Exam (elaborations)

PNR 300:JEFFREY IS A 60 YEAR OLD WHO HAD KNEE SURGERY 1 DAY AGO..... ANSWER

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Course
PNR 300

Institution
Seneca College

PNR 300:JEFFREY IS A 60 YEAR OLD WHO HAD KNEE SURGERY 1 DAY AGO..... ANSWER Jeffrey is a 60 year old who had knee surgery 1 day ago. Ashley the night nurse informs Jalpa the day nurse that Jeffrey received one dose of morphine 2 hours ago and has been sleeping since then with no pain. Jalpa assess...

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Type Exam (elaborations)
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pnr 300 jeffrey is a 60 year old who had knee surgery 1 day ago answer
jeffrey is a 60 year old who had knee surgery 1 day ago ashley the night nurse informs jalpa the day nurse that jeffrey received

Institution
Seneca College
Course
PNR 300

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PNR 300-Seneca College

1.Jeffrey is a 60 year old who had knee surgery 1 day ago. Ashley the night nurse informs Jalpa the
day nurse that Jeffrey received one dose of morphine 2 hours ago and has been sleeping since then
with no pain. Jalpa assesses Jeffrey and finds he has no vital signs, a Code Blue is called and Jeffrey
is declared deceased. On chart review Ashley did not assess Jeffrey at any time after giving
morphine, hospital policy dictated vital signs should be assessed every 15 mins for one hour after
giving morphine. Ashley's failure to properly monitor Jeffrey is an example of what:
Assault
Intentional Tort
Negligence
Incapacity
This is professional negligence since the nurse did not carry out the expected responsibilities as
stated by the facility policies of conducting 15 minutes assessment of a client given morphine. The
three elements of satisfying that a person has committed professional negligence was committed in
this case since breach of duty, a life is lost and the nurse entered into the contract that owed the care
of patients.

2.
Jeffrey is a 60 year old who had knee surgery 1 day ago. Ashley the night nurse informs Jalpa the day
nurse that Jeffrey received one dose of morphine 2 hours ago and has been sleeping since then with
no pain. Jalpa assesses Jeffrey and finds he has no vital signs, a Code Blue is called and Jeffrey is
declared deceased. On chart review Ashley did not assess Jeffrey at any time after giving morphine,
hospital policy dictated vital signs should be assessed every 15 mins for one hour after giving
morphine. Ashley's failure to properly monitor Jeffrey is an example of what:
Assault
Intentional Tort
Negligence
Incapacity

This is professional negligence since the nurse did not carry out the expected responsibilities as
stated by the facility policies of conducting 15 minutes assessment of a client given morphine. The
three elements of satisfying that a person has committed professional negligence was committed in
this case since breach of duty, a life is lost and the nurse entered into the contract that owed the care
of patients.

3.
Documentation is used to communicate to all members of the health care team and to monitor client
status and progress. All of the following are examples how nurses demonstrate this standard except?
Ensuring timely, complete and accurate record of care provided
Documenting both objective and subjective data accurately
Using abbreviations appropriately
Ensuring documentation is made in a temporary format or record

Information documented in temporary formats or records can get lost and the information
contained in those records will be of no use to the patient if it gets lost.

4.

,Riley, a 12-year-old boy with leukemia, has been undergoing treatment for the last two years. When
asked about his disease, Riley is able to articulate the details of his illness and treatment. For the last
six months, Riley's condition has deteriorated, and he has been admitted to the hospital several times.
Riley has expressed desire to discontinue his treatment and says "I know if I don't have my treatment,
I won't live anymore". According to the Health Care Consent Act:
Riley is a minor and cannot consent to withdrawing treatment
Riley is only 12-years-old and is not capable of making an informed and voluntary
decision
Riley appreciates his illness and its consequences and is considered capable of
making the decision to withdraw treatment.
Riley can withdraw treatment if his parents agree with the decision

Healthcare Consent Acts states that an individual must be at least 16 years of age to
refuse of give consent to treatment.

5.Monique an RPN has worked in a labour and delivery unit for 20 years. When resolving ethical
situations, Monique does not think she needs to consult with her colleagues because they do not have
as much experience as she does. Monique insists and is adamant on demonstrating bathing of an
infant to the baby's father, because she feels it is beneficial for fathers to be actively involved. This
has been raised as an ethical issue on the unit by newer staff. What should the team do in this
situation?
Regardless of experience or expertise, consulting about ethical situations helps
support decision-making
Monique's experience is enough, and she is able to resolve ethical conflicts
independently
Monique is correct. Parents often experience anxiety over a new baby
Monique should be removed from being a client's primary nurse whenever their
values do not match

Consulting is essential in sharing of ideas and knowledge among the healthcare providers. It
enhances their understanding of various perspectives of other individuals. Therefore, consulting
about the ethical situations regardless of the experience and expertise is essential for shared-decision
making.

6.
A Nurse witnesses a nursing colleague hitting a client. The nurse intervenes and stops the abuse. The
nurse identified that she was tired and frustrated, and that it will never happen again. She asked the
witness not to tell the manager. What is the witness's responsibility in this situation?
You are responsible for supporting your colleague who is suffering from nurse
fatigue. You are responsible for protecting the client and must report the incident to the manager
You are responsible for helping your colleague manage challenging patients who
cause all nurses to be frustrated
You can be silent because this is the first incident and the nurse said she will deal
with her fatigue
You are responsible for supporting your client only

, Reporting this case to the manager enables the manager to be aware of the burnouts and fatigue that
the nurses experience while caring for these patients. This will alert the manager to take appropriate
actions that will reduce nurses' workload to reduce fatigue.

7.

The nurse is aware that an ethics committee in a health care facility serves to:
Interview all persons involved in an ethical dilemma
Illustrate circumstances that demonstrate malpractice
Serve as a resource for specific situations as they occur
Examine previous similar cases for comparison of outcome decisions

The ethics committee provides education to the healthcare providers on the current ethical issues and
concepts within the facility. It enables the healthcare providers to develop appropriate competencies
needed to address legal and ethical issues.

8.
Your client who has dementia refuses his 0800 medications. His daughter is his substitute decision-
maker. What should the nurse do?
Crush the medications, put them in apple sauce and then feed it to him
Contact his daughter to discuss the change in behavior
Get someone to help you open his mouth and make sure he swallows the
medications
Contact his daughter and insist she come to the home and make sure her father
takes his medications

Contacting the daughter to discuss the changes of her father's behavior is appropriate since people
with dementia are incapacitated and they cannot make sound decision.

9.
Alyssa is a client on a mental health unit. On admission, she is a voluntary client and is competent to
make treatment decisions. She is diagnosed with an eating disorder. At meal times, she is anxious
and only eats fruit with ice cream. Her nurses want to give her a prn (take as needed) medication to
reduce her anxiety in order that she will eat more food. Alyssa is undernourished and has lost weight.
Identify the correct statement about Alyssa's situation
A voluntary patient lacks capacity to make treatment decisions
A patient with incapacity is not able to understand the information relevant to
making a decision about the proposed treatment
A patient with capacity is able to understand the information relevant to making a
decision about the proposed treatment
A person capable of making treatment decisions never needs to be an involuntary
patient

The fact that Alyssa is a voluntary patient means that she is bale to understand the information to
make the correct decision regarding her treatment. A voluntary patients wants to get well. Hence
Alyssa will take the medication to be able to get well.

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Exam (elaborations)

PNR 300:JEFFREY IS A 60 YEAR OLD WHO HAD KNEE SURGERY 1 DAY AGO..... ANSWER

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