Bora Boromeo is a 36 year old woman who was an active church organization member for many years.Unfortunately,she was a victim of a violent rape last summer and was also diagnosed as COVID positive.She develops depression and declares”I think with what’s going in the world right now,I doubt God exist.”The nurse then responded,”This is not a church that you can ask such questions,”What kind of non-therapeutic technique did the nurse utilized? if you are the nurse manager,how would you correct the nurse therapeutically?
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- You are a nursing student who is assigned to a busy medical-surgical unit that specializes in the care of patients with diabetes related conditions. One of your patients for the day is Ms. Martinez, a 63 year old woman who is post-operative for an amputation of the right foot. You enter the room to conduct your morning assessment and you find that Ms. Ncube is crying uncontrollably. She confides to you that she feels helpless and that she does not know how she will continue to live her life autonomously without her foot. She states that she cannot bare for herself or anyone else to see her wound. Although you empathize with Ms. Ncube, you are very busy today and have a limited amount of time to conduct your assessment. a. How do you think you may navigate this situation given Ms. Ncube's emotional status and also your time limitation to complete your needed tasks? b. Part of your assessment includes observing Ms. Ncube's amputation site. How may you assess the site while still being…Louise is a midwife working in the community and was making her final visit to a woman who had recently given birth to her second child. Louise delivered the woman’s first child five years ago and had established a good professional relationship with the woman and her family. During the visit, the woman indicated that she would like to continue visiting Louise on an ongoing basis just to have a coffee and hang out. Is it appopriate for Louise to continue her relationship with the woman? Discuss your answerJane has been assigned to care for Jessie Hibbs. Jessie has just been told there is nothing further anyone can do to treat her illness and that she will be referred to hospice. Jane knows that means she has a prognosis of death within 6 months period of time. Jane is bathing Jessie and asks her if she has contacted her church to talk with her pastor or priest. Jessie tells her that she does not belong to a church, and Jane asks her if she wants to have the hospital chaplain come to visit her. Jessie tells her, “No, I do not want to talk to the chaplain.” Jane persists saying that everyone who is approaching death wants to make things right with God. Jessie tells her that she does not believe in God and does not follow any religious faith. Jane ends the discussion by saying, “Oh, that’s too bad. I feel sorry for you.” How has Jane failed to be therapeutic with Jessie? How do you imagine Jessie felt about this conversation?
- A nurse asks a 25-year-old patient to make a list of 20 wordsthat describe him. After 15 minutes, the patient listed thefollowing: 25 years old, male, named Joe; then declared hecouldn’t think of anything else. The nurse documents that thepatient has demonstrated:a. Lack of self-esteemb. Deficient self-knowledgec. Unrealistic self-expectationd. Inability to evaluate himselfA nurse is caring for an 80-year-old female patient who isliving in a long-term care facility. To help this patient adapt toher present circumstances, the nurse is using reminiscence astherapy. Which question would encourage reminiscence?a. “Tell me about how you celebrated Christmas when youwere young.”b. “Tell me how you plan to spend your time this weekend.”c. “Did you enjoy the choral group that performed hereyesterday?d. “Why don’t you want to talk about your feelings?”Mrs. Dunbar is a 90-year-old female patient admitted to the Women's Health Unit at RIH. She lives at home with her son Michael. Michael states that she was in her frequency. He states that she is normally alert and oriented, but this morning she is confused and not sure where she is. Her son called the PCP this am. The PCP recommended that she go to the emergency room for further evaluation. Upon arrival at the ED, pt was lethargic and febrile. VS as follows: Rectal Temp: 103.1, BP: 84/58, Pulse: 60 and regular, RR: 10 U/A and culture were sent: Culture grew out E. Coli This is my assessment report: Temp 99 02:96 BP: 80/55 HR:40 RR:23 The patient is alert and oriented. Patient Catheter had 25ml of gross hematuria, pain at her private area on scale of 0-10 is 9. Abdomen is distended because she is retaining urine, she has a UTI. This is her lab values: UWBC: 100,000 BUN/Creat: 60/3.0 K+: 5.9 Nat: 135 CXRAY: left lower lobe atelectasis EKG: I-wave changes throughout, These are the…
- An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him. He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. QUESTION: What is the beneficent action?An elderly man presents himself to the ER. He has contractures and paralysis of his let hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2 What ethical principles are involved? 3. Should the nurse locate the patient and ensure that he is not endangering himself or others by driving? Would this be a breach of contidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating. She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital, He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2. What ethical principles are involved? 3. Should the nurse locate the patient and ensure that be is not endangering himself or others by driving? Would this be a breach of confidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?
- You are a hospice nurse who is working with a 55-year-old woman, Mrs. Jones, who is dying from liver cancer. The woman’s daughter, Mary, has been with her mother supporting her and helping her along the way despite the fact she has three children all younger than 5 years old. Mrs. Jones’s condition is worsening, and Mary is becoming quiet and introspective. You encourage her to verbalize her feelings, and she cries that she needs her mother and cannot let her go. She wonders how she will manage without all the support she has given her through the years. You have been there before, having lost your mother in much the same way. What would be the best response to Mary at this time? “I lost my mom to cancer about your age as well. It helped me to talk about it. I am glad you feel free to talk about your feelings and I am willing to listen.” “Mary, perhaps you need a quiet place to cry.” “It must be horrible going through this with all the small children needing you as well.” “I am…What nursing actions can you take to assist a patient who is constipated?Mr.Nail and his daughter discuss the situation and he decides to take the morphine. sedates him heavily. The provider has scheduled a throacenesis to make a diagnosis, to remove pleural fluid to relieve dyspnea, and to relieve pain. Due to Mr. Nail's sedation, he is unable to give consent to the procedure. Who can legally give consent for a client who is unable to sign for himself? Select all that apply. OTwo providers since this is an elective procedure. The designee of a medical power of attorney Two nurses. No consent is needed for this since it is an elective procedure. The legal next of kin D