Hypertension: A Case Study

The RN changed the subject when the patient talk about her dizziness problem. This may cause the patient to stop expressing the patient’s feeling by fear or lack of confident.
The RN should explore more about the patient recent diagnosis of hypertension instead of change to another topic.
The RN gave an unwanted opinion story when the patient talk about her grandfather. The patient didn’t ask her, but the RN decided to give her personal story, which was inappropriate. She did not seem empathetic to the situation. The RN’s voice and tone are appropriate in this situation.
The RN also offers unwanted advice when she tells the patient to find a coping skill. The RN also gives reassurance when say, “it will be ok.” Indicate the patient that there
is no cause for anxiety, thereby devaluing the patient’s feeling; may discourage the patient from further expression of feeling.
The RN uses close- ended questions which can lead to the patient answer “no” to these sensitive questions. If the patient had experienced abuse, she is less likely to discuss it out of feeling to close-ended questions.
The RN lacked empathy and was inappropriate in laughing about the patient’s response. This can make the patient feel shameful.
The RN offered false reassurance, saying that the patient’s dry skin is because of the weather.
This is nontherapeutic and could end up making the patient feel like her concerns are not worth discussing. She embarrassed the patient which could lead to the patient shutting down and not offering important information about her health.
The RN offers false assumption when the patient complains of chest pain sometimes. This can close of communication with the patient and make the patient feel like her concerns are not worth discussing. The RN also disapproving the patient idea when said “I think you better let your doctor know before it too late.” The RN voice and tone are inappropriate.
The RN offers false assumption when the patient complains of numbness and tingling. The RN also gives reassurance when say, “it is normal for everyone.” Indicate the patient that there is no cause for anxiety, thereby devaluing the patient’s feeling; may discourage the patient from further expression of feeling.
The RN should explore more about the patient’s constipation and the use of Colace over the counter instead of change to another topic.
The RN used language that was difficult for the patient to understand. It may make the patient confuse when the RN asking about any problem on the
“bottom.”