Nursing Case Study
Directions:
You will be able to upload after 12:05a.m. Sunday of Week 6. Your upload is due before 11:55p.m. Friday of Week 6:
Use APA format to include: title page, reference page, in-text citations, double spaced lines, indentions and all other APA formatting. Your submission should not exceed three pages (3) pages (plus the title and reference pages). Please submit as one continuous document. This is a scholarly writing and content assignment. Support your assertions with your text book plus at least one (1) evidence-based, peer-reviewed nursing journal as indicated. A journal article should never be older than 5 years. You are encouraged to use UL@L’s library and Scientific Research Publishing “SCIRP” for the latest findings in medical science. (Use their search box.)
Your textbook offers content guidance in chapters 5, 10, and 31. For the nursing diagnosis, see pages 70-72, your own reference materials, and/or this website – Elsevier Care Plan guides located at
http://www1.us.elsevierhealth.com/MERLIN/Gulanick/archive/Constructor/cpindex.html
Please be mindful to include at least one (1) “related to factor” and one (1) “defining characteristic (as evidenced by)” in the actual nursing diagnosis.
Assessing for Violence
Scenario:
An 11-year-old female child is brought into the emergency department by her mother. The mother appears anxious but sits quietly next to her daughter in the waiting room. When called into the triage area, the mother gives a history of coming home from work to find her daughter sitting on the couch watching television. Her daughter did not go to the door to greet her or look toward her when she said hello. The mother thought the daughter’s behavior was odd because she always greeted her at the door with a hug. As she approached her daughter, she noticed that she was holding her right arm. The mother asked what was wrong, but the daughter remained silent. Then she said “Nothing is wrong.” The father is sleeping upstairs. The mother gives a family history of having an alcoholic husband who usually drinks himself to sleep. She said he had abused the child physically and psychologically in the past, and she had brought her to the emergency room because she fears he had hurt her. The nurse briefly examines the child and finds her right arm is bruised and the child exhibits guarding behavior. The nurse requests the past records from prior visits. Vital signs and developmental basics are: temperature-98.6º, blood pressure-125/60, respirations-24, heart rate-90, weight-80 lbs., height-4 feet, 2 inches. When the nurse asks the child what happened to her arm, the child does not make eye contact and states “Nothing happened.”
Points of Consideration:
1. Using the history and physical provided, briefly analyze the subjective and objective data.
2. Discuss how the nurse can obtain additional subjective information from the child when she is reluctant to speak.
3. Mention further test(s) anticipated from the M.D. to provide additional objective data.
4. List one (1) Health Promotion Nursing Dx, one (1) Actual Nursing Dx, one (1) Potential Nursing Dx (Risk for), one (1) Collaborative Problem. (see page 70 for help)
5. Mention a problem for referral and why.
6. Discuss the legal responsibility the nurse has
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