Psycho-social Post Response

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What the interviewers did well and areas of improvement.
Overall I found both the interviewers quite competent at their job, however I particularly enjoyed the interviewer that talked with the individuals with psychosis and depression. I found her demeanor to be very open and inviting. She never interrupted the people while they were talking and always asked very insightful questions. She didn�t solely focus on the individuals mental health, but on all aspects of their daily life like sleeping patterns, eating habits, etc. She would ask them to elaborate in certain instances if she wasn�t entirely clear what they meant to ensure a full assessment. She didn�t shy away from asking the uncomfortable questions (such as the individual�s sex life in the depression video). She routinely acknowledges the difficulty that the individual might be experiencing as well. In ending the session, she always discusses treatment options with the patient and introduces this in a way that allows the patient to have a say, which I also really liked.
While I feel the first interviewer also did a good job, I feel like she struggled a bit more on keeping the interview focused on the main topic at hand. She frequently interrupts him while he�s speaking, however, he also interrupts her while she is speaking as well. She does try to address certain issues like sleep patterns, though patterns, family history, etc. However, due to the patient�s manic state, I think she found it difficult to get clear answers from the patient. I think she could work on better focusing the patient on the issue that needs to be discussed. She did attempt this at the end but the patient was very insistent on discussing this book. I�m wondering if maybe this match up of individuals wasn�t the best to ensure a therapeutic relationship could be established.
What are some challenges you would face when conducting this kind of interview?
I feel as though I would also struggle with the patient in a manic state. I would find it difficult to refocus the patient if they were very adamant on discussing something else. In that sense I can see why the interviewer had such a difficult time in the video because I could imagine I would have many of the same difficulties.
How would you as a nurse maintain a therapeutic relationship with clients in the videos above?
I would try to be as open and inviting as possible. I would strive to make them feel comfortable with me asking them these questions. I would do my best not to have a judgmental tone, and ensure that I am not making them feel �stupid� or �crazy� in regards to what they�re discussing with me. I would strive to develop a therapeutic relationship through the use of therapeutic communication. As stated in Berman and Snyder �therapeutic communication consists of specific techniques, including the use of open- ended questions, touch, focusing, giving information, acknowledging, clarifying, reflecting, silence, and offering self� (Kleier, 2013, p. 110). Through the use of therapeutic communication, �the goal of establishing a nurse-patient relationship based on mutual trust and respect� (Kleier, 2013, p. 110) would be the outcome I would strive for.


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