Directions: Below is a case history / scenario. Formulate 3…

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Question Answered step-by-step Directions: Below is a case history / scenario. Formulate 3… Directions: Below is a case history / scenario. Formulate 3 acceptable nursing diagnoses based on the situation given below. You may refer to your NANDA reference book as your guide in making the nursing diagnosis.1. You are assigned to Mr. Reyes who states that “Madalas akong dumudumi ngayon kaysa kahapon. Ibig sabihin nito ay gumagana ang mga gamot na iniinom ko at ako ay gagaling na siguro bukas.” You observed that he has pale skin, is sweating inside an air-conditioned room and frequently touches his abdominal area. Further assessment reveals that he has watery stools, increased abdominal sounds and his vital signs are as follows: T = 37.90CPR = 80 bpmRR = 18 cpmBP = 110/90 mmHg(Temperature) (Pulse rate) (Respiratory rate) (Blood pressure) Health Science Science Nursing NURSING 102 Share QuestionEmailCopy link Comments (0)

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QuestionINSTRUCTIONS: Column 2: Write two therapeutic responses for each of the patient's statement in column 1Column 3: Identify the specific techniques usedColumn 4: State the rationale for using such techniques of communication Example:PATIENT STATEMENT NURSE'S RESPONSES TECHNIQUES USED RATIONALE"I'm too tired to get out of bed today." "You are too tired to get out of bed?" You may be tired, but the community meeting starts in 15 minutes and you are expected to be there."  Restating Informing  Presenting Reality Repeats the main idea expressed. Gives the patient an idea of what has been communicated. If the message has been misunderstood, the patient can clarify it. Makes available facts the person needs. Supplies knowledge from which decisions can be made or conclusions can be drawn and behavior can be based. Indicates what is real and expected. The nurse does not argue or try to convince the patient, just describes personal perceptions, facts and consistency in the situation. PATIENT STATEMENT NURSE'S RESPONSES TECHNIQUE USED RATIONALE1."They poisoned this food. You are all out to get me!"  A.  B. A. B.  2. "Nobody cares whether I live or die. I cannot go on like this anymore."  A.  B."  A. B.  3."My limo will be arriving any minute. I've just got to get back to Hollywood because this is not my place."  A. B. A. B.  4. "I won't be going to group today. My boy-friend is coming to see me A. B. A. B.  5. "Hey Baby, how about a date?"  A. B. A. B.  6.The shamburglax are on their way. We all better hide."  A. B. A. B.  7."You come one step closer and I'll hit Pete with this lamp." A. B. A. B.  8."I am your god, kneel before me or I will cast you to your doom" A. B. A. B.  9. "Those voices, I hear them again" A. B. A. B.  10. "I can't talk to you, my head is wired, someone is spying my thoughts" A. B. A. B.  11. "You are the only one that I could trust in this ward" A. B. A. B.  12. "Hey nurse Grace, you look sad and pale today?" A. B. A. B.  13. "It must be better If I don't exist anymore" A. B. A. B.  14. "You look so much like my mother" A. B. A. B.  15. "The constitution is the mother of all law that governs our moral, legal and ethical actions from Mercury to Pluto" A. B. A. B.  16. "I don't like that medication, it turned me into robot" A. B. A. B.  17. "Ms. X, the patient from next door is talking nasty words about you" A. B. A. B.  18. "Will you still visit me after your rotation"?  A. B. A. B.  19. "I don't like a female nurse, go away" A. B. A. B.  20. "Will you marry me?" A. B. A. B.     Health ScienceScienceNursingShare Question
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Question Answered step-by-step Sally is a 56 y/o female who presents to your office complaining ofdepression. She has been hospitalized for depression and suicidal thoughts on 3 occasions, once in her 20's, once after the birth of her daughter when she was 31, and again about 5 years ago. She is tearful in the appointment stating she doesn't want to go back to the hospital, but she just knows she is heading down a dark path. She is currently prescribed Zoloft 100mg 2 pills daily for depression and Xanax 0.5mg BID PRN for anxiety. She reports having tried Cymbalta (made things worse), Prozac (helped for a while and stopped), Lexapro (no response), Pristiq (caused agitation). -Are there any lab tests you would like to have or would order? Explain why? -What is your pharmacologic plan for treatment? -What ideas do you have for non-pharmacological interventions in this patient? -What interprofessional consultations or referrals would you make for this patient? -Explain what might not go as planned with your first pharmacologic plan and present a secondary pharmacological plan for treatment? Health Science Science Nursing PMHN-620: 620 Share QuestionEmailCopy link Comments (0)