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 become aggressive and violent at times. This behavior was due to encephalitis.
The only way to make him calm was to speak to him in Spanish; very were few nurses know Spanish and used this technique to calm him down. Most of the nurses and physicians would ignore him and his behavior. They give him some medication to calm him.
One day Person X was with the physician. The physician was preparing Patient J’s report. Patient J started to be violent and had a rude behavior; the physician started complaining about the Patient J’s behavior and did not take any efforts to calm him, instead he gave him 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 disrespected the physician.
Characters in the case:
- Person X (nurse)
- Patient J
To discuss:
The response of the given situation in the case by Person Y.

Explanation of Solution
Responses to the situation are as follows:
Person Y would use the techniques known to him to calm down the patient because the patient’s health is important than respecting the physician.
To discuss:
The capabilities of the professional practice of Person Y.

Explanation of Solution
The capabilities of the professional practice of Person Y under this situation are as follows:
- It is necessary for the nurse to develop positive strength in the patient’s mind.
- It is necessary to understand the child’s perception, choices, actions, and beliefs.
- It is necessary to take care of the patient, so they have to use techniques known not to harm the patient.
To discuss:
The knowledge, skills, and attitudes required to improve quality and safety when caring for the patients.

Explanation of Solution
Knowledge, skill, and attitudes that need to be developed are as follows:
- It is a must to develop positive strength in the patient’s mind.
- Nurse should be able to use the skills and knowledge known to them.
- The nurse should develop communication skills with the patient and to understand their situation.
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Chapter 21 Solutions
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