Chapter 14, Problem 1RP

Summary Introduction

To discuss:

How and why would the student nurse respond to this situation?

Case summary:

The nursing student is caring for a 17-year-old female patient Ms. W, who just arrived back to the United States after visiting her family in China. The patient got flu like symptoms and arrived in the emergency department. The patient had a fear of getting herself infected with the flu virus as she had read about the virus in newspapers and these viruses are currently spreading in Asia. The patient is trying to convince her by asking the student nurse that she only got some cold and not infected by the virus.    

Explanation of Solution

The nursing student must document the incident about the patient’s fears and it should be reported immediately to the physician. The patient must be isolated from other patient to avoid spreading of infection if she had the flu. The student nurse should do a quick research about the virus as she will gain more knowledge over the virus.  

Summary Introduction

To discuss:

The adequacy of the skills for professional practice and what that is tell about the student nurse?

Case summary:

The nursing student is caring for a 17-year-old female patient Ms. W, who just arrived back to the United States after visiting her family in China. The patient got flu like symptoms and arrived in the emergency department. The patient had a fear of getting herself infected with the flu virus as she had read about the virus in newspapers and these viruses are currently spreading in Asia. The patient is trying to convince her by asking the student nurse that she only got some cold and not infected by the virus.

Explanation of Solution

The student nurse is still not a Registered Nurse (RN) to become a nursing staff, who has knowledge over the communicable diseases and how to take immediate action if she encounters one. The nursing student still needs more knowledge to act in the emergency situations.

Summary Introduction

To discuss:

The factors that influenced the nursing students’ actions?

Case summary:

The nursing student is caring for a 17-year-old female patient Ms. W, who just arrived back to the United States after visiting her family in China. The patient got flu like symptoms and arrived in the emergency department. The patient had a fear of getting herself infected with the flu virus as she had read about the virus in newspapers and these viruses are currently spreading in Asia. The patient is trying to convince her by asking the student nurse that she only got some cold and not infected by the virus.

Explanation of Solution

The nursing student still does not know much about the signs and symptoms of the virus, but she knows it is contagious. Hence, the nursing student recoiled herself when the patient sneezed.

Summary Introduction

To discuss:

What type of data that could have led the nursing student to different course of action?

Case summary:

The nursing student is caring for a 17-year-old female patient Ms. W, who just arrived back to the United States after visiting her family in China. The patient got flu like symptoms and arrived in the emergency department. The patient had a fear of getting herself infected with the flu virus as she had read about the virus in newspapers and these viruses are currently spreading in Asia. The patient is trying to convince her by asking the student nurse that she only got some cold and not infected by the virus.

Explanation of Solution

The nursing student could have used initial assessment data to record the medical status of the patient. The nursing student could also used focused assessment to gather more information about the patient by asking a set of questions.

Summary Introduction

To discuss:

How the nursing student have assesses the patient differently?

Case summary:

The nursing student is caring for a 17-year-old female patient Ms. W, who just arrived back to the United States after visiting her family in China. The patient got flu like symptoms and arrived in the emergency department. The patient had a fear of getting herself infected with the flu virus as she had read about the virus in newspapers and these viruses are currently spreading in Asia. The patient is trying to convince her by asking the student nurse that she only got some cold and not infected by the virus.

Explanation of Solution

The nursing student must make an assessment on the patient about her current medical conditions and her fears, which would be helpful to develop a care plan for the patient.

Summary Introduction

To discuss:

Whether to agree with criteria that the nursing student used to evaluate a successful outcome?

Case summary:

The nursing student is caring for a 17-year-old female patient Ms. W, who just arrived back to the United States after visiting her family in China. The patient got flu like symptoms and arrived in the emergency department. The patient had a fear of getting herself infected with the flu virus as she had read about the virus in newspapers and these viruses are currently spreading in Asia. The patient is trying to convince her by asking the student nurse that she only got some cold and not infected by the virus.

Explanation of Solution

The nursing student develops a care plan for the patient that she receives a quality medical care and her fears are eased. The nursing student also ensures to isolate the patient to avoid spreading of the disease to other patients.

Summary Introduction

To discuss:

The knowledge, skills, and attitudes do you need to develop to continuously improve quality and safety when caring for patients like Ms. W?

Case summary:

The nursing student is caring for a 17-year-old female patient Ms. W, who just arrived back to the United States after visiting her family in China. The patient got flu like symptoms and arrived in the emergency department. The patient had a fear of getting herself infected with the flu virus as she had read about the virus in newspapers and these viruses are currently spreading in Asia. The patient is trying to convince her by asking the student nurse that she only got some cold and not infected by the virus.

Explanation of Solution

• The nursing student needs good communication and interpersonal skills to gain trust and establish nurse-patient relationship.
• The nursing student must have assessment skill to assess the patient conditions.
• The nursing student must develop the knowledge and skill to act in emergency situations.