Nurse Assigned Referral Question & Answer Guide (With Explanation)

This question focuses on applying theory to practical scenarios.

What This Question Is About

This question relates to nurse assigned referral and requires a structured academic response.

How to Approach This Question

Focus on explaining concepts clearly and supporting them with examples.

Key Explanation

This topic involves nurse assigned referral. A strong answer should include explanation, application, and examples.

Original Question

the nurse assigned a referral from a local hospital to follow up on a pregnant, single mom, Candice Conway, and her children. The RN’s job is to reach out to the referral, assess the family’s needs, and institute interventions that will help educate and support the mom and infant during pregnancy and 2 years after birth. She is 24 years old. She states she is “pretty healthy” although she hasn’t been to a doctor since she had Sally. She smokes cigarettes and pot occasionally. She drinks but doesn’t get drunk. She just lost her job at the In and Out Mart. She wasn’t able to go in for a few days because the landlord that used to watch her kids when she worked, was found dead. It was unexpected. She’s not sure what she’ll do for money for rent – her landlord let it slide sometimes. She also is worried about money for food. She doesn’t know how to find another job with no sitter or how to even find a sitter, let alone pay for one. She has two children and is pregnant. Bobby is 7. He is in 1st grade at the local elementary school. He’s doing OK and he really likes it. She walks to pick him up after school. His teacher is nice to them and has given him some school supplies sometimes. His father is John. He is in jail right now for armed robbery, but he is due to get out on parole soon. She hopes he doesn’t come to find them. She has not stayed in touch with him since he was incarcerated. She never knew his family. She met him at a truck stop one night. Sally is 4. She is happy but quiet. “She doesn’t talk much.” Her father is out on bail for 90 days for possession of drugs. They keep moving his court date. She knows he is still using but does not come around unless he needs money or wants something from her. She is 5 months pregnant with another child by him and she doesn’t know what she’s going to do. She knows he has parents still alive in west Texas but has never met them. His mother sent a gift when Sally was born. She had a friend at work, but Gloria was still in high school and she doesn’t know anything else about her. She had runaway from her own family at 16. Her dad was an abusive alcoholic and beat her mom. He had attempted to rape her when she ran away. She has an older sister and a younger brother but she hasn’t spoken to them. She doesn’t know if her mom and dad are still alive. Her mom used to work cleaning rooms at the Holiday Inn. The last she knew, they still live in Toledo, Ohio. She has not tried to contact them since she left. Home Assessment: The nurse arrives at the client’s home in time to see the client driving up to the home with the children in the car. Neither the mom nor the oldest child has a seat belt on. The youngest is in a car seat, but she notices when she takes her out of the car that it wasn’t properly buckled in. When she enters the house, there is a smell an odor of smoke and incense. The youngest is keeping an eye on the nurse while the toddler runs off into the apartment. During the visit, the interaction is frequently interrupted by phone calls. A television rumbles in the background. She tells the nurse to look around while she takes a call, “Make yourself at home.” As the nurse walks through the apartment, she notice many things and you find Bobby in his room, coloring on his walls. There is a beer can open, a pack of cigarettes on the bedside table, there is a knife by the sink counter, there is a pair of scissors on the table, a cactus, house cleaning chemicals within the children’s reach, a portable toilet that has not been emptied, a straightener by the sink that is plugged in as well as prescription bottles all throughout the apartment. Complete the Care plan: Family Diagnosis – 2 Goals – Interventions – remember ACT: Assess, Care, and Teach Interventions for each –

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