NURS 3244 Case Study 1

Mr. Tate, a 59-year-old patient with end-stage renal disease, is well known to Janey Marshall, RN, who works in the dialysis clinic. Mr. Tate is hypertensive and overweight with a history of alcoholism. He often does not take his medications as ordered and almost never adheres to his prescribed diet. When Mr. Tate comes to the clinic, he often has excessive edema and is hypertensive. He admits to eating his favorite foods—hot dogs and potato chips. It is not unusual for Janey to smell alcohol in Mr. Tate’s breath. He even admits to drinking an occasional beer with his hot dogs and chips. Although Mr. Tate listens politely to Janey’s concerns about his lack of adherence to diet and medications, he continues to be nonadherent. Janey begins to wonder to what extent she as a nurse is obligated to spend time on patient teaching when the patient takes no responsibility for his own health. She also questions whether the benefit of expensive medications and treatments for Mr. Tate outweighs the cost.

1. What are Janey’s professional responsibilities to Mr. Tate?

2. With whom could Janey Marshall discuss her ethical concerns regarding Mr. Tate?

3. What are Janey Marshall’s responsibilities regarding respecting Mr. Tate’s autonomy and right to self-determination?

4. Identify a BSN essential related to your topic and give a rationale to support the BSN essential

5. Identify one concept from QSEN competencies that best supports your topic with rationale.

This paper must be written according to 7th edition APA (American Psychological Association) format. You may use the APA website, the guides from COM library, the Reading and Writing Center as a resource for APA guidelines. This paper must be at least 3 to 4 pages in length but may not exceed 5 pages. Remember neither the cover page nor the reference page will count as part of the 3-4 page minimum.

You must use a minimum of 4 references in your paper. Only one of the references may be from websites such as “.org”, “.edu”, and/or “.gov”. A reference from “dot.com” or “dot.net” or “WebMD” or Wikipedia will not be accepted, and points will be deducted. At least 3 of the references must be from reputable nursing journal articles. Reference must be published within the last 6 years.

You must provide “in-text” citations throughout your paper. Citations are important when you are asserting a fact, and it makes your claim reliable.

You must submit your paper through the assignment drop box/Turnitin and have a similarity percentage no greater than a 25% match, (similarity color must be green).

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Do not post a pdf or attachments to the discussion board. Do not repeat or include the discussion questions in your post. Do not use the assignment questions as headings/subheadings. To maintain academic integrity the use of any Artificial Intelligence (AI) tools is prohibited.

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