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- This is my last clinical rotation before graduation and it hasbeen a difficult year. My focus has been somewhat off fora while, and I haven’t been as prepared as I should havebeen for my clinical and classroom experiences. My clinicalinstructor has been on my case for the last few weeks. I’malso realizing that in no time at all I will be out of schooland on my own when it comes to patient care. So, all of asudden, I’m eager for as many clinical experiences as I canget. To make a long story short, I’m thrilled when offeredthe opportunity to catheterize Esther Bailey, a 72-year-oldfemale patient on my unit. I quickly review the procedure and go to the patient’s room, with the catheterization sup-plies in hand, feeling semi-confident. After introducing my clinical instructor and myself and explaining what I’m aboutto do, I open the sterile package, prepare the sterile field, and cleanse the meatus. In one quick moment, as thepatient asks a question and diverts my instructor’s gaze,I…Janie wants to call an ethics consult to clarify treatment goalsfor a patient no longer able to speak for himself. She believeshis dying is being prolonged painfully. She is troubled whenthe patient’s doctor tells her that she’ll be fired if she raisesquestions about his care or calls the consult. This is a goodexample of:a. Ethical uncertaintyb. Ethical distressc. Ethical dilemmad. Ethical residueSystem Disorder ACTIVE LEARNING TEMPLATE: STUDENT NAMME Fe tal Asse cment During Lapor. Findings to Repot to the Prouder DISORDER/DISEASE PROCESS REVIEW MODLAE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures Complication PATIENT-CENTERED CARE Medications Client Education Nursing Care Interprofessional Care Therapeutic Procedures anNING TFMPLATES
- What counseling points you can provide to the patients as a for crushing’s syndromeYou are the visiting nurse for a frail older patient who livesalone in her own home and prizes her independence. Youassess her to be at high risk for falls because of her generalweakness, the medication she takes, and a long history ofindifference to safety counseling. What nursing interventionsare likely to be most effective in ensuring her safety?How might prenatal and well-child care differ for twowomen—one without health insurance and the other with agood health insurance plan? Why do you think this happens?What can nurses do to ensure respectful, compassionate careof high quality for all?
- The nurse caring for patients in a long-term care facilityknows that the highest level on Maslow’s hierarchy of needsis self-actualization needs. Which statements accuratelydescribe the achievement of self-actualization? Select allthat apply. a. Humans are born with a fully developed sense of self-actualization. b. Self-actualization needs are met by depending on othersfor help.c. The self-actualization process continues throughout life.d. Loneliness and isolation occur when self-actualization needsare unmet. e. A person achieves self-actualization by focusing on prob-lems outside self. f. Self-actualization needs may be met by creatively solvingproblems.A nurse is counseling a 19-year-old male athlete who had hisright leg amputated below the knee following a motorcycleaccident. During the rehabilitation process, the patient refusesto eat or get up to ambulate on his own. He says to the nurse,“What’s the point. My life is over now and I’ll never be thefootball player I dreamed of becoming.” What is the nursecounselor’s best response to this patient?a. “You’re young and have your whole life ahead of you. Youshould focus on your rehabilitation and make something ofyour life.”b. “I understand how you must feel. I wanted to be a famoussinger, but I wasn’t born with the talent to be successfulat it.”c. “You should concentrate on other sports that you couldplay even with a prosthesis.”d. “I understand this is difficult for you. Would you like to talk about it now or would you prefer me to make a refer-ral to someone else?”An experienced nurse observes your distress after leaving theroom of a patient who has just told her family that her cancerhas recurred and is in an advanced state. She tells you thatyou better “toughen up” if you want to survive in nursing. Shecounsels not getting emotionally involved with patients andfamilies: “Become a rock.” How do you respond to this nurseand why? Of what value, if any, is empathy?
- SITUATION Zoran Solano, a 20-year-old man was brought into theEmergency Department (ED) after an accident whilst ridingon an electric scooter. He was stabilised and transferred tothe Orthopaedic Ward for surgery in the morning.BACKGROUND Zoran Solano was out partying with his friends, celebrating abirthday in the Valley. According to his cousin, Eyad, Zoranstarted drinking at 5pm that day and by the time they leftthe club around 2am, Zoran was very intoxicated. As theywere walking out of the club, Zoran decided to jump on anelectric scooter that was parked outside the club. Eyadstarted running after Zoran, and he saw Zoran weaving inand out of cars on the road at a high speed. Eyad saw Zoranbarely manage to avoid fully hitting the concrete column of abuilding but he jumped off the electric scooter and landed inan awkward position.ASSESSMENT GCS: 15/15, both pupils: 3 equal and reactive to light,moving both upper limbs and right leg in normal strength,left leg no movement (due to severe…The Importance of Nursing Interventions Emotional and Psychological Support-Explain how nursing interventions can offer emotional and psychological support with elderly parkinson patientsDo a brief reflexive writing on the following question: How would you go about getting to know a client during your initial contact? Based on your own theoretical stance; use of diagnostic and assessment tools (i.e., tests); formulating treatment goals (aka “the contract”); organizational policy and procedures; and external payment/reimbursement requirements. Relevant examples from your own experience may be helpful to consider as well.