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NURS 355 Study Guide - Midterm Guide: Neuroleptic Malignant Syndrome, Quetiapine, Health Insurance Portability And Accountability Act

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aishadresser
14 May 2023
School
VCU
Department
Nursing
Course
NURS 355
Professor

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Document Summary

Pt is going to harm others, we must tell the other person this information. Still have the right to refuse medications. Pt mind is altered so cant always make decsions for themselves. Dementia needs proxy for choices regarding medicine. If pt refuses medication cant discharge becasue they are still harmful. Cultural is what a pt says it is for them: Success is obtained in preparing for the future. Disease is lack of harmony between person and environment. Populations at risk of mental illness and inadequate care. Ethics: the study of philosophical beliefs about what is considered right or wrong in a society. Bioethics: used in relation to ethical dilemmas surrounding health care. Ethical dilemma: conflict between two or more courses of action, each with favorable and unfavorable consequences. Autonomy: respecting the rights of others to make their own decision. Fidelity (nonmaleficence): maintaining loyalty and commitment; doing no wrong to a patient. Veracity: one"s duty to always communicate truthfully.

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Related Questions

Laura Santos, a 32-year-old patient at Kingstown Medical Clinic, is seeing Dr. Santos for the first time since her last wellness visit last year. Sarah, the clinical medical assistant, takes Laura's vital signs and measures her weight and height. Laura has gained 25 pounds since her last visit, and complains of fatigue every day. Laura tells the medical assistant that she often feels drowsy, her nails have become brittle, and she's very sensitive to cold temperature. Sarah documents this information in the patient's medical record and kindly tells the patient that Dr. Santos will be with her momentarily.

Based on Laura's symptoms, you would suspect ______ to be the physician's diagnosis.

A. hyperthyroidism

B. hyperparathyrodisim

C. hypothyroidism

D. Conn's syndrome

1. The nurse working in a long-term care facility incorporates a focused assessment of
the immune system for all newly admitted patients over the age of 65. Older adults

are more likely to develop problems related to immune function than are middle-
aged people. The focused immune assessment includes a systemic approach based

on age-related changes in immunologic function. (Learning Objective 4)
a. What changes in the immune system in the older adult increase the incidence of
infection and cancer in this population?
b. Explain why older adults may have decreased inflammatory responses.
c. Why are older adults at increased risk of gastroenteritis and diarrhea secondary
to proliferation of intestinal organisms?

2. The nurse educator for an oncology unit is preparing an in-service presentation for
new nurses about the care of patients with immunodeficiencies. Patients with cancer
who are receiving chemotherapy, as well as those with bone marrow transplants, are
immunocompromised and require special attention to assess for signs of infection.
The nurse educator focuses on special care needs of this patient population.
a. What is the rationale for assessing the pulse and respiratory rates for 1 full
minute in a patient with immunodeficiency?
b. What special precautions about dietary restrictions and food preparation should
be included in the teaching for a patient with immunodeficiency?
c. What nursing actions should be implemented to decrease the risk of infection in
the patient with immunodeficiency?
3. Molly Baker, a 22-year-old patient, presents to the clinic with the diagnosis of
allergic rhinitis. She states that she develops paroxysmal sneezing, clear nasal
drainage and congestion, watery, red eyes, and nasal itching from the late spring
until the first frost in the fall. She states that she has a dry cough and voice
hoarseness. She complains of feeling extremely tired, unable to sleep at night, and
having difficulty concentrating on her collegiate course work.
a. What further assessment should the nurse provide?

  1. Ellie Long, a 55-year-old patient, presents to the pain clinic with the diagnosis of
    fibromyalgia syndrome. The nurse at the clinic obtains a history and physical
    assessment of the patient. (Learning Objective 2)
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    during the history process?
    b. On what areas should the nurse concentrate when assessing the patient?
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The hospital risk management department has reviewed Zelda's care.  The medical record is analyzed.  The incident report is reviewed.  It is revealed that Zelda's protected health information (PHI) was disclosed:  to her mother, to her health insurance company, to the county's Adult Protective Services agency, the State Department of Health and Human Services, the medical staff peer review committee, the marketing department (photos are used in an campaign against abuse in the home), and hospital legal counsel. 

Define PHI.  

And are any of these disclosures legally allowable? 

Why or why not?  

Cite to the law or laws that direct your response. 

 

Here is our shared scenario:  Zelda is in trouble again.  She is brought to the ED by police after a domestic dispute with her husband.  Zelda has lacerations and suffered a hit to her head and is being brought to the ED for assessment and treatment.    Zelda also has little red spots (rash) all over her arms which she says were due to a recent bout with Chicken Pox.  Pictures of her injuries and rash were taken by the ED nurse as part of the department domestic violence policies.  The pictures were placed in the patient’s medical record. 

While helping Zelda get onto the stretcher, Zelda bites the police officer.  The officer’s skin is broken and the officer is cared for by the ED staff.  The ED Nurse submits an incident report to the hospital’s internal risk management reporting system.  In addition, a hospital social worker comes to talk to Zelda about her safety at home. 

 After the biting incident, both Zelda and the police officer undergo testing for HIV and other blood borne pathogens.  The police don’t pursue charges against Zelda and she is discharged that same day.