How to Answer Scenario Part Initiated Questions (Complete Guide)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to scenario part initiated and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves scenario part initiated. A strong answer should include explanation, application, and examples.

Original Question

Scenario Part 4 The RN has initiated a care plan review for Sam due to the behaviour of concern as per policy no: 118. Sam has early-onset dementia and has behavioural and psychological symptoms of dementia. As requested by Sam, a meeting was done with Sam, his next of kin and elders of his community to discuss trigger factors and appropriate management strategies. Based on the assessment and care plan review, the following strategies were advised. Observation: Physical aggression or precursor behaviours such as entering other resident rooms and verbal abuse noted. Nursing goal: Prevent behaviours of concern in the client. Prevent harm from behaviours of concern for the client and other residents. Preventative Strategies: – Provided guided activities to Sam throughout the day as advised by the activity therapist to keep Sam occupied – If Sam is seen wandering in the corridor, monitor to avoid entering other resident rooms. – Encourage inclusion — facilitate regular family visits and involve the Aboriginal Liaison officer to assist with community engagement. – Avoid triggers — TV programs with Aboriginal and Torres Strait Islander history, asking Sam about his childhood or his memories of living in a foster home, asking Sam regarding details of his family, calling him ‘Sir’. Management strategies: – Check for safety and risk of harm: remove self and others from danger. – Ensure another staff member is aware of aggression and staff have a clear path to exit the area if necessary. – Distract Sam by offering activities that he likes e.g. reading the newspaper, solving jigsaw puzzles – Allow the resident time to settle down in a quiet area – Provide reassurance — say who you are, why you are there and what you are doing – Speak calmly in short simple sentences, and ask easy direct questions – Use chemical or physical restraint interventions as a last resort. Check with the physician before applying restraint. – Call an ambulance if it is not possible to perform care interventions and aggression is not able to be reduced or managed Refer to the following documentation and answer the following questions 1. IHNA Sample policy no: 118- Behaviours of concern (given as Appendix B) 2. IHNA sample policy no: 172- Restraints 3. National Safety and Quality in Healthcare Standards Action 5.35 — Minimising restrictive practices: restraint (available from weblink- https://www.safetyandquality.gov.au/standards/nsqhs-standards/comprehensive-care-standard/minimising-patient-harm/action-535 4.1) In the above scenario, how was cultural safety applied for Sam? Feedback 4.2) You notice Sam walking around in the corridor and trying to get into another resident’s room. Your buddy nurse, Melody, is asking you to administer medications to make Sam sleep. What would you do and why? Explain your action.

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