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Prairie St. John’s Day 2
Prior to your clinical at Prairie St. John’s, please go to their website and research the following. The questions that do not relate specifically to Prairie St. John’s may be found with independent research.
https://prairie-stjohns.com/
1. The middle stage of dementia can present with negative behaviors. What are some helpful ways to deal with behavioral disturbances in those with dementia?
2. Polypharmacy can be common in people that have mental illnesses. What are risks of polypharmacy?
3. What are three types of therapeutic communication? Give an example of at least one nonverbal type of therapeutic communication.
4. Coping skills are crucial to learn for everyone, those with mental illness in particular. Briefly describe grounding techniques and cognitive reframing.
5. The Diagnostic Statistical Manual of Mental Disorders posits that there are five dimensions of mental and emotional health. Describe each briefly below:
Axis I:
Axis II:
Axis III:
Axis IV:
Axis V:
The post paperwork for Prairie St. John’s is as follows:
APA paper (include headers, page numbers) on your experience with the following criteria:
Find an evidence-based article on a patient’s issue that is of interest to you that you observe at the hospital (ex. Dialectical behavioral therapy, schizophrenia) and summarize it (should be 1 full page minimum). The topic you pick for this clinical should be different from the topic picked for day 1.
Reference page APA Citations
Cx3 Module Assignements (Use APA Citations)
Module 08 Content
Purpose
To work in an interdisciplinary team, use critical thinking, and apply emergency nursing interventions within the scope of practice for the LPN.
Instructions
Read the following scenario and answer the questions. A fingerprint indicates a major clue. Make sure you cite all sources using APA format.
The Story:
You (the LPN) are working in an urgent care center on a team with an RN, Physician, and NP. You receive a client (54 year-old-male) who is complaining of acute lower back pain that began four hours ago. The client has no previous history of back pain and denies any recent injury. The client has a history of hypertension and Marfan Syndrome. You perform data collection, and the client’s vital signs are: 174/90, 112, 24, 98.0 PO. You note that the client’s skin is cool and clammy. The RN performs an assessment and notes a pulsatile mass in the client’s abdomen. His lungs are clear, and his pulse is regular. The physician orders two large bore IV’s to be inserted but no IV fluids and nitroglycerine to lower his blood pressure.
Answer the following questions:
Question # 1: What is the significance of the client’s history of Marfan Syndrome? (5-10 sentences)
Question # 2: What vital sign(s) should the LPN immediately report? Why? (5-10 sentences)
Question # 3: What is the significance of the “pulsatile mass” (5-10 sentences)
Question # 4: Why did the physician order IV’s but no IV fluids? (3 sentences)
Question # 5: Why does the client need to have his blood pressure lowered? (3 sentences)
Format
o Standard American English (correct grammar, punctuation, etc.)
o Logical, original and insightful
o Professional organization, style, and mechanics in APA format
o Submit document through Grammarly to correct errors before submission.
Module 09 Content
Purpose
Recognize common blood disorders and apply appropriate nursing interventions within the scope of practice of the LPN.
Competency
Describe nursing care interventions for clients with hematological disorders.
Instructions
Read the following Scenarios and answer the questions that follow. Make sure you cite any sources using APA format.
Scenario # 1
You are sent to the medical ICU to help out because there were several sick calls. You are instructed by the charge nurse to take vital signs on all of the clients in the 12-bed unit. You are just completing your rounds when a call bell goes off in room three. The client in room three is recovering from septic shock but has been stable for the past 48 hours. The client is awake and requesting ice chips. As you lean over to grab his pitcher, you notice blood oozing from two IV sites on his left arm. The Foley catheter has tea-colored urine, and the client’s central line in his chest has blood oozing from the site.
Question # 1: What in the data collection should be reported to the RN immediately? Why? (5-10 sentences)
Question # 2: What items in the client’s history are risk factors for DIC? (2-3 sentences)
Scenario # 2
You are working in the genetics clinic of a large medical center. Your first client of the day has a history of hemophilia A (factor VIII deficiency). The client came to the clinic for Assessment of right knee pain. He denies any history of trauma and states the pain began last night, worsening ever since. His pain is a 7/10.
Question # 3: Should the nurse be concerned about the client’s knee pain? Why or why not? (5-10 sentences)
Question # 4: Why are the vast majority of clients with hemophilia male? (5-10 sentences)
Scenario # 3
You are working in a small community emergency room when you receive a client complaining of severe pain (10/10) to her arms and chest. The pain began one hour ago. The client is known to have sickle cell disease.
Question # 5: What is the priority nursing intervention for this client? Explain your answer. (3-5 sentences)
Format
o Standard American English (correct grammar, punctuation, etc.)
o Logical, original and insightful
o Professional organization, style, and mechanics in APA format
o Submit document through Grammarly to correct errors before submission.
Module 10 Content
Purpose
To treat clients with STIs with a nonjudgmental attitude within the scope of practice of the LPN while functioning on a team of professionals.
Competency
Identify nursing interventions for clients with disorders of the reproductive system.
Instructions
Read the case studies below and answer the questions. Make sure you cite any sources using APA format.
Scenario # 1
You are working in a community health clinic on a team that has an LPN, RN, and nurse practitioner. Your first client of the day is a tearful young woman who states that she has had a painful rash to her genital area for the past couple of days. She came to the clinic today because the rash is getting progressively worse. Her vital signs are: 100.5 (PO), 114, 28, 145/88 Pain: 9 on a 1-10 scale. The client shares with you that her boyfriend has herpes. They never have sex when he is having a flare-up, so she is not sure how she could have gotten it from him.
Question # 1: What should be the first priority for this client? Explain your answer. (5-10 sentences)
Question # 2: The RN provides teaching to the client, but the client has some follow-up questions. As the LPN you reinforce the teaching about how herpes is spread. What factual information should the nurse provide about the spread of this disease between flare-ups? (2-3 sentences)
Scenario # 2
You are working in a primary care office with a physician’s Helpant (PA) and RN. A client comes in for a follow-up visit. He states that he was called to come in because of an “abnormal lab report.” You print the labs for the PA, and you see that the client had a sore on his penis that was scraped and sent to the lab. The scrapings are positive for syphilis. You also see in the notes that the client had to be called repeatedly to come to the office. At first, he was unwilling to return because he stated he “feels fine.”
Question # 3: The client is confused about why he needs to name his sexual partners. What factual information can the nurse give to explain the need for all of his sexual partners to be treated as soon as possible? (5-10 sentences)
Question # 4: The PA orders a single dose of Benzathine Penicillin G 2.4 million units IM. The client questions why he just cannot take some pills. What explanation will you provide to the client? (5-10 sentences)
Scenario # 3
You are working in a primary care office with a physician. You are instructed to collect data on a client, including vital signs and chief complaint. The client states that she is a sex worker and has had chills, fevers, and sore throats on and off for several weeks. The physician orders a rapid HIV test.
Question # 5: What in your data collection indicates that the client is at high risk for HIV? (2-3 sentences)
Format
o Standard American English (correct grammar, punctuation, etc.)
o Logical, original, and insightful
o Professional organization, style, and mechanics in APA format
o Submit document through Grammarly to correct errors before submission.
