Case Study Challenges in Healthcare Decision-Making

Case study 1 The local community where you serve complains about the many occurrences of diarrhea in children in the last one year. Data from direct observations obtained data that the surrounding community entirely consumes water and food that is cooked thoroughly. Then the proper focus of follow-up observation is... A. Types of side dishes that are often consumed B. Sports patterns of the surrounding community C. Types of fruits and vegetables consumed D. Necessary health services E. People's hand washing habits Answer: E The focus of proper assessment of the conditions above is clean and healthy living behavior, so that what needs to be observed next is the community's habit of washing hands. Case study 2 Your patient is a 10 year old girl. The results of the diagnosis of the child suffering from ALL since 1 year ago. The results of your assessment show: (1) The child looks weak and just lies down (2) The child says sometimes pain in the stomach (3) No appetite and nausea (4) Do not spend the portion of food from the hospital (5) Child weight 30kg (6) The child says he wants to get home from the hospital quickly (7) Parents are very worried about the condition of their children Then the nursing problem that is closest to the child's condition is... A: Abdominal pain B. Hospitalization C. Activity intolerance D. Parental anxiety E. Imbalanced nutrition Answer: E The above conditions are closer to nutritional imbalances than body needs. This is indicated by the conditions; (1), (2) ,(3), and (4) Case study 3 You are a community nurse in a homecare clinic. One of your duties is to screen AIDS cases. The results showed 1 (one) positive teenager. The first action that is most appropriate for you to do is…. A. Ask the client to explain the results of the test accompanied by the family B. advise the client to carry out further screening (wetern blot) C. asking the client's family members to explain the client's activities before contracting D. Review the client's history with a focus on high-risk behavior E. Refer the client to the doctor to explain the results of the test Answer: D The screening action is still general in nature. So in the above case the necessary step is to review the client's history related to HIV, especially in high-risk behavior. After that, the delivery of information on the results of the test to the family. Case study 4 A 68-year-old elderly (woman) and her family consulted a psychiatrist. The elderly did not want to be frank about the problem he was facing. Information was obtained from his family; • Approximately 7 months of confinement in the room • Only 1 x bath per day • Difficult to talk to • Decreased appetite Then the right technique to start treatment is to recommend... A. family to continue to give attention even without talking B. The patient performs daily activities independently C. the family to have a special nurse to accompany him D. The elderly uses antidepressants regularly E. Provision of a calm and comfortable environment for the elderly Answer: A The right step is to try to open a dialogue on the problems faced by the elderly. This can be done by giving more attention from the family. Case study 5 You are a nurse in a mental hospital. Data were obtained from patients who had been in the RSJ for 5 days; (1) 37 years old male (2) around 10.00-11.00 always go under the tree (3) activity under the tree talking and smiling to himself (4) cooperative patients are shown by willing to take medicine and conversing (5) the patient controls his hallucinations by scolding The next most appropriate action for patients with the above conditions is... A. Invite the patient to have a conversation B. Invites the patient to carry out daily activities according to the schedule C. Ask if the patient can still hear voices D. Evaluate how to take medication properly E. Assess whether they can be independent in carrying out activities Answer: D To increase the cooperative level of patients with data like the one above, what needs to be maintained is the drug consumption process. Because the patient's condition that has improved can return to decline if the way of taking and dosage of the drug is not right. Therefore it is necessary to continue to do about how to take medication by patients. Case study 6 You have an elderly female patient (78 years) with the following data: (1) Everyday lives with daughter and a grandson who is 20 years old (2) The patient feels sad because the grandson has not come home for a month and without news (3) The daughter who lives with him is mentally retarded and has been separated from her husband for a long time (4) The elderly did not know who to ask for help to send their grandson back home When the elderly consult you, and want to find out the factors that cause anxiety