Question

Preparing for Clinical Practice

Nursing Today

1. You are on the patient safety committee at your hospital. Your assignment is to identify two sources related to safety. One resource must relate to the individual nurse, and the second must relate to the practice and work environment. Identify the ANA website and use this site to identify the resources.

2. Mrs. Langman is in the hospital recovering from hip replacement surgery. Her surgery involved insertion of a new type of hip replacement prosthesis and newer postsurgical care. The advanced practice registered nurse (APRN) is preparing her discharge medication and rehabilitation prescriptions. The staff nurse is preparing to transfer Mrs. Langman to a rehabilitation facility. The nurse educator is conducting bedside rounds to explain the new prosthesis and related postoperative care.

a. Discuss the roles of the staff nurse, APRN, and nurse educator.

b. What is the educational preparation for each role?

The Health Care Delivery System

Community Hospital is a 400-bed urban hospital, one of six hospitals in a health care system. The nursing department of the hospital is applying to the American Nurses Credentialing Center for Magnet status. Nursing units are working on a number of projects to prepare for the Magnet application process.

1. You are a staff nurse on a medical-surgical floor at the hospital. The unit is trying to improve its culture in patient safety. How would you go about helping to improve the culture of safety on the unit?

2. Discuss four strategies that the nursing unit can use to deliver patient- and family-centered care.

3. You are asked by a newly hired nurse what the nursing-sensitive outcomes mean and why it is important that the unit measure the outcomes. What is your response?

Community-Based Nursing Practice

you are managing community care for Katie, age 17, who has cerebral palsy and is severely disabled. Because of the impact of this adolescent's disability, you are also providing care to her mother, Monica, age 50, who is a single parent. Monica has cardiac disease, and all three of her siblings died in their late 50s. She is not able to work and is on public health insurance; Katie is covered through her state insurance program. Katie attends special education programs through the school district, and she will remain eligible for this education until she is 21.

Katie's two siblings, Josh (22) and Marilyn (19), both have cardiac disease and follow strict health promotion activities, which include diet and exercise. Both are in college and currently live at home. Monica is encouraging them to live in their own apartment when they graduate and have a job.

1. identify some of the social determinants of health for this family. Use the following reference to assist you: Centers for Disease Control and Prevention (CDC): Social Determinants of Health, Definitions, 2014b, http://www.cdc.gov/socialdeterminants/Definitions.html (Links to an external site.)Links to an external site..

2. Which resources do you need to identify for the family?

3. How would you help the family begin to envision the new family structure as Josh and Marilyn move out of the home?

Theoretical Foundations of Nursing Practice

1. Your nursing class is debating the issue of the usefulness of grand theories in current practice. Make a case for the applicability of grand theories in modern nursing and describe how nurses can use the original nursing theory—Nightingale's environmental theory—in the following settings:

a. Critical Care Unit

b. Emergency Department (ED)

c. Home Health

2. You are providing care to a patient with chronic obstructive pulmonary disease (COPD) who has been readmitted 3 times within the past month for difficulty breathing. Explain how you would apply Peplau's interpersonal theory to help this patient prevent complications and promote self-management of his disease.

3. For the same patient described previously, how would you apply Orem's self-care deficit theory to help the patient? Compare and contrast the use of Peplau's and Orem's theories for this patient.

Answer 1

Q. No 1. Answer :

Nursing today  

Q. No 1. Answer :

Two sources related to safety :

1. Maintainance of safety recards and reports like sentinel events records and, patient safety indicators, mortality reviews ect.

This is from nurse, because nurse has to maintain all records and reports strictly in any incidents happena in the health care settings.

So reports should be maintained safely and securely.

2. To maintain safety to the clients the nurse should provide safety environment like providing side rails to preventing from falls from bed.

And maintaining infection control activities by committee, to prevent infections.

Using personal protective equipments by nurses, while caring infectious clients.

These are the work place safety environment.

These are the two sources related to safety.

Q. No 2. a) Answer :

Role of staff nurse Mrs. Langman :

* here the staff nurse is preparing to transfer Mrs. Langman to a rehabilitation facility centers.

* so the staff nurse has to prepare all the nurses notes like what is happen to client and what care provides by her, from starting to now.

* like hip replacement surgery and now she is in post operative days, and any side effects arrised whole providing treatment and she has to write shifting notes like intake and out put chart, vital signs monitoring chart, lab investigations chat, medications chart, and transfer notes ect.

* and arrange all the patient needed articles.

Role of the Advanced practice registered nurse :

* she has to see the drugs what has prescribed by doctors and prepare ready all medications to hand over to client.

* what are the article needed for rehabilitation she has to indent to the pharmacy and clear the pharmacy billing section.

Role of Nurse educator :

* she should explain regarding rigid post operative dressing, to prevent or counter act towards edema.

* regarding taking rest she will explain.

* regarding protein diet and fluids she will explain to the client.

Theoritical foundations of the nursing practice :

Nightingales environmental theory

* It was given by Florence nightingale.

* according to this theory we need to provide adequate ventilation, warmthness, quite, adequate diet and cleanliness, fresh ness by providing all these client can recover early.

a) critical care unit.

* if this theory applying to ccu means

* Adequate ventilation

* clean bed making

* provide quite and calm environment

* good nutritional supplementation

* warmth ness should be provided by blankets.

* provider side rails for safety.

b) Emergency department :

If these theory apply to emergency department

* provide immediate and aseptic care to the clients.

* provide quite and calm environment.

* freshness should be maintained.

c) Home health :

* home environment should be keep cleanly.

* avoid unnecessary disturbances to the client in the home, by providing quite environment.

* ventilation and freshness provided by the good doors and windows opening.

* provide comfortable clothing.

* by providing adequate nutrition and fluids we can improve health.