Client’s Feelings PSW Actions (physical and emotional help) Situation2 Mrs. Gregg has expressed a desire to read, but she is unable to understand the text in her old books.

Mrs. Gregg continually uses her knife to eat with and is generally unable to choose the correct utensil and unable to cut her meat. She has difficulty getting food to her mouth. She resists heip. One day she threw her plate across the room

She asks you to help her practice words. She says that she has trouble passing the time and that she expects to return to work in several weeks. Client’s Feelings PSW Actions (physical and emotional help)

What factors have and will affect the personalization of healthcare and how do you feel this will impact you and the way you interact with patients, managers, and others in your same role?

Which of the following is NOT a characteristic of compartmentalization. (1 pt.) a. Communication b. Fluid filled c. Isolation d. Regulation (specialization) e. Structure 2. Draw a cell membrane and label the relative concentrations ofNa,K∗,Cl. and protein on either side of the membrane. (2 pts.)

The cell membrane is made up of many different kinds of proteins. These proteins can be classified as either peripheral, transmembrane, or lipid-anchored proteins. Regardless of their classification, these proteins all play an important role in the function and integrity of a cell. Which of the following properly describes the function of membrane proteins?

( 2 pts.) to provide structural stability for the cell to allow for cell-cell communication to combine with a carbohydrate, providing an immune response and/or cell recognition to combine with lipids to form strong shells that prevent the movement of substances across the membrane lo provide a selective barrier to provide fluidity to the membrane to serve as a channel for the transport of molecules between extraceilular and intracellular fluid

4. The creation of glycogen from many glucoses is an example of (1 pt.) an exergonic reaction. an endergonic reaction. a catabolic reaction. an anabolic reaction. 5. Draw a graph of the free energy of a molecule as a function of time for an endergonic reaction. label on the graph “activation energy” and “net free energy change” (3 pts.)

A 25 years old woman who is at 34 weeks’ gestation arrives at the obstetrician’s office for her routine appointment; she is accompanied by her husband. The client informs the nurse that she has some generalized abdominal discomfort and has had firm stools recently that are hard to pass and less frequent than usual. Additionally, the client reports urine leakage that is especially noticeable with coughing, laughing, or sneezing.

The client reports managing the symptoms of constipation with increased fluid intake but no other measures. The provider examines the client and determines the client demonstrates an otherwise normal assessment. The provider instructs the nurse to provide the client with directions on constipation management, including an over-the-counter stool softener and urinary incontinence related to pregnancy.

Assessment Questions

1. Identify the relevant subjective and objective assessment information related to the client’s condition and place the findings in the assessment data box below. (Recognizing Cues; Assessment)

2. Based upon assessment information, identify and prioritize the top 3 client problems. Write one client problem in each of the Client Problem boxes below. (Analyze Cues; Analysis and Prioritize Hypothesis; Planning)

3. Below each client problem, determine and enter the relevant assessment information that supports the identified client problem. (Analyze Cues; Analysis and Prioritize Hypothesis; Planning)

4. Identify important nursing interventions that should be taken to address each client problem and enter them in the related intervention box for the associated client problem. (Take Action; Implementation)

Discussion Questions

Educators may choose to instruct students to include relevant information identified during the discussion questions into the concept map.

1. Discuss special considerations to be made for clients from diverse backgrounds. (Recognize Cues; Assessment)

A. Teenage female with no support.

B. Clients from diverse backgrounds(i.e. Age, culture, socioeconomic status).

2. Identify potential client problems. (Analyze Cues; Analysis)

A. Instruct students to provide a rationale for their choices.

3. Discuss nursing interventions to address the identified potential client problems. (Generate Solutions; Planning)

A. Instruct students to provide a rationale for their choices.

4. Discuss the desired client outcomes related to the performed interventions identified in the concept map as well as for potential client problems. (Generate Solutions; Planning)

A. Discuss client responses that demonstrate an improvement of the client problem.

B. Identify client responses that indicate worsening of the client condition. (Generate Solutions; Planning)

5. Discuss safety considerations that should be included when planning care for this client (i.e. fall risk). (Generate Solutions; Planning)

6. Identify client education the nurse should provide for this client (i.e. diet, activity, ADLs). (Take Action; implementation) Discuss client outcomes you would anticipate based on the performed nursing interventions (i.e. improved SPO2 with raising head of bed, increasing amount of oxygen being delivered). Identify how achievement of client outcomes would be evaluated. (Evaluate Outcomes; Evaluation)

7. Discuss ways to modify or revise the plan of care when client outcomes are not me.(Evaluate Outcomes; Evaluation)

Concept Map

Admitting Diagnosis

Assessment Information

Client Problem 1:

Assessment information

Intervention

Client Problem 2:

Assessment information

Intervention

Client Problem 3:

Assessment information

Intervention