CASE ANALYSIS AND EVALUATION NAME SCORE: DATE: The following are some case analysis. Analyze the questions and state your reason or analysis based on the case presented to the Rationale. DISCUSS THE FOLLOWING: One major cause of depression is the loss of a loved one. Have you ever experienced such loss? Discuss the five stages of grief theory of Kubler - Ross and relate it to your own experience. The nurse is caring for a patient who recently attempted suicide. Family members are not paying him a visit and friends are nowhere to be found. Upon admission, the patient is violent and verbally abusive. Formulate a nursing care plan for this patient to include the therapeutic communication techniques that should be used. CASE SCENARIO # 1 - BORDERLINE PERSONALITY DISORDER Sally had been calling her therapist all day, ever since their session this morning. But the therapist hadn't called her back, even though all her messages said this was an emergency. She was sure her therapist was angry at her and was probably going to drop her as a dlient, then she'd have no one, she'd be abandoned by the only person in the world she could talk to. Sally was upset and crying as she began to run the razor blade across her arm. As the blood trickled out, she began to calm down. Then her therapist called and asked what the problem was. Sally was sobbing as she told her therapist that she was cutting her arm because the therapist didn't care anymore that she was abandoning Sally just like everyone else in her life. Her parents, her best friend, everyman she had a relationship with. No one was ever there for her when she needed them. How does the nurse help a client with borderline personality disorder? RATIONALE:

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have no one, she'd be abandoned by the only person in the world she could talk to. Sally was upset
and crying as she began to run the razor blade across her arm. As the blood trickled out, she began
to calm down. Then her therapist called and asked what the problem was. Sally was sobbing as she
told her therapist that she was cutting her arm because the therapist didn't care anymore that she
was abandoning Sally just like everyone else in her life. Her parents, her best friend, everyman she
had a relationship with. No one was ever there for her when she needed them. How does the nurse
help a client with borderline personality disorder?
RATIONALE:
CASE SCENARIO #2 – The Client with Cognitive Disorder (Delirium)
Meredith, who is 75 years old, and frail is admitted to the hospital with a fractured hip. She
undergoes surgery to repair the hip and subsequently is sent to a general surgical unit. She appears
alert and oriented, although she is in pain. She is receiving intravenous fluids and has an indwelling
urinary catheter, both of which are to be discontinued in the morning.
The evening of the first postoperative day, Meredith tells the nurse that bugs are on the walls
and that she wants to leave this place. The nurse questions her and records that Meredith is no
longer oriented to place or time: she also is having visual hallucinations. During the questioning.
Meredith becomes mildly agitated and tells the nurse to get out. The nurse notifies the physician of
the change in Meredith's mental status.
The physician orders CT Scanning to rule out a possible injury sustained in the initial fal. He
also orders chest radiography and a urine culture to rule out infections. Results of the CT scan and
chest radiography are normal; however, the urine culture reveals a UTI. The physician prescribes
antibiotics to treat the infection and haloperidol as needed to treat the agitation. What is delirium?
What is the frequent cause of delirium in older adults?
RATIONALE:
SELF-EVALUATION
Tabulate the different coping mechanisms that you commonly use to your family and how it
affects your relationship with them. What coping mechanisms work for you and what do not?
If you were to do psychodynamics of yourself, where do you think do you need
improvement? Why? What could have been done to make the situation better?
In dealing with patients with maladaptive patterns with behavior, how do you handle clients
who have similar life situations as you and who manifest identical reactions to stresses in life?
Transcribed Image Text:have no one, she'd be abandoned by the only person in the world she could talk to. Sally was upset and crying as she began to run the razor blade across her arm. As the blood trickled out, she began to calm down. Then her therapist called and asked what the problem was. Sally was sobbing as she told her therapist that she was cutting her arm because the therapist didn't care anymore that she was abandoning Sally just like everyone else in her life. Her parents, her best friend, everyman she had a relationship with. No one was ever there for her when she needed them. How does the nurse help a client with borderline personality disorder? RATIONALE: CASE SCENARIO #2 – The Client with Cognitive Disorder (Delirium) Meredith, who is 75 years old, and frail is admitted to the hospital with a fractured hip. She undergoes surgery to repair the hip and subsequently is sent to a general surgical unit. She appears alert and oriented, although she is in pain. She is receiving intravenous fluids and has an indwelling urinary catheter, both of which are to be discontinued in the morning. The evening of the first postoperative day, Meredith tells the nurse that bugs are on the walls and that she wants to leave this place. The nurse questions her and records that Meredith is no longer oriented to place or time: she also is having visual hallucinations. During the questioning. Meredith becomes mildly agitated and tells the nurse to get out. The nurse notifies the physician of the change in Meredith's mental status. The physician orders CT Scanning to rule out a possible injury sustained in the initial fal. He also orders chest radiography and a urine culture to rule out infections. Results of the CT scan and chest radiography are normal; however, the urine culture reveals a UTI. The physician prescribes antibiotics to treat the infection and haloperidol as needed to treat the agitation. What is delirium? What is the frequent cause of delirium in older adults? RATIONALE: SELF-EVALUATION Tabulate the different coping mechanisms that you commonly use to your family and how it affects your relationship with them. What coping mechanisms work for you and what do not? If you were to do psychodynamics of yourself, where do you think do you need improvement? Why? What could have been done to make the situation better? In dealing with patients with maladaptive patterns with behavior, how do you handle clients who have similar life situations as you and who manifest identical reactions to stresses in life?
