Case Study: 14-year-old biracial male living with his grandmother in a high-density public housing complex a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient. Purchase the answer to view it

Summary of the Interview:

During the interview, I had the opportunity to speak with a 14-year-old biracial male who resides with his grandmother in a high-density public housing complex. The patient expressed concerns about his academic performance, social relationships, and overall well-being. He shared that he often feels isolated and struggles with anxiety and depression. Additionally, he mentioned experiencing incidents of bullying and discrimination due to his racial background. The patient’s grandmother reported similar concerns, emphasizing the need for support and intervention.

Communication Techniques:

When working with this patient, it is crucial to employ effective communication techniques that foster a supportive and empathetic environment. The following techniques are recommended:

1. Active Listening: Adopting a non-judgmental and attentive stance will enable the patient to feel heard and understood. Reflecting back on what the patient has shared and summarizing their experiences will demonstrate empathy and encourage further self-disclosure.

2. Open-ended Questions: Using open-ended questions will encourage the patient to elaborate on their feelings and experiences. This will allow for deeper exploration and a better understanding of their concerns, enabling appropriate interventions to be identified.

3. Validation: Validating the patient’s emotions and experiences is vital in building trust and rapport. Acknowledging the challenges they face, such as discrimination and bullying, will help them feel supported and enhance their willingness to engage in treatment.

4. Clear and Simple Language: Using clear and simple language is essential when communicating with adolescents. Avoiding jargon and technical terms ensures comprehension, facilitating effective communication between the patient and healthcare provider.

5. Non-verbal Cues: Paying attention to non-verbal cues such as body language, facial expressions, and tone of voice can provide valuable insights into the patient’s emotional state. These cues can help identify areas of distress or discomfort, allowing for appropriate adjustments in communication and intervention strategies.

Justification for Communication Techniques:

The chosen communication techniques focus on establishing a safe and trusting therapeutic alliance with the patient. Adolescents often face numerous challenges related to identity formation, social relationships, and mental health. By actively listening, using open-ended questions, validating their experiences, employing clear language, and being attuned to non-verbal cues, healthcare providers can promote the patient’s engagement, disclosure, and overall well-being.

Risk Assessment Instrument:

For the identified patient, the Youth Risk Behavior Surveillance System (YRBSS) would be an appropriate risk assessment instrument. The YRBSS is a widely used tool that gathers information on behaviors contributing to the leading causes of morbidity and mortality among adolescents. It assesses various risk factors, including substance use, violence, sexual behaviors, mental health, and academic performance.

Justification for the YRBSS:

The YRBSS is particularly applicable to the selected patient due to the range of risk factors they mentioned during the interview. By administering the YRBSS, we can gather comprehensive data on their experiences and behaviors that may contribute to their anxiety, depression, and social isolation. This tool will provide valuable insights for developing targeted interventions and support strategies.

Five Targeted Questions:

1. Have you ever experienced any form of discrimination or bullying based on your racial background?
Rationale: This question aims to explore the patient’s experiences with discrimination and bullying, providing insight into potential stressors that impact their mental well-being and social interactions.

2. Can you describe your experiences at school in terms of academic performance and relationships with peers?
Rationale: Understanding the patient’s experiences at school will allow us to address potential challenges related to their academic performance and social relationships, which are closely linked to their well-being.

3. How frequently do you experience feelings of anxiety or depression? Can you describe what triggers these feelings?
Rationale: Gaining insights into the frequency and triggers of anxiety and depression will help in developing appropriate interventions and support strategies to address these mental health concerns.

4. Have you ever engaged in substance use or experienced peer pressure related to substance use?
Rationale: Exploring substance use and peer pressure will aid in identifying potential risk factors contributing to the patient’s current challenges and guide interventions specific to substance abuse or prevention.

5. Do you engage in any extracurricular activities or hobbies? How do these activities make you feel?
Rationale: By examining the patient’s engagement in extracurricular activities and hobbies, we can assess their level of participation in positive, confidence-building activities that may promote their well-being and social engagement.

These targeted questions aim to elicit further information about the patient’s experiences, behaviors, and emotions. They provide a foundation for tailoring interventions and support strategies to address the patient’s specific needs and challenges.