MNUR 800 Foundations for Advanced Practice Nursing

Instruction:

Complete all three clinical case scenarios by answering all the questions for each scenario not exceeding a total of 2 pages. All answers must be cited with credible sources - may use up to two books and at least one peer reviewed journal article or one reputable internet site.  The answers should be supported by current best evidence for practice. Type the answers under each question. Refer to the assignment rubric for the evaluation criteria.

The completed assignment must be submitted to the Assignment Box on slate. Marks will be deducted for late and/or incomplete submission.  

1. Typed and double spaced.
2. Not exceeding 2 pages, excluding the cover page and reference page.
3. Grammatically correct with proper sentence structure and citation.
4. APA format based on the current edition.

You are taking care of Mrs. Smith an 80-year-old client with diagnoses of Dementia. When you tell Mrs. Smith it is lunch time she insists that she has eaten already and is no longer hungry.

1. How will you communicate with Mrs. Smith?
2. What would be your next step as a nurse?

You are assigned to Mr. Johnson, a 75-year-old client who is deaf and has an unsteady gait due to a knee replacement he had 2 years ago. You have entered his room to begin your morning care, and he is facing the television with his back to you.

1. How will you approach Mr. Johnson and communicate that it is time for you as the nurse to assist him with his care? (list 3 effective ways and explain your answers)
2. What are the nursing considerations and effective strategies when assisting the client in moving around as the client has unsteady gait? (list at least two nursing considerations and two effective strategies)

You have been assigned to caring for a client with pneumonia who also contracted Clostridium difficile, also known as C. difficile. What appropriate personal protective equipment (PPE) should be used when caring for this client? List all the appropriate PPE and explain the correct procedures for donning and doffing PPE for this case scenario. Also, explain why these PPE should be used based on this case scenario.