The nurse started off with using open ended questions, personal questions with some paraphrasing. The nurse dismissively told the patient, already extremely distressed, a diagnosis of "worry." This is not a good idea as it will make the patient feel even more worse than she already is. It cause more panic when the nurse should be a theraputic help. The nurse began with asking open-ended questions during the interview. The problem with open-ended questions is they usually are answered vaguely, increasing the likelihood of a wider differential diagnosis. This can confuse the patient and even the nurse. Especially when the patient is going through a difficult time and is trying to cope with what is going on. Also with the nurse asking open ended questions he/she is not gaining the trust of the patient. Open-ended questions overall only make delivering healthcare all the more difficult with many roadblocks created to delay the patients important recovery time.
The nurse also asked overly personal questions ("Couldn't he come home"). With doing so the nurse doesn't repect the nurse-client boundaries therefore making the patient feel uncomfortable and even more hurt as she is thinking about the situation even more. Resulting in an increase in anxiety. The nurse also made an inference from the extremely sparse details she had gotten early in the conversation. With that being said the nurse should have at least calmed down her patient and asked more personal questions when the time was right and when the nurse gained the trust of the patient. The nurse was quick on the trigger on asking personal questions. The result of it was a patient having more anxiety.
However, with all the mistakes the nurse commited, the nurse did manage to paraphrase and focus the patient. With that being said though, the nurse seemed disapproving of the patient for the duration of the conversation. In doing so, this made the patient, Shona, feel either confronted or compromised.
