Please help to answer these question This is case study Chris is a register nurs

Question

Please help to answer these question

This is case study

Chris is a register nurse (RN) arrives for work on the day shift on an acute care medical unit and receive a patient assignment for the shift. The assignment include care of medical patients. After receive the night shift report, the nurse makes rounds on the five patients, does a head-to-toe assessment of each, lists each patient’s problem, sets patient goals, ad plans their care for the day. During the shift Chris administers intravenous (IV) medications to all five patients, ensures that all oral medications are given by the licensed practical nurse (LPN); asks the unlicensed assistive personal (UAP) to bathe two of the patients who need assistance; assists a patient with ambulation; provides education to a patient who will be discharged on a new medication; evaluates the plan of care for each patient, with update as necessary; and notifies the primary care providers of critically abnormal blood work results for two patients.

One patient’s friend come to visit and stops Chris in the hallway to ask detailed questions about the patient’s condition. Chris states that patient information is protected and can not be shared without the consent of the patient.

At a recent continuing education conference. Chris learned that current evidence showed that aspirating the syringe after the needle is inserted into the muscle before administering deltoid intramuscular (IM) injections was no longer recommended. He remembers this new information while preparing to give a patient an IM immunization before discharge. Chris believes that self-care maintains wholeness, and meets patients’s self-care needs by doing for, guiding, teaching, supporting, or providing the environment to promote self-care abilities.

Question:

1. which roles are exhibited by Chris when they are displayed

2. which nursing theorist do Chris beliefs parallel?

3. Which of the ANA Standard of Nursing Practice is Chris exhibiting during the shift

Explanation / Answer

1) Chris is very systematic in work. As he arrives for work, he checks night shift reports, he does systematic assessment of each patient. He plans their medication and care for the day. He monitors the work of LPN and UAP. He is very loyal to his work and knows to protect ethical and legal information of patient. He is up to date in his work as he knows that aspiring the syringe after needle is inserted into muscle before administering deltoid IM injection is no longer recommended. He trusts on self care abilities hence he guides patients about it.

2) I think Chris believes Dorothea Orem's self care model as he focuses on self care ability. According to Dorothea Orem, the nurse then meets the self care needs by acting or doing for, guiding, teaching, supporting or providing the environment to promote patients ability. Chris is doing same.

3) Chris exhibits ANA standard 1,2,3,4,5,6,7,8,12 and 16. That is Assessment, identification of issues, outcomes identification, planning, implementation, evaluation, education, and leadership.

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