Tommy Jones is an 8-year-old boy referred to the student health center where you are working. This is the 4th time this week you have seen him and the 8th time this month. His teachers report that he has been inattentive in class and provoking his peers. When you talk with Tommy and ask him if he took his medications methylphenidate (Ritalin) today, he replied, no that his mommy “crushes it and puts it up her nose” she says, “it’s the only way to get through the day.” (Learning Objectives 1,5, 15, 17) What additional questions do you want to ask Tommy and why? What do you think the main issue is in this event and why? 3. Describe what nursing actions you would need to take in this case and why?

Tommy Jones is an 8-year-old boy referred to the student health center where you are working. This is the 4th time this week you have seen him and the 8th time this month. His teachers report that he has been inattentive in class and provoking his peers. When you talk with Tommy and ask him if he took his medications methylphenidate (Ritalin) today, he replied, no that his mommy “crushes it and puts it up her nose” she says, “it’s the only way to get through the day.” (Learning Objectives 1,5, 15, 17) What additional questions do you want to ask Tommy and why? What do you think the main issue is in this event and why? 3. Describe what nursing actions you would need to take in this case and why?

Intro To Health Care

4th Edition

ISBN:9781337338295

Author:Mitchell

Publisher:Mitchell

Chapter10: Infection Control

Section: Chapter Questions

Problem 1PSP

See similar textbooks

Similar questions

Tommy Jones is an 8-year-old boy referred to the student health center where you are working. This is the 4th time this week you have seen him and the 8th time this month. His teachers report that he has been inattentive in class and provoking his peers. When you talk with Tommy and ask him if he took his medications methylphenidate(Ritalin) today, he replied, no that hismommy “crushes it and puts it up her nose” she says, “it’s the only way to get through the day.” (Learning Objectives 1,5, 15, 17) 1. What additional questions do you want to ask Tommy and why? 2. What do you think the main issue is in this event and why? 3. Describe what nursing actions you would need to take in this case and why?
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?
Janice is a 56 years old mother of two teenagers she complains of difficulty sleeping and staying up all night with a burst of energy. She has been cleaning her house for the past 2 nights non –stop. You also notice that her speech is marked by a flight of ideas, when she is admitted, she is heard telling her roommate that she wishes that she could kill herself because she is tired of living like this. Discuss the probable DSM-V diagnosis that she is experiencing. Explain what would be the priority nursing diagnosis and included in her plan of care containing both pharmacologic and non-pharmacologic interventions.
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?
A physician requests that you change the “date of dictation” on a medical report to 3 days before the actual date of dictation so that the report will appear to have been dictated in a timely fashion. He explains that he was called out of town for a family emergency and fell behind in his dictation, and that he appreciates your cooperative and helpful attitude with small requests such as this. What do you do?
Jane 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?
Why is it important to step out of the pharmacy and interact with other hospital staff.
Patient is a 38 year old female indicating to her psychiatrist feelings of: emptiness, helplessness, hopelessness, and a deep sense of guilt for no apparent reason. She also mentioned having low energy, (not wanting to cook for her family or wanting to be intimate with her husband). The patient indicated not caring for any of her regular hobbies or anything pleasurable, difficult concentrating, and even not remembering details. She is having problems sleeping and even contemplated going to bed and overdosing (just once)
Student Profile: Name: Emily Johnson Age: 8 Grade: 3rd Grade Location: Local elementary school Medical History: Generally healthy, occasional allergies Chief Complaint: Emily Johnson is brought to the school clinic by her teacher, complaining of stomach pain and nausea. She reports feeling unwell and having difficulty concentrating in class. Social History: Emily is a third-grade student who lives with her parents and younger brother. She enjoys playing outdoors and participating in extracurricular activities at school. She mentions that she occasionally helps her parents with gardening and pet care. She denies any recent travel or changes in diet. Physical Examination: Vital Signs: Temperature 37.2°C (99°F), Blood Pressure 110/70 mmHg, Heart Rate 90 bpm, Respiratory Rate 18 bpm General: Patient appears fatigued, slightly pale complexion Abdominal Examination: Mild tenderness in the lower abdomen, no palpable masses or organomegaly Gastrointestinal: Reports abdominal discomfort, no…
it is a clinical case history in which you just need to fill this form. you just need to suppose a patient you are suffering from depression or anxiety and accordingly you have to fill this form and answers must be in detailed) Case History Sheet Personal Information: Client’s name: __ gender: ___ religion/sect: __ Date of birth: __ age: _ marital status: ___, Education: __ Family information: Father’s name: ___ alive: ___ age: __ Mothers name: _____ alive: ____ age: _ Presenting Problems ( Nature Of Problems, Precipitating Event, Patient’s Feelings And Thoughts About Problems) __________________________________________________________ History Of Problems (Duration Of Present Problem, Changes In Nature, And/ Or Frequency Of Problem Over Time, Prodromal Manifestations, Other Past Problems Of A Psychological Nature, No. Of Attacks)______________________________________________ Prior Treatment (Details Of Problems Sought For Presenting Problems And For Whom ; When And For What…
Patient is a 73 year old male with gradual memory loss for the 5 years with difficulty learning and remembering new information, deterioration in personal hygiene and appearance, loss of eye contact with a fearful look in his face. When daughter ask about time and place he is not able to responds correctly. In the last 2 years has been experiencing changes in mood and personality as well as problems with words in speaking and writing.