ASSIGNMENT | Have you had thoughts about harming yourself?

Response to collegues
Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.
Collegue #2
Jessica\’s Tasker Main Post
COLLAPSE
Cultural Competence
As an advanced practice nurse, understanding socioeconomic, cultural factors, spiritual preferences, and patient lifestyle choices are essential for appropriately treating patients since these factors affect one\’s health (Ball et al., 2019). APRNs must be culturally competent to take care of their patients. Cultural competence is interacting and understanding people from different cultures (Ball et al., 2019). Cultural competence acquires obtaining a set of behaviors applied to caring for a diverse group of patients in one’s career (CDC, 2020).
Explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned.
In the assigned case study for this week, the APRN can see that the patient is in her teens. She was living with her grandmother and is obese on no medications. The patient’s mom is a drug addict incarcerated and recently has not enjoyed activities she used to enjoy, such as singing in the youth choir. Knowing that the patient has been acting strange and not doing things she wanted should alert the APRN that she may be depressed. Adolescents who have parents in jail are at elevated risk for mental health issues (Davis & Shlafer, 2017). Depression is also associated with teens who experience stressful life events, drug abuse, female gender, and lack of social support (Anosike et al., 2020).
As a teen girl, having the help of her mother is essential. BK could have been close to her mother before her incarceration. Not having her mother as a support person at this age could be hard on her. Change in family structure can also play a role in shifting the patient\’s attitude (Davis & Shlafer, 2017). Grandparents caring for adolescents often have fewer resources, multiple needs, and health problems affecting one\’s relationship (Davis & Shlafer, 2017). The patient also seems to have religious views or is exposed by being in the youth choir. Sigurvinsdottir et al. (2021) state that religious participation did not relate to depression. It cannot be assumed that because the patient may have religious values that she would not be depressed. Many adolescents find comfort in their family\’s cultural traditions (Ball et al., 2019). Assessing why BK does not attend choir anymore may open an opportunity to explore this cultural characteristic of the patient.
Explain the issues that you would need to be sensitive to when interacting with the patient and why.
Issues the APRN would need to be sensitive to are the fact that BK is obese. Young girls in this age group face multiple pressure to fit in. More often than with boys, teenage girls face challenges with body image through peer pressure, social media, and high sexual harassment in schools across America (Nemiary et al., 2021). BK could be struggling with self-image leading to her behaviors. Stressful life events, teasing of pears place teenagers at higher risk of depression (Meniary et al., 2021).

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Sensitivity would be required when discussing the home environment, being that her mom is incarcerated. Discussing BK\’s situation with her mother may be a challenging topic to discuss with her. The patient is experiencing internal conflict that could be coming from living with her grandmother, her mother is incarcerated, and exposure to drug abuse at such a young age. APRNs must learn to be culturally sensitive to socioeconomic, religious, lifestyle choices that could be affecting BKs health.

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Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks
Obtaining an accurate health history from adolescents may be challenging. Confidentiality is essentially vital to young adults (Ball et al., 2019). Interviews cannot be hurried when assessing patients for depression, especially in adolescent patients (Ball et al., 2019). Trust is also an essential factor in the provider-patient relationship for this age group (Ball et al., 2019). In this age group, giving information in the presence of a family member may be difficult. Asking the grandmother to step out during the interview process will aid in obtaining information from BK.

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• Have you had thoughts about harming yourself?
• When did you start losing interest in things you once enjoyed?
• How are things at home?
• What are your favorite things to eat?
• Have you participated in any risky activities, with or without friends?

SAMPLE SOLUTION

The manner in which a patient interprets questions during an assessment process will determine not only how they respond to the questions but also the effectiveness of the set | PLACE YOUR ORDER NOW AT writtask.com | need to be well thought so as to elicit responses that will form the basis for a proper healthcare plan. The questions asked in this discussion have gone straight into understanding the | PLACE YOUR ORDER NOW AT writtask.com | very direct and meant to elicit reaction from the patient in as far as the lifestyle is concerned (Revicki et al., 2014). Asking a question such as whether the patient has had thoughts of harming herself and then the onset of when the client started losing interest in things she once enjoyed…