You are a new graduate nurse and part of a small multidisciplinary team in a large 24-hour medical clinic. A young woman has just presented. She is dishevelled, appears nervous, constantly moving about the waiting room looking closely at different objects. She responds warily to any interaction with other patients. She has asked reception several times if a doctor can see her now. The duty doctor asks you to sit in and assist him with the interview.

1. Describe the key communication skills you will use in order to engage with her in the interview. (400 words)

2. There are a number of clinical signs and symptoms in the scenario so far. Identify three significant signs or symptoms and support your clinical opinion with evidence from the scenario. (400 words)

3. Discuss the education you will need to provide to Sarah about her medication. (400 words)

Reflect on your experience in TAFE, university, adult education or industry. Analyse how globalisation has impacted on teaching and learning practices at your institution and how the institution might respond more effectively to the challenges of globalisation for the benefit of students – justify your response with evidence from the scholarly literature, course material, class discussions, and your own reflections