
Concept explainers
Case summary:
Person X was working as a nurse in externship program 2 summers ago. At that time, she worked with Patient J who was an 8 year old boy and suffered from encephalitis. The boy would argue and become violent at times. This behavior was due to encephalitis.
The only way to make him calm was by speaking in Spanish. Few of the nurses know Spanish and used this technique to calm him down. Most of the nurses and physicians would ignore him and his behavior. They would give some medications to calm him.
One day, Person X was with the physician. The physician was preparing Patient J’s report. Patient J started to behave in a violent and rude manner. The physician started complaining about Patient J’s behavior and did not take any efforts to make him calm, and instead he gave medication to calm him. Person X would help Patient X to calm down in such a situation, but she did not use any technique because it shows disrespect to the physician.
Characters in the case:
- Person X (nurse)
- Patient J
To discuss:
Whether Patient J’s stage of growth and development impact the nursing care.
To discuss:
Whether the nursing student’s stage of growth and development has played major role in the student’s response and reason.
To discuss:
Whether Spanish words and phrases would help Patient J to remain calm and if there is no necessity to use sedatives.
To discuss:
The evidence in nursing literature that provides guidance for making decision of safe environment for young child.

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