Get startedto stay in Protected View.Enable EditingMental Health Case: Sandra LittlefieldGuided Reflection QuestionsOpening QuestionsHow did the simulated experience of Sandra Littlefield's case make you feel?Talk about what went well in the scenario.Reflecting on Sandra Littlefield's case, were there any actions you would do differently? If so, what werethese actions and why?Scenario Analysis Questions*PCC/S What should be the nurse's priority when caring for Sandra Littlefield?What actions should be initiated to maintain personal safety?If the nurse did not recognize the importance of personal safety, what could be theconsequence?PCC/S Discuss the importance of therapeutic communication and setting limits for Sandra Littlefield.T&C/S What members of the healthcare team should be involved in Sandra Littlefield's case?Concluding QuestionsDescribe how you would apply the knowledge and skills that you obtained in Sandra Littlefield's case toan actual patient care situation.Q SearchFoan XvSim StandaloneXTime: 1000oint.lww.com/titles/9781975 198183/classes/687f62f6-68e7-4b65-aba0-460a00fb0baf/assignmentsLocation: Medical area (infirmary) in a jail+Report from intake coordinator:Situation: The patient, Sandra Littlefield, is a 36-year-old female who has been in jail for the past week on prostitutioncharges. She has a history of back pain and being given acetaminophen and ibuprofen. She is complaining of unrelievedpain and has put in a request to see the nurse.Background: Sandra Littlefield has a diagnosis of borderline personality disorder. She has been compliant during thisincarceration but has a history of aggressive behavior during past incarcerations. She was sexually abused as a child andhas been hospitalized for suicide attempts in the past, as well as for complications from her struggles with at-risksubstance use. Her history of back pain has resulted in frequent emergency room visits. During her prior two visits to thenurse at the jail, she was given acetaminophen and ibuprofen for pain.Assessment: Sandra was examined by the provider 3 days ago. She was alert and oriented, and her vital signs were asfollows: temperature 37°C (98.6°F), heart rate 84 beats/min, respiratory rate 16 breaths/min, blood pressure 132/80mmHg, and SpO2 98%. A physical examination of her back revealed no physical problems, and an MRI of her back,included in the patient chart, was negative. She receives ibuprofen 600 mg every 8 hours and was given both ibuprofen600 mg and acetaminophen 1000 mg at 8 a.m.Recommendation: The provider has asked us to avoid focusing too much on the physical complaints and instead try tohelp her with coping strategies for pain management, and to complete a mental status examination. Also, she wouldbenefit from boundaries and limit setting.A ☆ana▲▲WW30DownloadsvSim2.0 MentarOpen fileName.docxOpen fileName collette CenOpen fileOpen fileStep 1 IntroductionOpen fileName of patient.docxOpen filevSim2.0 Mental Health COpen filevSim2.0 Mental Health DaOpen filevSim2.0 Mental Health DavieOpen filevSim2.0 MentalHealth DavidCOpen fileStep 1 Therapeutic Class for TemOpen file72331959869_1991839A-367F-4

Positive Aspects:Comprehensive Assessment: The intake coordinator's report provides detailed…

