What nursing approaches may be used to manage the patient’s behavior? 2. What purpose do the pictures serve for Daniel? 3. What may be the precipitating factor in Daniel’s aggressive behavior?
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1. What nursing approaches may be used to manage the patient’s behavior?
2. What purpose do the pictures serve for Daniel?
3. What may be the precipitating factor in Daniel’s aggressive behavior?
4. Can you help me create an illustration of an ideal room for Daniel.
Thank you!
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- 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. QUESTION: What is the beneficent action?You are caring for Tim, a 78-y/o man admitted with a neurologic problem. As you enter his room, he says, “Hi, you must be my son’s friend. Come in. I’m Tim & this is my wife, Martha. I’m sorry our house is a mess. This year, 1968, isn’t a good year for us.” 1.How would you describe and document his mental status? 2.What may have contributed to this? Give at least three. 3.From your answer in #2, what will be your 3 topmost priority plans of care? Do not forget to cite your references to support/justify your answers.
- A visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.Mr. Anwari, age 73, is brought to the physician’s office by his daughter, Lucy, who is a licensed practical nurse (LPN). She states her concerns about her father: During the past 2 months he has been found wandering in the neighborhood because he forgets where he lives. Neighbors see him, note that he appears confused, and bring him home. Lucy is worried that her father is showing signs of early Alzheimer’s disease.1. Describe the physical changes that occur in the cortex of the brain.2. Describe the stages of Alzheimer’s disease.3. Describe the physiological and psychological changes that occur during Alzheimer’s dementia.4. What are the functions of the frontal lobe of the cerebral cortex?5. What parts of the limbic system may be affected in Alzheimer’s disease?6. What would be the concerns of the family when a person is diagnosed with this disease?You are providing the immediate preoperative care for a womanscheduled for surgery to remove a brain tumor. She tells you shedoes not want the surgery because she knows she is dying andjust wants to go home to be with her husband and children. Shealso knows that her husband cannot accept the fact that she is dying and wants her to have the surgery. What do you do?
- A client is hospitalized for treatment of myasthenic crisis and is concerned about what may have caused this illness. The client's states I just had a little case of the sniffles and a bit of a sore throat and warm! Suddenly I couldn't get out of the bed or do anything. Which response is best for the nurse to provide this clientYou are responding to a private residence for an 80-year-old female, with altered mental status. The husband called 911. When you arrive, their adult son is on the scene. He was not aware of the 911 call and says his dad has dementia and must have gotten scared and called just before he got there. He says his mom is a diabetic and this is a pretty common occurrence, but he's not sure how it happened this time. The son said her blood sugar was 400, and he was just about to administer her normal dose of insulin. He says that since her sugar is so high, he wants to increase the dose. He is willing to sign a refusal on her behalf. Do you allow him to give the insulin? Assume the insulin is not expired and is prescribed to her. If yes, do you allow the refusal? Why or why not? Explain your decision to the son, including what is happening on a physiologic level (in terms a layman can understand) What is the long-term solution for this situation of repeated episodes of hyperglycemia?“Jean,” a veteran nurse, pleaded guilty to a misdemeanornegligence charge in the case of a 75-year-old woman whodied after slipping into a coma during routine outpatient eyesurgery at an eye surgery center. Jean admitted that she failedto monitor the woman’s vital signs during the procedure.The surgeon who performed the procedure called the nurse’saction pure negligence, saying that the patient could havebeen saved. The patient was a vibrant grandmother of 10who had walked three quarters of a mile the morning of hersurgery and had sung in her church choir the day before. Aspart of her plea arrangement, the nurse agreed to serve 6 months of probation—the first 2 months on house arrest—and surrender her nursing license.3. Those bringing the charges against Jean are called:a. Appellatesb. Defendantsc. Plaintiffsd. Attorneys4. Jean’s attorney was careful to explain in her defense that Jeanhad specialty knowledge, experience, and clinical judgmentand had met certain criteria established by…
- A nurse was aiding with activities of daily living to her client diagnosed with Alzheimer's. The nurse observes the client uses her toothbrush to brush her hair and take notes of the behavior. The client is exhibiting: A. Agnosia B. Aphasia C. Anomia D. ApraxiaHow could dementia patients be cared for in care homes?Is the prescription is rational or irrational ?