First Year Nursing Question & Answer Guide (With Explanation)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to first year nursing 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 first year nursing. A strong answer should include explanation, application, and examples.

Original Question

As a first-year nursing student in an aged care facility, you have been assigned to care for Mrs Mala Chen, an 82 year old woman. Mrs Chen suffered a cerebrovascular accident (CVA or stroke) five years ago. Mr Chen was unable to care for his wife following the CVA and so she moved into an aged care facility. Following the CVA, Mrs Chen uses a 4 wheel walker when mobilising due to reduced function in her left leg. Mr Chen remains living in the family home and visits Mrs Chen daily. Mrs Chen’s daughter and her family also live close by and visit her regularly. The previous day Mrs Chen had a fall from bed and was found to be incontinent of urine and faeces. Mrs Chen is now complaining of throbbing pain in her left elbow and, on examination, the area appears to be swollen. An x-ray was performed, and no fracture was noted on the x-ray. Mrs Chen has been ordered, and administered, regular analgesic and anti-inflammatory medications. Mrs Chen is also reluctant to eat her meals or drink fluids, stating she is worried about falling again when trying to get to the bathroom. Discuss this patient case scenario, using the first three steps of the clinical reasoning cycle as outlined below: Step 1 Review Mrs Chen’s situation and describe your initial impression considering the context, person and situation.

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