Description: Four short-essay questions Value: 40% Length: 1600 words (maximum) Clinical scenario Angelo is a 19-year-old man. He lives with his parents and he is an apprentice diesel mechanic....

Essay 1
Communication plays vital role between expertise of nurse about drugs and her contribution to providing excellent care to patient. It may seem as simple task to communicate with patient but it needs practice as well as knowledge so as to encourage healthcare provider’s respect enabling us to obtain complete and accurate history. Several communication techniques are used with patients including active listening, building rapport, empathy, open ended and close ended questions, leading questions, why questions, non ve
al communication as well as silence (Boissy A et al, 2016). Introducing me along with all present at site followed by building rapport is crucial as they will help to make Angelo comfortable to discuss the condition. Active listening as well as empathy is also important to comfort patient. However, in case of Angelo as he is not forthcoming with personal information, in order to obtain his clinical history I would prefer technique of adaptive questioning which is also known as guided questioning that would help to encourage Angelo to communicate openly without any inte
uptions to his na
ative (Constand MK et al, 2014). Starting with general questions to moving to specific ones must surely help to move through interview in efficient and productive way. Nursing health assessments requires questioning eliciting graded Reponses versus a yes/no reply. Asking a series of question, one at a time of course would certainly help Angelo to open up followed by offering him choices for answers. Also, non ve
al communication technique such as eye contact, posture and facial expressions helps to empathize well along with further presenting arguments for health history assessment.
Another communication technique that must be used for Angelo case is silence and why questions. Wherein, silence after a question plays crucial role giving some time to Angelo for reflecting upon the question and providing an accurate as well as more thoughtful response. However, sometimes silence may mean that patient didn’t understand the question. This difference can be understood with the help of non ve
al cues. Also, the why questions are helpful to diagnose the clinical history but the language here matters a lot, asking a straight why question may make patient feel need to defend his actions and choices thus what method of communication must be prefe
ed over why method. These can help to make Angelo come forth to share personal as well as medical information. Family members may be cross examined with doubts and queries so as to fetch the relevant and accurate information.
Essay 2
Psychosis is a condition wherein the way of processing information by
ain is affected. The touch with reality may be lost because of psychosis. Angelo’s history stating that he sometimes talks to himself indicates he see, hear or believe things which are not real. It is not an illness but a symptom caused because of substance abuse (Cannabis in case of Angelo), extreme stress or trauma or physical illness (Forsaa EB et al, 2010). Disorders such as schizophrenia may involve psychosis affecting individual in late teen or early adulthood as in case of Angelo who is just 19 years old and is more likely to get it. Psychosis doesn’t start all of sudden instead a pattern is generally followed which includes warning signs. Gradually the thinking and understanding of world changes which may be felt by patient of his family with indicators such as fall in job performance or grades (Poor job performance in case of Angelo), issue in concentrating or thinking with clarity, feeling of uneasiness or suspiciousness around others, hygienic and self care lacks, no emotional or stronger emotions and spending more alone time. Some of the early psychosis signs or primary features of a psychotic penetration includes seeing, tasting or hearing things which other people don’t, pulling away from friends and family members, abiding at unusual thoughts in spite of others declining same, inability to focus or think clearly and stop taking care of oneself. However, in case of psychotic episode there are generally hallucinations which may be tactile, auditory or visual along with Delusions such as control of actions and feelings by outside forces, small comments leading to huge meanings and behaving as if there are special powers/missions for patient (Forsaa EB et al, 2010).
Psychosis is basically a defining feature for disorders of schizophrenia spectrum which is a common but variable feature of substance use disorder or mood, and a more common indication of several acquired, developmental as well as degenerative medical and...