Case Scenario A nurse have been assigned as a in a small, rural town health facility. You have known most of the residents in the area. Jackie one of...
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Question

Case Scenario

A nurse have been assigned as a in a small, rural town health facility. You have known most of the residents in the area. Jackie one of the clients you have, has tested positive for HIV after seeking test in a private laboratory in other town; and is in her first trimester. She requested to keep her condition and records confidential even to other staff or health personnel. Recently, she has been missing her work and started to show signs of losing weight and having colds all the time. You have scheduled and encouraged her to visit to the town or municipal health physician as referral, but missed the appointment. She has not visited the community health facility as well. 


Questions.

  1. How do steps of nursing process relate to ethical decision-making?
  2. How will you handle the situation? Include in your discussion the legalities of the case and the scope and standards of nursing practice in public/ community health.


Case Scenario 2


A nurse assigned in the post-partum unit. One of the clients is a 2-day post-partum and awaiting for discharge today. During rounds, the nurse encourage and discuss the importance of self-care or personal hygiene after giving birth. The client mentioned that she should not wash or take a bath for 1 month after giving birth. The nurse known that in her community, women should not take bath after giving birth because something bad will happen to their body. "I will get sick as my body hasn't yet recover" as verbalized by the client.


Question.

As a culturally-competent nurse, how she will respond to the situation? include at least one best, appropriate and culturally-sensitive direct or actual nursing intervention.

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