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Week 2 Case Studies  ASSIGNMENT Week 2 Case Studies Week 2 Case Studies Mark as done Opened: January 17 2023, 10:00 PM Due: January 22 2023, 11:59 PM Respond as thoroughly as possible to the following questions about the two scenarios herein.  1.  Judy is the day-shift charge nurse in the ICU. In the morning, she routinely receives report from the night-shift charge nurse, Doug. Judy has noticed lately that Doug slurs his speech and can hardly stay awake long enough to give the shift report. Several of his staff nurses have expressed their frustration to Judy about his frequent, unexplained absences from the unit, and one nurse mentioned that on several occasions, Doug was observed wasting clients’ unused narcotics without the required witness. (Learning Objective: 6) a.  What legal and ethical responsibilities do the nurses have to the professional individual abusing substances? b.  Why is reporting the substance abuse important in this situation? 2.  Frank, age 28, is engaged in ongoing supportive therapy through the outpatient clinic. He was diagnosed with a personality disorder when he was 20 years old. His history is significant for limited and unstable relationships with others. He is estranged from his family after they endured years of his manipulative behavior. Frank’s sister describes it in these words: “He will pull us in tightly by some urgent emergency—usually a suicide attempt—and then abruptly push us all away telling us we don’t understand him and never care enough to try to help. We just can’t go through this anymore. My parents have had enough. It’s ruined their marriage.” His assessment shows that his mood and affect are labile and volatile. He is impulsive, having attempted suicide on seven different occasions over the past 2 years. Frank reports frequently engaging in unsafe behavior with prostitutes, and he has several homemade tattoos on his arms, back, and neck. (Learning Objective: 1, 3, and 4) a.  The behaviors Frank exhibits are associated with which personality disorder? b.  What interventions would be most useful to implement when working with Frank in the outpatient clinic?
SCIENCE
HEALTH SCIENCE
NURSING
NURSING HNS 315

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