Reference no: EM134043569

Question

Clinical Scenario: The nurse is caring for James White, a 57-year-old male who comes to the urgent care clinic seeking medication for chronic back pain. James reports that he previously worked as a police officer and was involved in a bombing incident while on duty seven months ago. Ever since then, James reports nearconstant excruciating back pain. He states that he was put on administrative leave at his job and may have to go on disability soon. When asked about the bombing incident, James becomes tearful and refers to it as the "worst day of my entire life." He reports that he constantly has flashbacks and has been using pain medication and alcohol to help him forget. James also reports that, ever since the incident, he has lost 15 pounds and sleeps about four hours a night, leaving him exhausted during the day. When asked about a social support system, James reports that his wife recently left him and that he has been estranged from his daughter for over 10 years.

1. What's the admitting diagnosis?

2. Describe 3 client problems and nursing interventions for each one.

3. What additional factors should the nurse include in the plan of care for this client? a. e.g., age, religion, nursing knowledge, literacy, or cultural preferences

4. Identify potential client problems.

5. What findings require immediate follow-up?

6. Identify the client's primary problem. Provide rationale for your decision.

7. What safety considerations should be included when planning care for this client? a. Fall risk (e.g., medication, age, mobility).

8. What education should the nurse provide for this client? a. Self-care, health promotion, disease management (e.g., medication, diet, activity, ADLs).

9. How will you determine if expected client outcomes are achieved?

10. Discuss ways to modify or revise the plan of care when client outcomes are not met.