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Answers all the Clinical Alternative Assignments and the Case Study Clinical Judgment Model Templates for the 2 scenarios
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Clinical Alternative Assignment [Engage ATI-MH-Alzheimers]
Case Study Clinical Alternative Assignment
Instructions:
1. Read the Clinical Scenario (case) below.
2. Once you read the case do the following:
a. Complete the Case Study Clinical Judgment Model Template on page 2 of the document based
on the case. BE THOROUGH.
b. Answer all of the Discussion Questions on page 3 of the document. BE THOROUGH.
3. Provide a list of references that you used as evidence for the basis of your clinical judgments.
a. List PAGE numbers.
b. You may use your nursing textbooks.
c. You MUST have one (1) current (with the past five [5] years) research article found in the
professional literature.
4. Email the completed Word document to [email protected].
5. Add this alternative assignment to your Clinical Hours Tracking sheet with the DATE you submitted
the assignment.
a. This alternative clinical assignment provides four (4) clinical hours when completed.
Clinical Scenario
INITIAL CLINICAL SCENARIO
The nurse is caring for Loretta, a 64-year-old female, admitted to the geropsychiatric unit with a diagnosis of
Alzheimer’s disease of 2 years with decreasing cognitive functioning. A family member of the client has power
of attorney, including health care proxy, and is available to answer questions. The family member reports that
Loretta is getting worse (unable to care for herself, not responding to questions, occasional incoherent
speech) and requires constant assistance and supervision. The family has a rotating schedule, but it is getting
more difficult to care for her. Loretta presents with unawareness of environment and orientation. She is unable
to follow simple commands except when requested by the family member. In responding to questions, her
speech is mostly incoherent except for a couple of words. The family member states that she is not
recognizing many of her family, even those close to her. If given simple instructions, she is unable to follow
them.
Vital Signs: BP 136/68, Temp. 98.4 orally, HR 72, Resp. 14, O2 Sat 97% on room air
Labs: CBC and CMP within expected limits
Orders: The provider has prescribed donepezil 10 mg po once a day.
UNFOLDING CLINICAL SCENARIO INFORMATION
Loretta has been hospitalized for the past week waiting for transfer to a skilled nursing home with memory
care. She is now being prepared for discharge. Little has changed in Loretta’s demeanor and cognitive skills,
though she loves when music therapy comes and becomes very animated and sings along.
1
Clinical Alternative Assignment [Engage ATI-MH-Alzheimers]
Case Study Clinical Judgment Model Template
Admitting Diagnosis
●
Assessment Findings (List all relevant assessment CUES – Add more bullet points as needed.)
●
●
●
Client Problem 1: Description (ANAYLYZE the cues. What is the PRIORITY problem?)
●
Client Problem 1: Interventions (List all appropriate ACTIONS to take – Add more bullet points as needed.)
●
●
●
Client Problem 2: Description (ANAYLYZE the cues. What is the NEXT priority problem to address?)
●
Client Problem 2: Interventions (List all appropriate ACTIONS to take – Add more bullet points as needed.)
●
●
●
Client Problem 3: Description (ANAYLYZE the cues. What is the NEXT priority problem to address?)
●
Client Problem 3: Interventions (List all appropriate ACTIONS to take – Add more bullet points as needed.)
●
●
●
Potential Client Outcomes (What outcomes will you EVALUATE to determine the effectiveness of your actions? –
Add more bullet points as needed.)
●
●
●
2
Clinical Alternative Assignment [Engage ATI-MH-Alzheimers]
Discussion Questions
1. What additional factors should the nurse include in the plan of care for this client? (Recognize Cues)
● (e.g., age, religion, nursing knowledge, literacy, or cultural preferences)
●
2. Identify potential client problems. (Analyze Cues)
●
3. What findings require immediate follow-up? (Analyze Cues)
●
4. Identify the client’s primary problem. Provide rationale for your decision. (Prioritize Hypotheses)
●
5. What safety considerations should be included when planning care for this client? (Generate Solutions)
● (e.g., medication, age, mobility).
●
6. What education should the nurse provide for this client? (Take Actions)
● (e.g., medication, diet, activity, ADLs).
●
7. How will you determine if expected client outcomes are achieved? (Evaluate Outcomes)
●
8. Discuss ways to modify or revise the plan of care when client outcomes are not met. (Evaluate Outcomes)
●
9. Provide a list of references that you used as evidence for the basis of your clinical judgments. List PAGE numbers.
You may use your nursing textbooks. You MUST have one current (with the past five [5] years) research article
found in the professional literature.