1 of 3
NCM 117
CASE ANALYSIS AND EVALUATION
NAME
SCORE:
_DATE:_
The following are some case analysis. Analyze the questions and state your reason on
analysis based on the case presented to the Rationale.
DISCUSS THE FOLLOWING:
• One major cause of depression is the loss of a loved one. Have you ever experienced such
loss? Discuss the five stages of grief theory of Kubler - Ross and relate it to your own
experience.
• The nurse is caring for a patient who recently attempted suicide. Family members are not
paying him a visit and friends are nowhere to be found. Upon admission, the patient is violent
and verbally abusive. Formulate a nursing care plan for this patient to include the therapeutic
communication techniques that should be used.
CASE SCENARIO #1-BORDERLINE PERSONALITY DISORDER
Sally had been calling her therapist all day, ever since their session this morning. But the
therapist hadn't called her back, even though all her messages said this was an emergency. She
was sure her therapist was angry at her and was probably going to drop her as a client, then she'd
have no one, she'd be abandoned by the only person in the world she could talk to. Sally was upset
and crying as she began to run the razor blade across her arm. As the blood trickled out, she began
to calm down. Then her therapist called and asked what the problem was. Sally was sobbing as she
told her therapist that she was cutting her arm because the therapist didn't care anymore that she
was abandoning Sally just like everyone else in her life. Her parents, her best friend, everyman she
had a relationship with. No one was ever there for her when she needed them. How does the nurse
help a client with borderline personality disorder?
RATIONALE:
CASE SCENARIO #2 – The Client with Cognitive Disorder (Delirium)
Meredith, who is 75 years old, and frail is admitted to the hospital with a fractured hip. She
undergoes surgery to repair the hip and subsequently is sent to a general surgical unit. She appears
alert and oriented, although she is in pain. She is receiving intravenous fluids and has an indwelling
urinary catheter, both of which are to be discontinued in the morning.
The evening of the first postoperative day, Meredith tells the nurse that bugs are on the walls
and that she wants to leave this place. The nurse questions her and records that Meredith is no
longer oriented to place or time: she also is having visual hallucinations. During the questioning,
Meredith becomes mildly agitated and tells the nurse to get out. The nurse notifies the physician of
the change in Meredith's mental status.
The physician orders CT Scanning to rule out a possible injury sustained in the initial fall. He
also orders chest radiography and a urine culture to rule out infections. Results of the CT scan and
chest radiography are normal; however, the urine culture reveals a UTI. The physician prescribes
antibiotics to treat the infection and haloperidol as needed to treat the agitation. What is delirium?
What is the frequent cause of delirium in older adults?
RATIONALE:
Transcribed Image Text:1 of 3 NCM 117 CASE ANALYSIS AND EVALUATION NAME SCORE: _DATE:_ The following are some case analysis. Analyze the questions and state your reason on analysis based on the case presented to the Rationale. DISCUSS THE FOLLOWING: • One major cause of depression is the loss of a loved one. Have you ever experienced such loss? Discuss the five stages of grief theory of Kubler - Ross and relate it to your own experience. • The nurse is caring for a patient who recently attempted suicide. Family members are not paying him a visit and friends are nowhere to be found. Upon admission, the patient is violent and verbally abusive. Formulate a nursing care plan for this patient to include the therapeutic communication techniques that should be used. CASE SCENARIO #1-BORDERLINE PERSONALITY DISORDER Sally had been calling her therapist all day, ever since their session this morning. But the therapist hadn't called her back, even though all her messages said this was an emergency. She was sure her therapist was angry at her and was probably going to drop her as a client, then she'd have no one, she'd be abandoned by the only person in the world she could talk to. Sally was upset and crying as she began to run the razor blade across her arm. As the blood trickled out, she began to calm down. Then her therapist called and asked what the problem was. Sally was sobbing as she told her therapist that she was cutting her arm because the therapist didn't care anymore that she was abandoning Sally just like everyone else in her life. Her parents, her best friend, everyman she had a relationship with. No one was ever there for her when she needed them. How does the nurse help a client with borderline personality disorder? RATIONALE: CASE SCENARIO #2 – The Client with Cognitive Disorder (Delirium) Meredith, who is 75 years old, and frail is admitted to the hospital with a fractured hip. She undergoes surgery to repair the hip and subsequently is sent to a general surgical unit. She appears alert and oriented, although she is in pain. She is receiving intravenous fluids and has an indwelling urinary catheter, both of which are to be discontinued in the morning. The evening of the first postoperative day, Meredith tells the nurse that bugs are on the walls and that she wants to leave this place. The nurse questions her and records that Meredith is no longer oriented to place or time: she also is having visual hallucinations. During the questioning, Meredith becomes mildly agitated and tells the nurse to get out. The nurse notifies the physician of the change in Meredith's mental status. The physician orders CT Scanning to rule out a possible injury sustained in the initial fall. He also orders chest radiography and a urine culture to rule out infections. Results of the CT scan and chest radiography are normal; however, the urine culture reveals a UTI. The physician prescribes antibiotics to treat the infection and haloperidol as needed to treat the agitation. What is delirium? What is the frequent cause of delirium in older adults? RATIONALE:
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