Scenario: 1 page paper about a Charge Nurse that wrote up and disciplined another  Nurse in front of her peers and visitors in a hospital.

Describe how the employee felt

Describe what it does to work production, self esteem, confidence etc. Use key words to spark the readers sympathy and understanding of the situation. 

Describe how the employee should feel going forward. 

Describe how the charge nurse should have behaved in a situation such as described. 

Substance abuse as a Community Health Problem.

Violence and Nursing Response.

1.  Click on the link and read the Health People 2020 topic (goal and objective) regarding substance abuse. 

https://www.healthypeople.gov/2020/topics-objectives/topic/substance-abuse

2.  Identify current events a the local or national level related to substance use/abuse laws, policies lawsuits or other legal issues.  Discuss the application of such laws/policies to the individual freedom of people. 

3.  In your own words define the term violence and the role of the nurse in responding to acts of violence outrages. 

4.  Do you think is there any relationship between substance abuse and violence.  Give at least one example. 

As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board.  A minimum of 3 evidenced-based references must be used and 2 replies to any of your peers sustained with the appropriate references must be posted.  Only the assignment must be attached in a word document in the forum, replies do not.  References must be no older than 5 years.  A minimum of 700 words is required.  

 A 42-year-old African American female is in the clinic for a routine gynecologic exam. When asked, she admits to noticing bleeding in between her menstrual periods for the past several months. She has been pregnant three times and has three children. She is sexually active with one male sex partner in a monogamous relationship. During her bi-manual exam, you note an irregular intrauterine non-tender mass about 4 cm in diameter. The mass is palpable abdomenally. The remainder of her gynecologic exam was normal. 

 Post an explanation of the differential diagnosis for the patient in the case study you selected. Provide a minimum of three possible diagnoses and list them from highest priority to lowest priority. Explain which is the most likely diagnosis for the patient and why. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients on the disorder. 

Discussion

A 10-year-old child named Elizabeth is brought into the emergency department by her mother. The mother appears anxious but sits quietly next to her daughter in the waiting room. When called into the triage area, the mother gives a history of coming home from work to find Elizabeth sitting on the couch watching television. Elizabeth did not go to the door to greet her or look toward her when she said hello. The mother thought the daughter’s behavior was odd because she always greeted her at the door with a hug. As she approached Elizabeth, she noticed that she was clutching her right arm as if in pain. The mother asked what was wrong, but Elizabeth remained silent. Then she said “Nothing is wrong.” The father is sleeping upstairs. The mother gives a family history of having an alcoholic husband who usually drinks himself to sleep. She said he has abused Elizabeth physically and psychologically in the past, and she brought her to the emergency room because she fears he has hurt her. When Elizabeth is asked about the abuse she appears scared, insecure, and withdrawn.

1. What considerations should be made by the nurse, to provide a physically and emotionally safe environment for the interview and assessment of this client who has experienced domestic abuse?
2. In your response, include some special considerations that should be taken when interviewing a child.