Mark is a 15-year-old student who has recently quit attending his high school cl

Question

Mark is a 15-year-old student who has recently quit attending his high school classes. Mark has always been a straight-A student who participated in many social and athletic activities at his school. Today, Mark’s friend, Tony, brings Mark to the clinic that is part of your community’s hospital. Tony tells you, “Mark got in with a bad group. He’s been doing’ the stuff really bad. He’s been doing’ the needles and the smoking’. He’s been with me for two days, man, and he’s real sick. Help him, man.” You and the physician undertake an assessment of Mark and find that he has yellowing of his sclera. He has a fruity odor on his breath and is vomiting copiously. Mark’s level of consciousness is guarded; he is in and out of coherence and is not a reliable source of information about himself at this time. The physician notifies Mark’s parents and explains that Mark may have several conditions, including, but not limited to, serum hepatitis. Meanwhile, you continue to admit Mark to the hospital for further testing and medical care. He is placed in enteric isolation as a precaution. An IV is started, and you begin to explain the hospital routines to Mark. After you tell him that he must remain in his room for now and that his visitors will be limited during the time of the isolation precautions, he becomes angry. He conveys to you that this is “an invasion of his privacy” and that “you nurses are all part of the conspiracy.”

1. How would you start the nursing process for this patient?

Explanation / Answer

1) The nursing process consists of six steps

The nursing process is started with the initial assessment of the patient. As much information as possible is gathered regarding the patient's physiological, psychological, sociological and spiritual health. Explain to him about the condition he is suffering from and why the particular test was performed. If the patient refuses, then documentation has to be made.

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