Question

Stimulation (Please read the simulation before answering the questions . Please do not scan your answer, type please)

Hey Ben. You’re getting an admission in the next 15 minutes coming from the outpatient clinic.

BEN: Okay, what can you tell me about this client? JAN: Well, Susan Choi is 33 years old. (PATIENT)

She’s been followed for depression over the past six months and is being admitted for acute mania.

She is on administrative leave from her employment as a certified public accountant. She’s single and resides in her parents’ home. Her behavior’s become very unpredictable. So her mother brought her

Into the clinic to see Dr. Price. BEN: Is she taking any medications?

JAN: She started Fluoxetine 20 milligrams a day, but her provider recently increased the dosage to 20

Milligrams twice a day. So her provider doubled the dose. She is being admitted for evaluation and Stabilization.

BEN: Okay I’ll make sure the room is ready.

JAN: Great, thanks, Ben.

Let’s go Ben, this is Susan, BEN: Okay, thanks, Andrew. ANDREW: You bet, BEN: Hi, Susan, And you are?

SUSAN: Just dandy! MRS. CHOL: Mrs. Choi, Susan’s mother. You can call me, Mrs. Choi.

BEN: Okay Susan, I’m going to spend some time getting to know you. Your date of birth is?

SUSAN: I’m 33 years old, born February 22^nd. BEN: Okay, so before we go into the conference room,

We are going to stop in the treatment room so I can get your vitals. I’ll show you to your room later.

BEN: Your vital signs look fine, Susan From the information I have here, you have been treated

For depression and done well for quite some time, but now you are having problems with focusing:

Such as eating, sleeping…. SUSAN I’m doing great! I couldn’t be better. I get all the sleep I need.

Fluoxetine is a miracle drug. And you Ben are a miracle. I couldn’t be better. BEN; I see your provider

Is Dr. Price. SUSAN; Dr. Price is a jewel the price is right, and he is bright, he says I’m alright.

He knows I’m the morning light. I don’t need to be here, you need to save the bed for someone who is really sick and needier.

1. Reflect on ethical dilemmas uncovered during scenario.

2. Discuss cultural considerations.

3. Discuss educational needs of the client who has multiple disease processes.

4. Describe an “Aha” moment you experienced during the simulation. What are some of the aspects of the client’s care that you did not feel they were prepared for?

Answer 1

1.

• Her vital signs look fine.
• She have her confidence.
• She know very well what is hapening to her.
• She know about her medication and how it acts on her.

2.

• An interesting aspect of society is its diversity in cultures and backgrounds that affect an individual's mental health related experiences. ... For instance, culture affects the way in which people describe their symptoms, such as whether they choose to describe emotional or physical symptoms
• Culture can influence how people describe and feel about their symptoms. It can affect whether someone chooses to recognize and talk about only physical symptoms, only emotional symptoms or both.

3.

Teaching patients is an important aspect of health care. Whether teaching a new mom how to bathe a newborn baby or instructing an adult who is living with a chronic heart disease, a successful outcome depends on the quality of the nurse’s instruction and support. Consider these five strategies.

• Take advantage of technology. Technology has made patient education materials more accessible. Educational resources can be customized and printed out for patients with the touch of a button. Make sure the patient’s individualized needs are addressed. Don't simply hand the patient a stack of papers to read. Review them with patients to ensure they understand the instructions. Answer questions that arise. Some resources are available in several languages.
• Determine the patient’s learning style. Similar information may be provided by a range of techniques. In fact, providing education using different modalities reinforces teaching. Patients have different learning styles. Find out if your patient learns best by watching a DVD or by reading. A hands on approach where the patient gets to perform a procedure with your guidance is often the best method.
• Stimulate the patient’s interest. It's essential that patients understand why this is important. Establish rapport, ask and answer questions, and consider specific patient concerns. For example, some patients may want detailed information about every aspect of their health condition. Others may want just the facts, and do better with a simple checklist.
• Consider the patient’s limitations and strengths. Does the patient have physical, mental, or emotional impairments that impact the ability to learn? For example, they may need large print materials. If the patient is hearing impaired, use visual materials and hands on methods instead of simply providing verbal instruction. Always have patients explain what you taught them. Often people will nod "yes” or say that they comprehend what is taught even if they have not really heard or understood. Consider factors such as fatigue and the shock of learning a critical diagnosis when educating patients.
• Include family members. Involving family members in patient teaching improves the chances that your instructions will be followed. In many cases, you will be providing most of the instruction to family members. Families play a critical role in health care management.

Teaching patients and their families can be one of the most challenging, yet also rewarding elements of providing health care. First-rate instruction improves patient outcomes dramatically.

4.

• When Ben asked about her problems .. that time how she answerd is very impressive . Then how she explain about Dr. Price ... that rhyming's also really nice.
• She have a problem like unpredictable behaviour so when we talking about her problems we need to ask about one by one ..