client’s treatment of hypertension.

/ Uncategorized / By

ANSWER

Client who is arguing: Nurse Practitioner (NP) The scene of the interaction is a family medical clinic during a standard physical examination.
Type of Interaction: A 45-minute discussion about the client’s treatment of hypertension.
Profile of the Client:
Mrs. Jane Smith is her name.
52 years of age
Presenting Problem: Chronic hypertension whose symptoms are getting worse because of non-adherence to lifestyle and medication advice.
The challenging behaviours of the client
Argumentative Tone: Mrs. Smith regularly interrupts the NP to argue that she “feels fine without them” and contests the need for medication.
Defensiveness: Acts defensively when asked about her exercise and salt consumption, claiming the NP is being unduly harsh.
Expresses scepticism about medical advice by asserting that “Doctors just push pills because it’s profitable.”
Behaviour of the Client Affects the Client-Provider Relationship
Erosion of Trust: Defensive and argumentative conduct might impede the growth of a trustworthy relationship, which makes it challenging for the NP to deliver quality care.
Communication Barriers: The customer frequently interrupts, which throws off the conversation’s flow and makes the NP’s explanations less effective.
Suboptimal Health Outcomes: Long-term health issues could arise from non-compliance and a lack of trust, which could worsen the client’s condition.
Methods to Improve Interaction and Handle Conduct
Establish rapport and trust:

To validate the client’s sentiments, ask open-ended enquiries and practice active listening.
For instance: “I know that all of the suggestions are overwhelming you. Let’s discuss the issues that most worry you.
Empathic Method:

To lessen defensiveness, acknowledge the client’s problems.
For instance: “You seem to have had some bad encounters with medical care. My goal is to help you figure out what’s best for your health.
Motivational Interviewing:

Assist the client in examining the effects of their decisions and determining why they want to change.
Example Question: “How would you define maintaining a healthy range for your blood pressure? How might that affect your day-to-day activities?
Credible Education:

Address misunderstandings with facts supported by proof.
For instance: “Research has indicated that the risk of heart disease is increased when high blood pressure is left untreated. Together, let’s see how we can handle it.
Making Decisions Together:

To empower the client and promote teamwork, involve them in their care plan.
For instance: “Would you like to try adjusting your diet first and then reassess your medication in three months?”
Examples of Documentation
Date: [Insert Date]
[Insert Time]

Subjective:

The client says she stopped taking the prescribed amlodipine two months ago and is unhappy with the way her hypertension is being managed. acknowledges having periodic headaches but does not report any signs of concern. expresses scepticism about medicine and doubts the need for therapy.
Goal:

The blood pressure was raised from 140/85 mmHg to 160/95 mmHg.
78 beats per minute is the heart rate.
31 is the BMI.
Evaluation:

poorly managed hypertension as a result of non-adherence to medication.
Citing mistrust of pharmacological therapies, the client shows resistance to medical counsel.
Plan:

Provide evidence-based instruction regarding the dangers of hypertension and the advantages of therapy to allay the client’s worries.
Use motivational interviewing to find goals that are in line with the client’s values and investigate obstacles to adherence.
Create a staged treatment plan that begins with food changes and a gradual return to medication.
Provide informational resources for managing hypertension.
Four weeks from now, schedule a follow-up to examine progress and reassess blood pressure.
Combining the Evidence
Rollnick, S., Miller, W. R., & Butler, C. C. (2008) are cited. In the medical field, motivational interviewing is used to assist patients in altering their behaviour. The Guilford Press.
This resource focuses on motivational interviewing techniques for improving communication and encouraging behaviour change in clients who are resistive.
In order to enhance health results and preserve a good client-provider relationship, this strategy tackles the client’s problematic behaviours while creating a cooperative and encouraging atmosphere.

 

 

 

 

 

QUESTION

Argumentative Client

  1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
    1. Create a scenario depicting an interaction between an NP and a client. Describe the setting and type of encounter.
    2. Describe the client’s challenging behaviors related to the topic assigned.
    3. Examine the potential impact of the client’s behavior on the client-provider relationship.
    4. Analyze techniques to enhance communication with the client and address the client’s behavior.
    5. Create sample documentation for the encounter.
  2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations.
    1. Cite a scholarly source in the initial post.
Scroll to Top