized as level 3 in triage, meaning that there will be 2 or more treatments needed for each patient.  Mr. A was triaged and categorized as level 4 by the triage nurse who explained to him that there were 10 patients prior to him and he needs to wait approximately 60 minutes or longer since he was considered a minor case patient and was advised if he is willing to visit urgent care instead, but he refused…

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