1. A 16-year-old male has been admitted to the nursing unit after breaking his l
ID: 242082 • Letter: 1
Question
1. A 16-year-old male has been admitted to the nursing unit after breaking his leg in a car accident. He seems sullen and just wants to watch TV. He answers the nurse’s questions with one-word answers. He’s receiving oral pain medication and does not seem to be in pain. No adult is with him in the room.
• What type of questions would be appropriate in making a physical assessment of the patient?
• How would you learn about his activities prior to the accident?
• Why would this be important?
• What observations would be critical in the situation?
• What would you do to establish a therapeutic relationship with this patient?
Explanation / Answer
Physical assessment:
Through history- subective information freom the patient
Assessment on tenderness, visible deformity, swelling on the surrounding areas
Through vascular examination
Through neurological test on distal parts
Why it is essential?
To rule out the diagnosis from the differential diagnosis
To establish therapeutic relationship:
Be attentive
Build rapport, trustworthy and give respect
Be open to the patient
Build confidence and faith
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