Nursing Assignment: Clinical Issues and NMBA Standards

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
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Name of the University:
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NURSING ASSIGNMENT1
PART A
Question 1
1. A. This case scenario will focus on the patient named Daisy Mayes, 85-years-old women.
She was admitted to the hospital due to chest infection and was diagnosed with bilateral
lower lobe pneumonia. She was admitted to the emergency department as she had sustained a
fracture in the right neck of femur. The past medical history of the patient exhibited she was
suffering from hypertension, COPD, hypercholesterolemia, and osteoarthritis. Her past
medical history also exhibited the condition of bowel cancer which was treated through
surgical procedure, twenty years ago. The practice of the registered nurses is dependent on
the person-centered and evidence-based method with the element of curative, preventive,
formative, supportive, palliative and restorative (Gómez-Barrena et al., 2015). The registered
nurses must develop effective professional and therapeutic relationships with the family
members, groups, families, and communities (Lutz et al., 2017). However, in the provided
case scenario, the nurse had committed few clinical issues while providing treatment to
Daisy. The clinical problems exhibited by the nurse is described as follows:
1. Accommodation of the patient in a ward containing four-bed, far away from the
nurses' station is one of the biggest clinical issues. It would have been better if the
patient was kept in a room near the nursing station.
2. The next clinical issues identified was that the nurse had not incorporated the updated
medicines in the handover, which was violating the nursing code of conduct.
3. The daughter of the patient was not informed regarding the accident, which was
considered as the major clinical issues as the daughter had specifically communicated
with the nursing staff to inform her in case any emergency.

NURSING ASSIGNMENT2
4. The nurse was unable to provide adequate psychological assistance to the patient
even though the patient was not behaving normally.
5. The nurse had failed to maintain the hygienic environment after the surgery was
over, due to which the patient suffered from delirium.
6. The nurse was negligent as she failed to perform the routine check-up of the patient
appropriately.
7. The major clinical issues identified was that the nurse was unable to develop a
therapeutic relationship with the patient and also failed to communicate the need and
requirements of the patient.
B.
The NMBA registered nursing standards for practice provides a rich mixture of how a
nurse must engage herself in professional and therapeutic relationships. In this case scenario,
the nurse had breached the nursing standards 1, 2, 4, 5, and 6 (Nursing and Midwifery Board
of Australia, 2019).
C.
The NMBA nursing standards 1: Thinks critically and analyse nursing practice,
exhibit that the registered nurse must appropriately use the strategies for delivering safe and
high quality of care to the patient that includes the evidence-based and person-centred
framework. The NMBA nursing standards 2: Engage in professional and therapeutic
relationship, exhibit that should purposefully involve in the professional and therapeutic
relationship with the patient to develop respect and mutual trust. The NMBA nursing
standard 4 and 5, guide the nurses to develop a health care plan by conducting comprehensive
assessments, and lastly, NMBA standard 6 suggest the nurses in providing a safe and
appropriate treatments. The above mentioned NMBA nursing standard was violated by the