47-year-old female comes to the ER at 10pm with complaints of shortness of breath and chest pain. She also brought dog, Tranquil. The patient reports Tranquil is a service dog, assisting her with long standing anxiety issues. No one is accompanying her – her neighbor dropped her off in the ER on the way to work. Because her EKG shows some questionable changes, physicians believe she should be admitted at least overnight. ER attempts to secure a private room to accommodate Tranquil. There are no private rooms available; in fact, there are 16 patients already on the wait list for […]
A 42-year-old Somalian woman is admitted in active labor with her 8th child. She is accompanied by her husband and 2 adult males, later identified as her stepsons. Because the patient does not speak English well, she is offered an interpreter on admission and during the consent process. With all 4 individuals in the room, she declines and asks that her husband and/or his sons can interpret for her. Later that day, when just the nurse is in the room, the patient asks about getting her tubes tied and other forms of birth control. The nurse finds the patient has […]
Karen is a 17-year-old girl with an eating disorder. She is in severe heart failure. An aid is assigned to constantly observe Karen. Karen complains that she feels like she is under arrest, imprisoned, and unduly restrained. She is even watched in the bathroom. She reports what she believes to be a violation of her rights to an external authority. Which of the following best describes Karen’s report? She reports inappropriate use of restraint as con-compliant with CMS Conditions of Participation. She reports kidnapping and false imprisonment to the county police. She files a complaint with The Joint Commission that […]
Edwin has been an RN for 7 years and has worked at 2 acute care hospitals on an observation/overnight stay unit. His wife has a new job in Kansas City so they moved. He has applied at Emerald City Hospital for a position working the night shift on a post-operative unit. He completes the application process and does note that he is deaf. He interviews with HR. The interviewer doesn’t ask about his deafness or if he requires accommodation. The interviewer summarizes the initial interview, noting Edwin has a slight speech impediment and otherwise recommends him for interview by the […]
Chelsea left the office at 1030 to run some errands and to go to a doctor appointment. She did not clock out, expecting to return within an hour. Her doctor was running late and at 1130, she called and asked her co-worker to clock her out. She returned to her workplace around 1pm. Her manager asked to meet with her and told her staff had been looking for her around 11. Chelsea explained as above. Chelsea was ultimately terminated for leaving without clocking out and for asking someone else to clock out for her. Chelsea learned that the Manager was […]
You have been assigned a post-operative cardiac patient with a chest drainage tube inserted mediasternally. List the important considerations in managing a chest drainage system explain each in 20-40 words. Position of client and the drainage system Observations Insertion site care Patency for drainage system Exercise Contingencies/ Emergencies e.g. client pulling the tube out
The Oral Rehydration Therapy case study outlines the attempt to increase uptake of ORT to treat childhood diarrhea in developing countries around the world. Ultimately, it did not work. What reasons contributed to its low usage? Think about the end user—were appropriate communication strategies used to reach the end user? What communication strategies could have resulted in increased usage? How could understanding the population’s culture have contributed to successful uptake?