References
3
Clinical Alternative Assignment [Engage ATI-MH-Anorexia]
Case Study Clinical Alternative Assignment
Instructions:
1. Read the Clinical Scenario (case) below.
2. Once you read the case do the following:
a. Complete the Case Study Clinical Judgment Model Template on page 2 of the document based
on the case. BE THOROUGH.
b. Answer all of the Discussion Questions on page 3 of the document. BE THOROUGH.
3. Provide a list of references that you used as evidence for the basis of your clinical judgments.
a. List PAGE numbers.
b. You may use your nursing textbooks.
c. You MUST have one (1) current (with the past five [5] years) research article found in the
professional literature.
4. Email the completed Word document to [email protected].
5. Add this alternative assignment to your Clinical Hours Tracking sheet with the DATE you submitted
the assignment.
a. This alternative clinical assignment provides four (4) clinical hours when completed.
Clinical Scenario
INITIAL CLINICAL SCENARIO
The nurse is caring for Kelly, a 14-year-old female, admitted to the eating disorder unit with a diagnosis of
anorexia nervosa. The client reports that a month ago her boyfriend broke up with her and started going out
with one of her friends. Since that time, she has been on a very strict 300-calories per day diet for the past
month and exercising 4 to 6 hr a day. Kelly states she knows her boyfriend broke up with her because she is
so fat, and her friends do not like her anymore. Kelly appears very thin and frail, dressed in layers, with
clothing that is too large. Skin is pale and eyes with dark circles underneath. Extremities are cool to touch. No
deficit in psychomotor movement or balance. Hair is thin.
Vital Signs: BP 98/56, Temp. 97.4 orally, HR 74, Resp. 16, O2 Sat 96% on room air
Weight: 84 pounds (38.2 kg); Height: 5’ 2”; BMI: 15.4
Labs: K+ 3.2, Na+ 131, Glucose 60 mg/dL
Bone Scan: –2.1
Orders: The provider has prescribed multivitamins PO daily, polyethylene glycol daily, consult for registered
dietitian, individual and group therapy, at hospital school, no activity, and daily weights.
UNFOLDING CLINICAL SCENARIO INFORMATION
Kelly has been in the hospital for a month and has made many small changes in her thinking and her diet. She
is working with the interprofessional team to become healthy. Discharge date has not been determined.
Vital Signs: BP 100/64, Temp 98.2 orally, HR 77 Resp. 16, O2 Sat 97% on room air
Weight: 88 pounds; BMI: 16.1
Labs: Values are improving
1
Clinical Alternative Assignment [Engage ATI-MH-Anorexia]
Case Study Clinical Judgment Model Template
Admitting Diagnosis
●
Assessment Findings (List all relevant assessment CUES – Add more bullet points as needed.)
●
●
●
Client Problem 1: Description (ANAYLYZE the cues. What is the PRIORITY problem?)
●
Client Problem 1: Interventions (List all appropriate ACTIONS to take – Add more bullet points as needed.)
●
●
●
Client Problem 2: Description (ANAYLYZE the cues. What is the NEXT priority problem to address?)
●
Client Problem 2: Interventions (List all appropriate ACTIONS to take – Add more bullet points as needed.)
●
●
●
Client Problem 3: Description (ANAYLYZE the cues. What is the NEXT priority problem to address?)
●
Client Problem 3: Interventions (List all appropriate ACTIONS to take – Add more bullet points as needed.)
●
●
●
Potential Client Outcomes (What outcomes will you EVALUATE to determine the effectiveness of your actions? –
Add more bullet points as needed.)
●
●
●
2
Clinical Alternative Assignment [Engage ATI-MH-Anorexia]
Discussion Questions
1. What additional factors should the nurse include in the plan of care for this client? (Recognize Cues)
● (e.g., age, religion, nursing knowledge, literacy, or cultural preferences)
●
2. Identify potential client problems. (Analyze Cues)
●
3. What findings require immediate follow-up? (Analyze Cues)
●
4. Identify the client’s primary problem. Provide rationale for your decision. (Prioritize Hypotheses)
●
5. What safety considerations should be included when planning care for this client? (Generate Solutions)
● (e.g., medication, age, mobility).
●
6. What education should the nurse provide for this client? (Take Actions)
● (e.g., medication, diet, activity, ADLs).
●
7. How will you determine if expected client outcomes are achieved? (Evaluate Outcomes)
●
8. Discuss ways to modify or revise the plan of care when client outcomes are not met. (Evaluate Outcomes)
●
9. Provide a list of references that you used as evidence for the basis of your clinical judgments. List PAGE numbers.
You may use your nursing textbooks. You MUST have one current (with the past five [5] years) research article
found in the professional literature.
References
3
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