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- Frank, age 28, is engaged in ongoing supportive therapy through the outpatient clinic. He was diagnosed with a personality disorder when he was 20 years old. His history is significant for limited and unstable relationships with others. He is estranged from his family after they endured years of his manipulative behavior. Frank’s sister describes it in these words: “He will pull us in tightly by some urgent emergency—usually a suicide attempt—and then abruptly push us all away telling us we don’t understand him and never care enough to try to help. We just can’t go through this anymore. My parents have had enough. It’s ruined their marriage.” His assessment shows that his mood and affect are labile and volatile. He is impulsive, having attempted suicide on seven different occasions over the past 2 years. Frank reports frequently engaging in unsafe behavior with prostitutes, and he has several homemade tattoos on his arms, back, and neck. (Learning Objective: 1, 3, and 4) a. The…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?Mary is a resident in a refuge for women and children. Her husband has threatened her life and the life of her son and she has been granted a violence restraining order. Her 10-year-old son, Frederick, is very angry about being separated from his father. Frederick approaches Beryl, a new part time refuge worker. He confides in her how much he misses his father and how desperately he wants to see him, or even just talk to him. He persuades Beryl to let him use the phone in the office to contact his father. Beryl agrees as long as she remains in the office with him. Frederick blurts out the address of the refuge before Beryl can stop him. She realises she will be in trouble from her supervisor, so she doesn’t say anything to her. Later that night Jason, Frederick’s father, arrives at the refuge and attempts to break in. When Jason is questioned by the police, he tells them that Beryl let Frederick call him and tell him the address. Beryl faces a severe reprimand from her supervisor.…
- As she hangs up the phone, Ling realizes she has a decision to make. Her sister, Naomi, is being discharged after an unexpected hospitalization and will need nursing care at home for several weeks. As a registered nurse, Ling is used to fielding requests for minor care and advice from family members and friends. This situation however, will be more difficult to navigate. She knows her family will want her to be involved in Naomi’s care, and if she’s honest with herself, she would like to be as well. Questions: 1. But would it be the best approach for everyone involved? 2. How will Ling keep separate her roles as nurse and sister? 3. What information does the CNO standards provide to help guide her decision?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?What are some useful communication resources for non-English speaking patients? Explain how each helps during a routine visit to the radiology department. To have effective communication with a patient you must be proficient at the following skills: speech, writing, and visual observation. Why do you think this is?
- 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.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…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?
- Stan said, “ I am always down on myself and feeling hopeless”. The therapist asked if there are any exceptions to feeling hopeless. What ways was this effective or ineffective and why? If you were a client, how would it be for you to think of exceptions to one of your presenting problems?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 on in the world right now,I doubt God exist.”How will you handle your patient? What kind of therapeutic communication will you use? Why?Mr. James is 72 and has paraplegia because of an accident that occurred several years ago. His caregivers report that recently he has begun to make sexually suggestive remarks. While you are giving him his a.m. care, he keeps touching you in private areas and makes frequent sexually suggestive remarks. The other support workers tell you that they just ignore him or joke around with him about his actions. What would you say to Mr. James when he touches you in private areas? How would you respond to his suggestive remarks? What would you say to your colleagues who suggest that you ignore or joke with Mr. James? Has this type of situation ever occurred to you? How did you handle it then? What would you do differently after studying this chapter? If your answer to first question is “NO”. Explain what you have learned something valuable in this chapter that you could use in the future.
