Chapter 18, Problem 1RP

Summary Introduction

To discuss:

How and why would the student nurse respond to this situation?

Case summary:

The nursing student cares for a 14-year-old teenage patient D in her third trimester, who is visiting the prenatal clinic for the first time. The patient had a history of smoking 2 pack of cigarettes per day and drink beer for 5 night of a week, and eats mostly fast foods. The patient involved in sexual activity with multiple partners and the father of the baby is unknown. The patient does not have parental care and lives in her friend’s house. The resident who examines her is deeply frustrated about her lack of concern towards the baby and did not show any professionalism. The resident told that she is very late to be taken care and as if she trying to kill the baby.  

Explanation of Solution

The nursing student can comfort the resident apart from the patient’s presence and try to convince the resident to apologize to the patient. The nursing student also tells the resident that it is the only way to gain the trust of the patient, so that it would the best to give care for the patient as well as for her unborn baby.  

Summary Introduction

To discuss:

The adequacy of the skills for professional practice and what that is tell about the student nurse?

Case summary:

The nursing student cares for a 14-year-old teenage patient D in her third trimester, who is visiting the prenatal clinic for the first time. The patient had a history of smoking 2 pack of cigarettes per day and drink beer for 5 night of a week, and eats mostly fast foods. The patient involved in sexual activity with multiple partners and the father of the baby is unknown. The patient does not have parental care and lives in her friend’s house. The resident who examines her is deeply frustrated about her lack of concern towards the baby and did not show any professionalism. The resident told that she is very late to be taken care and as if she trying to kill the baby.

Explanation of Solution

The student nurse is still not an Advanced Practice Registered Nurse (APRN) to become a nurse advocate, who advocates on behalf of her patients.

Summary Introduction

To discuss:

Any alternative ways to respond in this situation?

Case summary:

The nursing student cares for a 14-year-old teenage patient D in her third trimester, who is visiting the prenatal clinic for the first time. The patient had a history of smoking 2 pack of cigarettes per day and drink beer for 5 night of a week, and eats mostly fast foods. The patient involved in sexual activity with multiple partners and the father of the baby is unknown. The patient does not have parental care and lives in her friend’s house. The resident who examines her is deeply frustrated about her lack of concern towards the baby and did not show any professionalism. The resident told that she is very late to be taken care and as if she trying to kill the baby.

Explanation of Solution

The nursing student could have talked and counseled the patient that the resident made the comment as he only wanted to give a good care for the baby, since she lacked caring for the baby.

Summary Introduction

To discuss:

The knowledge, skills, and attitudes do you need to develop to continuously improve quality and safety when caring for child patients like D?

Case summary:

The nursing student cares for a 14-year-old teenage patient D in her third trimester, who is visiting the prenatal clinic for the first time. The patient had a history of smoking 2 pack of cigarettes per day and drink beer for 5 night of a week, and eats mostly fast foods. The patient involved in sexual activity with multiple partners and the father of the baby is unknown. The patient does not have parental care and lives in her friend’s house. The resident who examines her is deeply frustrated about her lack of concern towards the baby and did not show any professionalism. The resident told that she is very late to be taken care and as if she trying to kill the baby.

Explanation of Solution

• The nursing student should have good interpersonal skills to calm down the resident.
• The nursing student should have good communication skills to convince both the patient and the resident.
• The nursing should not compromise on her professional integrity and should look out for patient’s safety to provide quality care.