What Should the Nurse Do?
Mary, a nursing student in her final year of training, is about to start her clinical rotation at a busy urban hospital. She is eager to apply her knowledge and skills in patient care while adhering to the competencies outlined by the QSEN. During her first day on the medical-surgical unit, Mary encounters a patient named Mr. Johnson, a 65-year-old man admitted with a diagnosis of congestive heart failure.
1
.
What steps should Mary take to ensure she is adhering to the QSEN competencies in her care of Mr. Johnson?
2
.
How can Mary ensure that she effectively engages Mr. Johnson in his care to provide patient-centered care?
3
.
How can Mary empower Mr. Johnson to actively participate in his care decisions and express his treatment preferences to the health-care team?
Emily, a registered nurse working in a community health center, is caring for a diverse patient population. She encounters Mrs. Lopez, a patient with low income who is struggling to access affordable health-care services due to financial constraints. Emily recognizes the importance of advocating for Mrs. Lopez’s needs and ensuring she receives patient-centered care despite socioeconomic challenges.
4
.
What SDOH might Emily consider when caring for Mrs. Lopez?
5
.
How can Emily fulfill her role as an advocate for Mrs. Lopez in providing patient-centered care?
6
.
How can Emily apply core principles of ethics when advocating for Mrs. Lopez’s health-care needs?
Mark is a nurse working in a community health clinic that provides preventive health-care services to a diverse population. He encounters several patients with different health-care needs, ranging from preventive screenings and vaccinations to chronic disease management and health education. Mark navigates various factors influencing health-care delivery, including the role of health-care agencies and the availability of preventive services.
7
.
What actions should Mark take to differentiate between the types of preventive services available in the health-care system?
8
.
How can Mark discuss the impact agencies have on health-care systems based on his experiences in the community health clinic?
9
.
What factors affecting health-care delivery should Mark consider when providing care to patients in the community health clinic?