QUESTION Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each. Both boards of nursing […]

QUESTION Since the COVID pandemic, nurse burnout has become an often talked about topic. Burnout, as defined by Yoder-Wise (2018) is a combination of emotions including constant state of being overwhelmed and helpless while disregarding for one’s own physical and mental health.  Unfortunately, some portions of the job as a nurse may be seen as inherently coming with the job, including putting others care before […]

QUESTION Sources of job stress that can lead to nurses’ burnout and compromise patient care are numerous and multifaceted. The demanding nature of the nursing profession, combined with long hours, emotional intensity, and high patient caseloads, can create an environment prone to burnout. Identifying these sources of stress and taking proactive steps to prevent burnout is crucial for charge nurses to maintain a healthy and […]

QUESTION A 29-year-old single, pregnant woman is brought to the emergency department by the police after they picked her up attempting to break into a grocery store. When they apprehended her, they noticed that she “seemed high” and that she was sweating with dilated pupils. The patient admits to “doping” daily for the majority of the six months and losing 15 pounds in the past […]

QUESTION Beverly must use good communication and conflict management skills when responding to Dr. Craig, who is upset about the report he received from Sarah regarding Mr. Adam’s fall. Beverly the charge nurse must demonstrate her skills in dealing with conflict and is able to use de-escalation skills. She explains the use of the SBAR communication tool as a means to ensuring accuracy and completeness […]

QUESTION Describe a clinical  experience of a patient who was admitted  in the ICU who was intubated, has uncontrolled hypertension, diabetes, EGFR 15% and on dialysis from this week that left an impression on you. What was learned from the experience? How did this experience make you re-think your practice, attitude, or values?  What can you take forward to implement in future practice?  Relate this […]

QUESTION Mrs Mavis Lynch is an 82-year-old resident of your facility for the last 10 years. Mavis has a medical history of type 2 diabetes mellitus, hypertension, recurrent falls, multiple skin tears, chronic wound on R) leg and mild cognitive impairment. On the nursing assessment, Mavis is pleasantly confused, vital signs are stable, has very frail dry paper-like skin and is high risk for falls […]

QUESTION Mr. R. is a 65-year-old African American man who presents to the Penmen Hospital a complaint of rapid weight gain and peripheral edema. He has a past medical history of coronary artery disease, hypertension, hyperlipidemia, and chronic renal insufficiency. He smokes tobacco daily and is obese. Upon arrival, his blood pressure reading was 172/91. He states that the reading is what he averages on […]

QUESTION Diversity, equity, and inclusion (DEI) are important to patients and their providers. Healthcare organizations that focus attention on DEl provide a workplace culture that is supportive and respectful of patients and employees. When healthcare professionals recognize and interact appropriately with patients who are culturally different from them, patient outcomes may be improved. Today, many healthcare organizations have a department and an executive level position, […]

QUESTION Connie, the head nurse on Unit 7, is a respected member of the team. She has been working on this unit for a number of years and is seen by the other nurses as the “go to” person for questions and guidance. Connie is always thorough with patients and demonstrates excellence and quality in her work. Dr. Smith is a well-respected member of the […]