Case Study #4 NUR 101 S22
Reference: Davis Advantage for Basic Nursing: Thinking, Doing, and Caring: Thinking, Doing, and Caring Second Edition
Our client is Benito (Ben) Rivera, a 69-year-old male who has a medical history of Hypertension and Diabetes. He moved with his family to the United States from Mexico 25 years ago. He is recently retired and lives alone in an apartment in Pittsburgh, Pa. Ben has supportive family and friends who live nearby. He speaks English and Spanish fluently and tells you that he practices health care remedies he learned from his parents and grandparents. Ben has come to the free clinic to have a complete yearly physical. You are educating Ben about healthy diet plans and the importance of taking his prescribed medication.
Based on this information, which Community Nursing intervention classification best describes the care given by the nurse? What is the primary goal of this level of intervention?
Primary:
Secondary:
Tertiary:
After talking to Ben for a few minutes, he shares that he doesn’t feel like he has anything to get out of bed for each morning. He tells you that since retiring, he hasn’t found anything enjoyable to keep himself busy.
2. Based on this information about Ben, which developmental theorist is he associated with and at what stage of their theory is he?
Piaget:
Freud:
Erikson:
While you begin dietary teaching with your client, you notice he seems irritated. He is constantly looking at his watch and checking his phone messages. He is also yelling loudly in Spanish to his mother and waving his terrible towel in the air at her.
3. This is an example of which ego defense mechanism? Provide explanation.
Displacement:
Conversion:
Denial:
Avoidance:
He then tells you that his father just recently passed away and his mother has not forgiven the doctors; she thinks it’s everyone else’s fault he died, and she has lost “faith”. Ben says he also feels guilty and is not sure if he “believes” anymore.
4. Which type of stress are these feelings example of:
Spiritual stress:
Religious stress:
He then shares his father’s death was unexpected. Who usually has a more difficult time grieving: the person who experienced expected or unexpected death of loved one/family and why?
5. Expected or unexpected? Why?
He says he feels better now and is ready to discuss how he can better manage his elevated BP (Blood pressure). He knows he needs help because he gets frequent headaches and sometimes chest pain when he gets “worked up”; especially when the Steelers play the Ravens. That’s when he chooses to eat a lot and drink some beer to help calm him down.
6. Which stage of illness behavior is Ben showing by asking for help to manage his BP?
Stage 1:
Stage 2:
Stage 3:
Stage 4:
Stage5:
7. Is Ben’s choice of eating a lot and drinking beer adaptive or maladaptive coping? Explain why:
Adaptive:
Maladaptive:
8. Are the symptoms of headache and chest pain associated with GAS (General Adaptation Syndrome) or LAS (Local Adaptation Syndrome)? Explain why:
GAS:
LAS:
The nurse works with Ben to develop a healthy dietary plan. He is provided literature, in Spanish and English, about healthy food choices, along with some recipes for foods he enjoys. He is taught to check his blood sugar properly and he practices with the nurse. What domain(s) of learning is being used? Explain your answer:
Cognitive:
Affective:
Psychomotor:
10. How can the nurse confirm Ben understands this current information?
Case Study #4 Rubric
Nur 101 S22
3 points Points deducted for incomplete or missing responses Points deducted for late submission
Completeness Case study completed; Responses thorough & correctly provide information/answer questions
Case study #4=
0.30 per question missing/incomplete or incorrect response
Case study completed; Responses thorough & correctly provide information/answer questions
Professionalism
Submitted to drop box by due date/time
Submitted to drop box by due date/time
Not submitted to drop box by due date/time
Late penalty:5% per day <7days
Total points 3
3 - {points deducted} =
Late penalty=
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