To discuss:
How and why would the student nurse respond to this situation?
Case summary:
The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Explanation of Solution
The student should have told the patient that she still does not have knowledge regarding the NPO status. The student nurse should also ensure that she will consult the information with other senior nurses or physician and get back to him soon. The student nurse knows that the patient safety should be compromised and it is better to get consultation from other health care providers.
To discuss:
The adequacy of the skills for professional practice and what that is tell about the student nurse.
Case summary:
The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Explanation of Solution
The nursing student still not a Registered Nurse (RN) to become nursing staff. The nursing student needs more knowledge in the area she gives care and the safety of the patient should not be compromised by giving wrong information.
To discuss:
The alternative ways to approach the situation?
Case summary:
The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Explanation of Solution
- The nursing student could have asked the surgeon that the patient is demanding for food and it would be better if he comes and explains.
- The nursing student should have asked the senior nurses to explain the situation on behalf of her.
To discuss:
The knowledge, skills, and attitudes needed by the nurse to develop in order to continuously improve quality and safety when caring for patient like Mr. R?
Case summary:
The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Explanation of Solution
- The student nurse should be fully competent in knowledge while giving care or explaining to the patient.
- The nursing student needs good communication skills to interact with the patient.
- The nursing student should have professional integrity to main truthfulness to the patient.
- The nursing student should not compromise the patient’s safety.
Want to see more full solutions like this?
- The importance of keeping a clean food pantry in a nursing home and how can a nutritionist utilize this in their career? Please not just a short explanation.arrow_forwardI’m finding it a bit difficult to understand the Arrhenius equation and how shelf life relates to pH and temperature. Also in the question that says ‘this solution maintains 80% potency at 30C’, am I correct in thinking the formula would be:t = ln(0.8)/ -karrow_forward4.24 mmmarrow_forward
- Research videos and websites about mission and vision statements in health care organizations. What did you find most interesting? What did you find to be the most positive-sounding parts of the statements? Were there any mission and vision statements that seemed disconnected from each other or out of alignment with the goals of the organization? If so, how might you change them?arrow_forwardThe Importance of Reviewing Department Budget in a nursing home kitchen and how can a nutritionist utilize this in their career? Please not just a short explanation.arrow_forwardThe Importance of Modify a Standard Food Menu in a nursing home and how can a nutritionist utilize this in their career? Please not just a short explanationarrow_forward
- The Importance of QAPI in a nursing home and how can a nutritionist utilize this in their career? Please not just a short explanation.arrow_forwardProvide a sample scenario of Schizophrenia using a new graduate female engineer patient 1. Title of Simulation Scenario:- Provide a concise title that reflects the focus of the scenario (e.g., "Managing Acute Anxiety in a Young Adult Patient").2. Scenario Overview:- Disorder Focus: Specify the mental health disorder or addictionbeing addressed (e.g., Generalized Anxiety Disorder). - Patient Description: - Age: - Gender: - Background: Briefly describe the patient’s background (e.g., The patient is a 25-year-old female experiencing symptoms of anxiety after starting a new job"). - Current Situation: Detail the patient's current condition and why they are seeking help (e.g., "The patient presents to the ER with chest pain, which has been determined to be a panic attack").- Learning Objectives: - Objective 1: e.g., Demonstrate effective communication techniques for calming an anxious patient. - Objective 2: e.g., Assess and document the patient’s…arrow_forwardProvide a sample feedback on a nursing student who presented her findings after she interviewed a indigenous coordinator regarding interprofessional collaboration. And include a potential question to ask related to the interviewarrow_forward
- 4. Refer to the oral handover. Explain the care the support worker is providing for Mr Liu.arrow_forwardDO SCHIZOPHRENIA, SPECIFICALY SCHIZOPHRENIFORM 1. Title of Simulation Scenario:• Provide a concise title that reflects the focus of the scenario (e.g., "ManagingAcute Anxiety in a Young Adult Patient").2. Scenario Overview:• Disorder Focus: Specify the mental health disorder or addiction beingaddressed (e.g., Generalized Anxiety Disorder).• Patient Description:o Age:o Gender:o Background: Briefly describe the patient’s background (e.g., "Thepatient is a 25 - year- old female experiencing symptoms of anxietyafter starting a new job").o Current Situation: Detail the patient's current condition and why theyare seeking help (e.g., "The patient presents to the ER with chest pain,which has been determined to be a panic attack").• Learning Objectives:o Objective 1: e.g., Demonstrate effective communication techniques forcalming an anxious patient.o Objective 2: e.g., Assess and document the patient’s mental status.o Objective 3: e.g., Identify approp riate interventions and care planningfor…arrow_forwardStevens District Hospital is a 162-bed acute care hospital that is qualified as a not-for-profit facility. The hospital was originally a county-owned facility, and its status was transferred to an independent facility three years ago. The hospital receives no external funding from government agencies for operations. The hospital is accredited by The Joint Commission and received reaccreditation during their triannual survey last year. The hospital has an aggressive quality-management program and a low volume of medical malpractice claims. The hospital is in Jefferson City, which is a city of 50,000 people with 80,000 in the regional market. The hospital provides a general range of acute care services, including medical, surgical, rehabilitation, and emergency care. Revenues and Expenses This Year (In $) Last Year (In $) Operating Revenues n/a n/a Net revenues from services to patients 343,737,280 344,726,245 Other operating revenues 16,846,309 20,311,534…arrow_forward
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning





