Nurse client relationships

Discussion Question: Nurse client relationships

Margaret Newman stated, the nurse and client become partners in living through the period of disharmony and emerging at a higher level of consciousness, the nurse client relationships often begin during periods of disruption, uncertainty, and unpredictability in patient’s lives.  Explore what she means by this statement. Then, reflect on a patient that you cared for that you could apply her theory to. Provide details of the interaction and outcomes.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.


Leininger and Watson

Write a 1500-1750 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources and the textbook using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Case study #1

Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”

  • Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?
  • Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
  • Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
  • Discuss the strengths and limits to Leininger’s Theory.

Case Study #2

Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.

  • Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?
  • How is love, as defined by Watson, evident in this caring moment?
  • How can the nurse creatively use self to create a healing environment?
  • Discuss the strengths and limits to Watson’s Theory.

Assignment Expectations:

Length: 1500 – 1750 words

Structure: Include a title page and reference page in APA format.  These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) outside scholarly sources and the textbook are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Assignment sample 2

Write 5 pages thesis on the topic oklahoma city bombing

The magnitude of the blast can be estimated by the number of explosives in the van which was approximately 4800 pounds of destructive chemicals and a number of 168 people lost their lives, while thousands of other people were injured or moaning over their losses (Sherrow 6). Out of the 168 souls lost, 19 of them were children (The Federal Bureau of Investigation). Oklahoma City bombing was the most intense and serious case of domestic terrorism and demanded a thorough investigation and reporting regarding the reasons and factors which led to the upsetting incident.

According to reports, the bombing was planned by an ex-Army soldier and security guard, Timothy McVeigh. On the morning of the bombing, he loaded his truck with explosives made from a combination of hazardous and destructive chemicals. He then drove his car to the federal building where he parked the car in front of the building with a clear intention to commit mass murder. He then left the spot in another car. At 9.02 am the bomb exploded, according to the planned time set by McVeigh. Within moments of the bomb explosion, most of the federal building was brought down into the gravel and the shock wave from the blast was so intense that more than 300 buildings nearby were also damaged or destroyed (The Federal Bureau of Investigation). According to scientists, as the bomb exploded, super hot gas went upward through the building at a gigantic speed of 8,000 feet per second. The force was so intense that people were slammed against the walls with a force of 37 tons. And when the gas evaporated, a vacuum was created which shook the ground as if there was a “full-scale earthquake” (Sherrow 6-7). Thus, the explosion was of massive intensity which not only affected the federal building but also the buildings located in its close vicinity.

In view of the World Trade Centre bombing two years back, the instant suspicion of the federal government was on the Middle Eastern terrorists