Case Study Working Question & Answer Guide (With Explanation)

Understanding this question requires applying core subject principles.

What This Question Is About

This question relates to case study working and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves case study working. A strong answer should include explanation, application, and examples.

Original Question

Case study: You are working the day shift on a medical inpatient unit. You are discussing discharge instructions with J.B., an 86-year-old man who was admitted for mitral valve repair. His serum blood glucose is 250 mg/dL (13.9 mmol/L) and increasing for the past several months. During this admission, his dosage of insulin was adjusted, and he was given additional education in managing his diet. While you are giving these instructions, J.B. tells you his wife died 9 months ago. He becomes tearful when telling you about his loss and the loneliness he has been feeling. J.B. states he just doesn’t feel good lately, feels sad most of the time. J.B. also expresses his lack of involvement in his normal activities. He has few friends left in the community because most of them have passed away. He has a daughter in town, but she is busy with her work and grandchildren. He tells you he has been feeling “depressed” the last few months with thoughts of suicide. Use the case study above to answer the following questions below: 1.What further assessment data is needed to determine the seriousness of J.B.’s thoughts of suicide? 2.What characteristics does J.B. have that could increase his risk for suicide? 3. People with a physical illness often have trouble sleeping, experience a change in appetite, reduce their level of activity, and may even have thoughts of death. How can you tell the difference between symptoms of a physical illness related to old age, versus symptoms of depression? 4. List 5 of the most common signs of depression in the older adult. 5. While assessing J.B.’s risk potential for suicide he tells you he has general thoughts of suicide. What important questions about suicide must the nurse ask J.B. at this time? 6. You decide to notify J.B.’s physician about your findings. The attending physician calls in a psychiatrist to evaluate J.B. In addition, Suicide Precautions are ordered. Which interventions are part of Suicide Precautions? Select all that apply. A. document his behavior every shift B. he is not allowed to leave his room C. no glass or metal dishes or utensils with meals D. observe him swallow each dose of oral medication E. one-to-one observation and interaction 24 hours per day 7. The psychiatrist on call evaluates J.B. and writes an order for escitalopram (Lexapro) 10 mg/day PO at bedtime. J.B. is scheduled to see the psychiatrist the day after he is discharged from the hospital. What special instructions will you give him regarding the Lexapro? Select all that apply. A. There are no known food interactions B. Drinking a glass of wine at bedtime will help him go to sleep C. The full effects of the medication may not be seen for 4 to 6 weeks D. The medication may cause nausea, dry mouth, sedition, and insomnia E. The herbal product St. Johns wort will enhance the action of the Lexapro 8. J.B.’s daughter visits him in the hospital. She is shocked to hear that her father is lonely, depressed and thought about suicide. The daughter discusses with you how she will do all she can to help him when he goes home. What important information needs to be conveyed to J.B.’s daughter about the first few weeks of therapy with the SSRI?

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."