Download GNS ASSIGNEMNT 2 Hedwigh

WELWITCHIA HEALTH TRAINING CENTRE
CLARA BARTON SCHOOL OF NURSING
QUALIFICATION
BACHELOR NURSING SCIENCE
SUBJECT
GENERAL NURSING SCIENCE 1
SUBJECT CODE
NGNS 1500
DATE
20.01.2023
DUE DATE
03.02.2023
MARKS
50
ASSIGNMENT NO
02
STUDENT NAME
HEDWIGH K NGHINANAMUNHU
STUDENT NUMBER
2022911080
CAMPUS
WINDHOEK- CITY CAMPUS
LECTURERS:
MR.
MR. JAPHETH
MODERATOR: MS. CHAURAYA
(KATIMA MULILO)
(KATIMA MULILO )
INSTRUCTIONS:
1. Read all questions carefully.
2. Answer all the questions, this assignment should be typed in font new times roman
size 12, spacing of 1.5
3. Use the institution cover page
4.
Reference list mandatory.
5. Student name and number must appear on the standard WHTC cover page
NB! Plagiarism is a major offense
late submission will result in no marks being awarded
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Question 1
You are working at Katutura state hospital in a medical ward with 50 patients. As a 1st year 1st
semester nursing student one of your core competencies is to do a physical assessment and monitor
patients’ vital signs. You have been tasked to take vital signs and physical assessments on Mr.
Simataa, you note that his vitals are as follows pulse 108 b/min, SpO2 98%, respirations 24b/min
and a Temperature of 38.5 0 C
1.1 Explain four (4) types of physical assessments
[8]
1. “Initial assessment—performed within specified time after admission to a health care
agency to establish a complete database for problem identification, reference and future
comparison” ( Berman & Snyder, 2014, p.197).
2. “Problem-focused assessment—ongoing process integrated with nursing care to
determine the status of a specific problem identified in an earlier assessment” ( Berman &
Snyder, 2014, p.197).
3. “Emergency assessment—done during physiological or psychological crisis of the patient
to identify life-threatening problems and new or overlooked problems” (Berman &
Snyder, 2014, p.197).
4. “ Time-lapsed reassessment—done several months after initial assessment to compare the
patient’s current status to baseline data previously obtained” (Berman & Snyder, 2014,
p.197).
1.2. Identify four types of fevers
I.
[4]
Intermittent fever
II.
Remittent fever
III.
Relapsing fever
IV.
Constant fever
1.3. Outline any four (4) factors that affect oxygen saturation levels
 Circulation
 Stress
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[4]
 Health status
 Physical activities
1.4. List four techniques you would use during the physical assessment of Mr. Simataa
I.
Inspection
II.
Palpation
III.
Percussion
IV.
Auscultation
[4]
Question 2
Nurses play a crucial role on a daily basis in record keeping to ensure that patients’ details are
captured for easy communication among healthcare workers.
2.1. State any four types of resources required for record-keeping in the hospital
I.
Patient’s file
II.
Flowsheets
III.
Computers
IV.
Cupboards
2.2. Describe the general and ethical principles of good record-keeping
[4]
[16]
The American Nurses Association Code of Ethics (2001) states that “ the nurse has a duty to
maintain confidentiality of all patient information”( p.12), (as cited in Kozier & Erb’s
Fundamentals of Nursing Concepts, Process, and Practice, 2014, p.273).
According to A. Berman & S. Snyder (2014), “The client’s record is also protected legally as a
private record of the client’s care. Access to the record is restricted to health professionals
involved in giving care to the client. The institution or agency is the rightful owner of the client’s
record” (p.273).
“A personal password is required to enter and sign off computer files” (Berman & Snyder, 2014,
p.273).
“Do not leave client information displayed on the monitor where others may see it” (Berman &
Snyder, 2014, p.273).
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“Follow agency procedures for documenting sensitive material such as an AIDS diagnosis”
(Berman & Snyder, 2014, p.273).
“Document the time and date for each recording for legal reasons and client safety, follow the
agency’s policy about the frequency of documenting, and adjust the frequency as a client’s
condition indicates. All entries must be legible and easy to read to prevent interpretation errors”
(Berman & Snyder, 2014, p.285).
Question 3
3.1. Describe any five (5) components of wellness
[10]
 Physical component
“The ability to develop and maintain physical needs and the capability to carry out daily tasks
and generally practice positive lifestyle habits” (Berman & Snyder, 2014, p.324).
 Social component
“The ability to successfully interact with others and the environment in which an individual is
part of, to develop and maintain intimacy with significant others” (Berman & Snyder, 2014,
p.325).
 Spiritual component
“The ability to find satisfaction in one’s spiritual or religious life”(Berman & Snyder, 2014,
p.325).
 Emotional component
“The ability for an individual to feel and maintain emotions appropriately and make proper
judgements” (Berman & Snyder, 2014, p.325).
 Occupational component
“The ability for an individual to have a balance between work and leisure time” (Berman &
Snyder, 2014, p.325).
Total: 50 marks
REFERENCE LIST
Berman, A., & Snyder, S. (2014). Fundamentals of Nursing Concepts, Process, and Practice.
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