Concept explainers
Videos
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.
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.
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.
Want to see more full solutions like this?
Chapter 4 Solutions
NU 231 CUSTOM NURSING BUNDLE
- Organize a series of questions that you will ask to our virtual patient Sara Bellum, based on new guidelines. Find patient's medical charting separately.arrow_forwardMake a patient interview sheet for patients with Diabetes and CKD: Assessing symptoms Signs Biochemical data Nutrition focused physical exam key points.arrow_forwardModule 4 - Interpreting Labs.pd X CB CastleBranch Login Merged-TDL-Files--2024103012280X pl Dietetic Practitic 6uo8tbjf.cloudfront.net/68f85c32-16e5-11ef-925e-aaa4f1cd8999?response-content-disposition-inline DaVita Dietitian Reference Manual - + 90% Module 4-Evaluating Laboratory Values Case 3 Ray dialyzes three times a week on 2 K+ bath. His appetite is fair and he takes ReGen (4 oz. TID) to supplement his intake. His medications include: Nephrovite RX, PhosLo (1 at breakfast, 1 at lunch, 2 at supper) Prilosec, Imdur, Zemplar and Epogen. He says he's been feeling weak and tired and has SOB (shortness of breath). He reports having diarrhea for 2 days. His blood pressure is low Date PreBUN PostBUN URR KUV Creat Alb CO2 K+ Ca PO4 PTH- Hgb intact 5.3 9.0 4.9 160 11.5 5.4 8.9 5.4 6.5 9.3 6.1 01/01 02/01 03/01 37 8 40 9 104 missed 78% 1.6 7.7 3.2 25 78% 1.6 3.5 22 3.0 21 7.5 7.6 10.8 8.4 What do you suspect is the reason for his change in lab values? Case 4 Margaret is a 78-year-old woman…arrow_forward
- Module 4 - Interpreting Labs.pd X CB CastleBranch Login Merged-TDL-Files--2024103012280X 1k6uo8tbjf.cloudfront.net/68f85c32-16e5-11ef-925e-aaa4f1cd8999?response-content-disposition=inline DaVita Dietitian Reference Manual + 90% Module 4-Evaluating Laboratory Values CASE STUDIES Case 1 Steve has been on hemodialysis for 3 years. His medications include Nephrocaps, PhosLo (3 at breakfast, 2 at lunch, 3 at supper), Lisinopril, EPO and Venofer. Patient reports he has had the flu and not eaten much for the past 4-5 days, but has continued to take all medications as prescribed. Date PreBUN PostBUN URR KWV Creat Alb CO2 K+ Ca PO4 PTH- Hgb intact 12/01 54 01/02 55 02/02 40 18 17 12 68% 1.33 12.3 3.9 24 4.7 11.0 5.9 69% 1.39 12.2 4.0 23 4.8 11.0 5.2 70% 1.45 12.5 4.0 26 4.1 12.5 4.5 96 12.3 12.1 11.9 What are possible reasons for increasing hypercalcemia in February? Case 2 Barb has been on hemodialysis for 1½ years. She has diabetes, but is not currently taking an antiglycemic agent.…arrow_forwardzm Module 4 - Interpreting Labs.pd X CB CastleBranch Login X Merged-TDL-Files--2024103012280X marks Tools Window Help 100% E pl Dietetic Practitioners s://d3da1k6uo8tbjf.cloudfront.net/68f85c32-16e5-11ef-925e-aaa4f1cd8999?response-content-disposition=inline + 90% DaVita Dietitian Reference Manual Module 4-Evaluating Laboratory Values REVIEW QUESTIONS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. True False A patient who has a low bicarbonate level will also have a low potassium level. Causes of low albumin include low protein intake, infection, proteinuria and severe liver disease. Inaccurate handling of the blood specimen can result in a falsely low PTH. In a patient on hemodialysis, a potassium level of 6.0 is acceptable. An excessive intake of meat will result in higher levels of BUN, phosphorus and potassium. In a patient without kidney function, hyperglycemia will be accompanied by hypokalemia. A patient with access problems is likely to have increased levels of potassium, BUN, creatinine…arrow_forwardTools Window Help zm Module 4 - Interpreting Labs.pd X CB CastleBranch Login x Merged-TDL-Files--2024103012280X pl Dietetic Prac Halk6uo8tbjf.cloudfront.net/68f85c32-16e5-11ef-925e-aaa4f1cd8999?response-content-disposition=inlin - + 90% CASE STUDIES-DISCUSSION Case 1 His lower BUN, K+ and phosphorus are consistent with his reported decrease in intake due to the flu. His high calcium level is a consequence of taking his prescribed amount of PhosLo while eating less food. Thus, he absorbed more calcium from his phosphate binder. In this patient, with adynamic bone disease (low PTH without IV vitamin D therapy), he is unable to deposit calcium in his bones, so serum level rose quickly. PhosLo was held and the next week his calcium was 11.0 and phosphorus 5.8. Other possibilities for a rise in calcium might be that patient took Tums (or another calcium-containing antacid) because of the flu or heartburn; took phosphate binders between meals rather than with meals; was consuming…arrow_forward
- last two please (3 and 4)arrow_forward08tbjf.cloudfront.net/68f85c32-16e5-11ef-925e-aaa4f1cd8999?response-content-disposition=inline DaVita Dietitian Reference Manual + 90% Module 4-Evaluating Laboratory Values DISCUSSION QUESTIONS 1. Why is hyperkalemia dangerous? 2. What are 3 possible causes of hyperkalemia? 3. How is hyperkalemia managed? 4. What are 3 reasons for hypoalbuminemia in hemodialysis patients? 5. What are the side effects of hypoalbuminemia? 6. What are 3 possible reasons for a patient to have a low BUN? A high BUN? FEB 5 tv MacBook Airarrow_forwardAs nursing students dealing with school age patients with anxiety or fear related to hospitalisation, identify relevant and credible resources and explains their significance.arrow_forward
- Describe which of the 4 biomolecules could be used as a source of carbon and energy in a microbial growth media?arrow_forwardHow to teach mock dialysis (HD) patients how to decrease phosphorus on his/her dietarrow_forwardExplain screening and monitoring best practices for CKD in diabetesarrow_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:Saunders
Fundamentals 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 Science
Study Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:Saunders
Issues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning