of diagnostic challenges, depending on the skills and training of the professional interviewing them. Contrast the following two hypothetical interviews. The client is a 25-year-old man who is recovering from the aftereffects of a closed head injury he suffered while intoxicated.Counselor: So, we are meeting here to discuss your substance use to try and determine whether you have a substance abuse problem.Client: Can you speak up a bit? The accident left me with a hearing problem.Counselor (speaking more loudly): In the year before your accident, how often would you say you would drink alcohol in the typical week?Client: I can’t remember much of the year before the accident. I was told by the doctors that I probably won’t be able to get any of those memories back.Counselor: All right, how far back does your memory allow you to recall things clearly?Client: Two or three years back.Counselor: Then describe what your alcohol use pattern was like 2-3 years ago.Client: Oh, it was’t a problem back then. I hardly ever used alcohol. But I can’t remember clearly, because of my head injury. Sorry.Now contrast this with the following hypothetical interview between a physician and the same client the next day.Physician: Well, you seem to be recovering quite well. But your alcohol and drug abuse bothers me.Client: Oh. The counselor told me that I don’t have a problem. We discussed this yesterday and he said that I don’t even seem to abuse alcohol. I never use drugs, so that’s not a problem. But my shoulder still hurts me a lot.Physician: Does  it hurt when you move your shoulder in a specific way, or does it hurt all the time?Client: All the time. Can you give me something for the pain?   Questions 1. Compare the diagnostic challenges between the two conversations. What diagnostic challenges seem to exist in each example? Provide evidence to support your answer. 2. Define free-floating denial and describe how this client uses it to divert both interviewers. 3. Using the information provided above, create an example of how you would communicate with this client, using the same format as shown. Then explain how your response would improve diagnosis and care in this scenario.

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Question Answered step-by-step Clients with co-occurring disorders often demonstrate different formsof diagnostic challenges, depending on the skills and training of the professional interviewing them. Contrast the following two hypothetical interviews. The client is a 25-year-old man who is recovering from the aftereffects of a closed head injury he suffered while intoxicated.Counselor: So, we are meeting here to discuss your substance use to try and determine whether you have a substance abuse problem.Client: Can you speak up a bit? The accident left me with a hearing problem.Counselor (speaking more loudly): In the year before your accident, how often would you say you would drink alcohol in the typical week?Client: I can’t remember much of the year before the accident. I was told by the doctors that I probably won’t be able to get any of those memories back.Counselor: All right, how far back does your memory allow you to recall things clearly?Client: Two or three years back.Counselor: Then describe what your alcohol use pattern was like 2-3 years ago.Client: Oh, it was’t a problem back then. I hardly ever used alcohol. But I can’t remember clearly, because of my head injury. Sorry.Now contrast this with the following hypothetical interview between a physician and the same client the next day.Physician: Well, you seem to be recovering quite well. But your alcohol and drug abuse bothers me.Client: Oh. The counselor told me that I don’t have a problem. We discussed this yesterday and he said that I don’t even seem to abuse alcohol. I never use drugs, so that’s not a problem. But my shoulder still hurts me a lot.Physician: Does  it hurt when you move your shoulder in a specific way, or does it hurt all the time?Client: All the time. Can you give me something for the pain?   Questions 1. Compare the diagnostic challenges between the two conversations. What diagnostic challenges seem to exist in each example? Provide evidence to support your answer. 2. Define free-floating denial and describe how this client uses it to divert both interviewers. 3. Using the information provided above, create an example of how you would communicate with this client, using the same format as shown. Then explain how your response would improve diagnosis and care in this scenario. Health Science Science Nursing BUSINES CV105 Share QuestionEmailCopy link Comments (0)