Answered: Mental Health Case: Sandra Littlefield…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Rewrite the following statements using the appropriate language for nursing documentation. Patient is being very unreasonable and impatient; pt. states that he is extremely anxious and needs his prn anti-anxiety med and says he is mad that the RN has been ignoring the call light. Patient does not appear anxious – he is just complaining b/c he doesn’t like to be alone for too long in his room.
The nurse realizes that the physician’s verbal orders was missing information and requests the missing order information. Before administering the medication, the nurse will review the medication rights to ensure that the medication is correctly given. When thinking of the 10 medication rights, what medication right has missing information from the physician’s order of: Give Sally Smith 5 mg morphine sulfate q6h PRN for pain? Fill in the blank with a one-word answer (your answer must be one word or it will be marked wrong)
As the RN caring for a client with heart failure, how would you evaluate the client’s physical assessment findings to determine if the client was experiencing left-sided heart failure, right-sided heart failure, or bi-ventricular failure? What key features of the assessment would be the nurse’s priority? How will the RN evaluate the effectiveness of these medications? Looking at the concept map, what would your teachings be for this patient?
Nurse leaders and managers are responsible for the unit’s ethical and legal decisions.Consider the examples provided below and describe how you would handle the experiences. Favoring one staff over others. Making a hiring or firing decision based on friendship.
Base on this patient nursing notes please do the questions in the image below and it show be answer exactly please. Pt is a 89 year old, confused, restless, congestive deficit, poor insight and judgment, ineffective coping skills. He frequently throw legs over side rails + visual hallucination to be picking things in the air. Pt has dementia and difficulty sleeping with no effect, fall risk, sit in wheelchair These are the medications the pt is on: trazodone 12.5mg, Olanzepine 2.5 mg
10:20 < Inbox 3 Messages Present a Mental Disorder: Definition, characteristics, etiology: The Nursing Process: Assessments: Nursing Diagnosis in PES Format Goals, Outcomes Nursing Actions/Implementation Evaluation Please let me know which one you would like to cover. Regards, Professor Smitka See More 3 3
Body System Findings Psychiatric third admission this year for acute signs and symptoms of schizophrenia; family history of mental illness Progress Notes Orders History and Physical The nurse in the psychiatric unit has completed the morning assessment of a client. 1. Encourage the client to attend 1 group session today. 2. Teach the client’s family members about how to prevent a relapse. 3. Administer the prescribed dose of risperidone. 4. Prepare to discharge the client to a community treatment program. Which of the following interventions should the nurse take next?
Could you please help me with a nursing care plan on this patient? Li Na Chen is a 40 year old female who presented to the emergency department accompanied by her partner, who reported that upon return home today, he found her crying on the bathroom floor surrounded by several empty pills bottle, and he call 911. He reported that she told him that she can’t live like this she simply cannot function this way anymore she has been admitted in to the to the inpatient psychiatric unit from the ED with major depression and suicidal attempts (overdose) her partner followed her to our unit and is still with her in the toom. Nursing care plan should include: Assessment, 6 nursing diagnosis ( 3 physiological and 3 psychological) outcomes and goals, nursing actions, evaluation (ADPIE) format
create a nursing care plan according to the nursing process for Mr SA
Competency Assessment Information: Use the following information to complete the Treatment Authorization Request Scenario: Dr. King has ordered an MRI of the knee for Roberto Benini to confirm a diagnosis of osteomyelitis. The MRI will be done at Northborough Advanced Imaging. The patient is insured through Aetna, which requires preauthorization for this procedure Patient Demographics: Name: Roberto Benini Phone # (123) 555-1212 Address: 77 Treelawn Place Northborough, XY 12345 DOB: 12/05/1965 Referring Facility: Northborough Advanced Imaging Phone # (123) 555-8900 Address: 1500 Broadway Boulevard Northborough, XY 12345 Clinic: Dr. Mark King, NPI 9995020212 Phone # (123) 456-7890 Address: 8600 Main Street, Suite 200, River City, XY 01234
TELEPHONE TRIAGE Scenario: You are the MOA in a busy family practice. The following calls come in to your office. For each situation, respond in the most appropriate manner. How would you handle each call? If it is for your physician, do you put the call through? Do you take a message? Can you handle the call yourself? Provide a brief explanation for each example. "Hello, I would like to make an appointment to see the doctor. I am having some chest pain, and find it a bit hard to breathe.”
The nurse decides to call the physician and receives a verbal order for “Give Sally Smith 5 mg morphine sulfate q6h PRN for pain.” The nurse should do the following actions. Select all that apply: Check medication rights and allergies prior to administering the medication Document the verbal order in the electronic medical record Ensure the verbal order is signed by the provider within 24 hours Ask the provider for additional order information Perform a check-back and verbally repeat the providers order while still on the phone

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