Chapter 16, Problem 1RP

Summary Introduction

To discuss:

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

Case summary:

The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.

Explanation of Solution

The nursing student should tell the mother it is her responsibility to have the baby. Moreover, if she is not ready to become a mother, she can offer her baby for adoption. The nurse counsels the adaptation scheme, since the student nurse is against abortion.  

Summary Introduction

To discuss:

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

Case summary:

The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.

Explanation of Solution

The nursing student still not an Advanced Practice Registered Nurse (APRN) to become a nurse counselor to counsel her patient. She also tries to act as a nurse advocate for the unborn baby. The effects of the nurse fails, the mother insists on abortion. This shows the student nurse still needs more knowledge in the area she works in.

Summary Introduction

To discuss:

Whether there are other ways to respond to the situation.

Case summary:

The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.

Explanation of Solution

• The student nurse could have Counsel Ms. J to become a mother and live the life as a parent.
• The student nurse could have asked other senior nurses to counsel on behalf of her.

Summary Introduction

To discuss:

The action that might have proved more effective.

Case summary:

The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.

Explanation of Solution

Since, the patient is insisted only on abortion and the student nurse failed to establish patient-nurse relationship. The best action for the student nurse is to get help from other senior nurse to counsel the patient to leave her choice of abortion.

Summary Introduction

To discuss:

The action that would be helpful for the nursing student so that when faced with similar situation in the future, the outcome would be more positive.

Case summary:

The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.

Explanation of Solution

• The student nurse should gain trust of the patient through good patient-nurse relationship.
• The nurse should gain knowledge of counselling, so that she can give effective counselling for her patient.

Summary Introduction

To discuss:

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

Case summary:

The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.

Explanation of Solution

Getting other senior nurse to counsel the patient when the Ms. J lost trust in the student nurse is one of the criteria done the student nurse. Since, when the trust is lost, the patient will not listen to the nurse. Moreover, it is the student nurse duty to respect the patient wishes and to treat them with dignity.

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. J.

Case summary:

The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.

Explanation of Solution

• The nursing student must develop a good communication skills.
• The nursing student must possess the skill to establish trust in the patient.
• The student nurse should not bring her personal views and beliefs while counselling the patients.