Your pregnant patient has been admitted with a broken ankle from a fall. When you walk into the room, the woman is crying on the phone telling someone she is sorry, and it will not happen again. What would be your first action in response to hearing this?
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Your pregnant patient has been admitted with a broken ankle from a fall. When you walk into the room, the woman is crying on the phone telling someone she is sorry, and it will not
happen again. What would be your first action in response to hearing this?
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- An abnormolly is any deviation from what is regarded as normal.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.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?
- Should the physician supply enough medication to provide relief or only enough pills for the patient to take when she is experiencing pain that she absolutely cannot bear? Think this through and formulate questions that might help you decide what stance to take.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?A 70-year-old male is scheduled for surgery. He says to thenurse, “I am so frightened—what if I don’t wake up?” Whatwould be the nurse’s best response?a. “You have a wonderful doctor.”b. “Let’s talk about how you are feeling.”c. “Everyone wakes up from surgery!”d. “Don’t worry, you will be just fine.”
- 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?You know a patient is uncomfortable about undergoing a pel-vic examination, and you ask the male physician to wait for you before he begins the examination. He tells you he can’t wait and doesn’t need your assistance. You know the patientwants another woman in the room. How would you respond,and what is at stake? Does it matter if the reason for thepatient’s request to have you present is simply preference,is linked to a history of abuse, or is related to her culturalor religious beliefs?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?
- Mary O'Keefe calls the Inner City Health Care office in a panic. Gwen Carr, CMA (AAMA), answers the telephone. Mary: "Oh my God, help me. I need Dr. King." Gwen: "This is Ellen Armstrong, Who is this calling? What is the situation?" Mary: "It's my haby, oh God, get Dr. King." Gwen: "Dr. King is unavailable, but we can help you. Now, tell me your name." Mary: "It's Mary O'Keefe. Help me, I think my baby is dead." Gwen: "Are you at home?" Mary: "Yes" Gwen: "Ok. Try to calm down. Speak slowly and tell me what's happened." Mary: "My son Chris pried the plug off an outlet and he's electrocuted himself!" Mary cries. "He's just lying there. I'm so scared, if I touch him, will I electrocute myself? Oh my God, my baby, my baby. What should I do?" Gwen, who has been writing down the details on a piece of paper, motions to Joe Guerrero, another CMA (AAMA) in the office, and hands him her notes. Joe immediately accesses the O'Keefe address from the patient database and uses…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?A female patient presents to the emergency department complaining of pain in the right lower quadrant of her abdomen. List the organs and structures that could possibly be involved in causing her pain.