Get startedto stay in Protected View.Enable EditingMental Health Case: Sandra LittlefieldGuided Reflection QuestionsOpening QuestionsHow did the simulated experience of Sandra Littlefield's case make you feel?Talk about what went well in the scenario.Reflecting on Sandra Littlefield's case, were there any actions you would do differently? If so, what werethese actions and why?Scenario Analysis Questions*PCC/S What should be the nurse's priority when caring for Sandra Littlefield?What actions should be initiated to maintain personal safety?If the nurse did not recognize the importance of personal safety, what could be theconsequence?PCC/S Discuss the importance of therapeutic communication and setting limits for Sandra Littlefield.T&C/S What members of the healthcare team should be involved in Sandra Littlefield's case?Concluding QuestionsDescribe how you would apply the knowledge and skills that you obtained in Sandra Littlefield's case toan actual patient care situation.Q SearchFoan XvSim StandaloneXTime: 1000oint.lww.com/titles/9781975 198183/classes/687f62f6-68e7-4b65-aba0-460a00fb0baf/assignmentsLocation: Medical area (infirmary) in a jail+Report from intake coordinator:Situation: The patient, Sandra Littlefield, is a 36-year-old female who has been in jail for the past week on prostitutioncharges. She has a history of back pain and being given acetaminophen and ibuprofen. She is complaining of unrelievedpain and has put in a request to see the nurse.Background: Sandra Littlefield has a diagnosis of borderline personality disorder. She has been compliant during thisincarceration but has a history of aggressive behavior during past incarcerations. She was sexually abused as a child andhas been hospitalized for suicide attempts in the past, as well as for complications from her struggles with at-risksubstance use. Her history of back pain has resulted in frequent emergency room visits. During her prior two visits to thenurse at the jail, she was given acetaminophen and ibuprofen for pain.Assessment: Sandra was examined by the provider 3 days ago. She was alert and oriented, and her vital signs were asfollows: temperature 37°C (98.6°F), heart rate 84 beats/min, respiratory rate 16 breaths/min, blood pressure 132/80mmHg, and SpO2 98%. A physical examination of her back revealed no physical problems, and an MRI of her back,included in the patient chart, was negative. She receives ibuprofen 600 mg every 8 hours and was given both ibuprofen600 mg and acetaminophen 1000 mg at 8 a.m.Recommendation: The provider has asked us to avoid focusing too much on the physical complaints and instead try tohelp her with coping strategies for pain management, and to complete a mental status examination. Also, she wouldbenefit from boundaries and limit setting.A ☆ana▲▲WW30DownloadsvSim2.0 MentarOpen fileName.docxOpen fileName collette CenOpen fileOpen fileStep 1 IntroductionOpen fileName of patient.docxOpen filevSim2.0 Mental Health COpen filevSim2.0 Mental Health DaOpen filevSim2.0 Mental Health DavieOpen filevSim2.0 MentalHealth DavidCOpen fileStep 1 Therapeutic Class for TemOpen file72331959869_1991839A-367F-4

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Positive Aspects:Comprehensive Assessment: The intake coordinator's report provides detailed…