Chapter 4, Problem 1RP

Summary Introduction

Case summary:

Person X was excited and nervous about the mental health clinical rotation. As she was new, the other staffs were helpful and have been cooperative to her to a greater extent. She started her training in developing nurse-patient relationship.

Patient CR, a 17-year-old girl, was admitted in the unit for attempting suicide. As she was unable to speak English properly, other nurses asked Person X to speak with her because she knew Spanish. While speaking with her, Person X found that she did not like to live with her sister. It is because her sister used to abuse her and kept on reminding her about the sacrifices she made for her.

As her mom passed away recently, Patient CR had to live with her sister. Her sister always reminded her about the things she got for her, so that she could repay her back later.

Unfortunately, she was not considered as an adult; so, legally it is necessary for her sister to be consulted with. As she is unwilling to go back to her sister’s house, she would be taken to a foster home. However, they can only take care of her until she turns 18, that is, only till the end of this month as she will be 18 by that time. She was not ready for such a radical change.

Characters in the case:

• Person X (nurse)
• Patient CR

To discuss:

The response of the given situation in the case by Person Y.

Explanation of Solution

Responses to the situation are as follows:

The best way to respond for this situation was by developing trust-based relationship. Person Y should also consider the emotional safety and security of the patient according to the case because Patient CR lacks the emotional support.

Summary Introduction

Case summary:

Person X was excited and nervous about the mental health clinical rotation. As she was new, the other staffs were helpful and have been cooperative to her to a greater extent. She started her training in developing nurse-patient relationship.

Patient CR, a 17-year-old girl, was admitted in the unit for attempting suicide. As she was unable to speak English properly, other nurses asked Person X to speak with her because she knew Spanish. While speaking with her, Person X found that she did not like to live with her sister. It is because her sister used to abuse her and kept on reminding her about the sacrifices she made for her.

As her mom passed away recently, Patient CR had to live with her sister. Her sister always reminded her about the things she got for her, so that she could repay her back later.

Unfortunately, she was not considered as an adult; so, legally it is necessary for her sister to be consulted with. As she is unwilling to go back to her sister’s house, she would be taken to a foster home. However, they can only take care of her until she turns 18, that is, only till the end of this month as she will be 18 by that time. She was not ready for such a radical change.

Characters in the case:

• Person X (nurse)
• Patient CR

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 to develop self-esteem needs.
• The nurse insist her to focus on self-actualization needs to solve her problems.
• It is important to develop physical dimension and environmental dimension, as they include physiologic needs, safety, and security needs.

Summary Introduction

Case summary:

Person X was excited and nervous about the mental health clinical rotation. As she was new, the other staffs were helpful and have been cooperative to her to a greater extent. She started her training in developing nurse-patient relationship.

Patient CR, a 17-year-old girl, was admitted in the unit for attempting suicide. As she was unable to speak English properly, other nurses asked Person X to speak with her because she knew Spanish. While speaking with her, Person X found that she did not like to live with her sister. It is because her sister used to abuse her and kept on reminding her about the sacrifices she made for her.

As her mom passed away recently, Patient CR had to live with her sister. Her sister always reminded her about the things she got for her, so that she could repay her back later.

Unfortunately, she was not considered as an adult; so, legally it is necessary for her sister to be consulted with. As she is unwilling to go back to her sister’s house, she would be taken to a foster home. However, they can only take care of her until she turns 18, that is, only till the end of this month as she will be 18 by that time. She was not ready for such a radical change.

Characters in the case:

• Person X (nurse)
• Patient CR

To discuss:

The knowledge, skills, and attitudes to improve the quality and safety of the patients.

Explanation of Solution

Knowledge, skills, and attitudes that need to be developed are as follows:

• It is a must to develop confidence in the patient mind.
• Nurse should gain trust-based relationship with the patient by speaking with the patient and create a good rapport with her.
• Nurse should advise the patient with best possible options and ask her to follow the same.
• The nurse should develop communication skills with the patient and to make her understand the situation.