The principal escorted Audrey, aged 13, an overweight girl w
The principal escorted Audrey, aged 13, an overweight girl with… The principal escorted Audrey, aged 13, an overweight girl with long blonde braids, into the nurse’s office of a rural middle school. “Ms. Schmitz will help you, Audrey.” The principal signaled for the girl to sit down and then handed Ms. Schmitz, RN, a note and left. The note bulleted three lines: “Disruptive, fighting, teacher requests a home visit.”Ms. Schmitz extended a wet facecloth while assessing Audrey’s appearance. Audrey wiggled on the wooden chair. She was wearing torn and too-small clothing, tennis shoes with holes, and a full backpack. “Place this on your eyes and see if it helps.” The crying child’s tongue poked out the right side of her mouth and she swallowed several times as she reached for the cloth. “Are you hurt?” asked the nurse.Audrey shook her head. “I have a sore throat though.” She shrugged her shoulders. “I wish I were dead. I could jab a pencil in my eye and bleed to death. That would fix them.””You sound pretty upset. Tell me what happened.””Brian made fun of my tics. I can’t help it. I am so tired of people laughing at me, my clothes, and my mother. I hit him with a book because he wouldn’t stop. I bet he never thought I would hit him. I am not a bully, Brian is.” A fresh bout of sobbing doubled the girl in half.The nurse read Audrey’s health record. Learning disabilities, ADHD, Tourette’s disorder, prenatal drug exposure, R. 20/80 and L. 20/100 vision, a normal scoliosis screening, and free lunch eligibility. The nurse searched for a telephone number. “I need to call your mother.”The school secretary said, “There is no phone. I can give you the case worker’s contact.””Momma is sick,” said Audrey and swallowed. “She won’t answer the door” sComplete the following on Audrey: no risk for NANDA stems–three Nursing Care Plan? NANDA stem —- related to —- as evidenced by —- short term goal with time frame —- long term goal with time frame —- three nursing interventions [ each with a critical rationale……. what is the basis for this action?] —- outcome criteria (future tense) —- evaluation (past tense).–Eric Erickson Stages of Psychosocial Development—what stage & details to support.–Share 3 therapeutic communication techniques used in this story and 5 that you would use in this situation. [ be clear…..identify the technique and then give the example] Health Science Science Nursing NRS MISC
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