Reflecting on Challenging Patient Encounters

Reflecting on Challenging Patient Encounters

Reflecting on Challenging Patient Encounters

OBGYN-Journal Entry #1 (450–500 words):

In your journal entry, answer the following questions:

Learning from Experiences

OBGYN PatientsReflecting on Challenging Patient Encounters

· Reflect on the 3 most challenging patient encounters and discuss what was most challenging for each. (Biggest challenge is making patient feel comfortable with me (the student) doing the evaluations for (Pelvic evaluations, Breast Evaluation, Pap Smears)

· What did you learn from this experience? (That I am not very comfortable with assessing OBGYN patients)

· What resources did you have available? (Preceptor, course books)

· What evidence-based practice did you use for this patient? (Systematic review)

· What new skills are you learning? (Pelvic evaluations, Breast Evaluation, Pap Smears)

· What would you do differently?

· How are you managing patient flow and volume?

Communicating and Feedback

Respond to the following reflective questions:

· How might I improve on my skills and knowledge, and how to communicate that back to my Preceptor?

· How am I doing? What is missing?

· What type of feedback am I receiving from my Preceptor?

Adult Health II Final

1 The nurse should assess the patient with left-side heart failure for which findings? (SATA)

Paroxysmal nocturnal dyspnea Right upper quadrant pain

Crackles in the lungs Regular vein distention



2 A patient is being screened for diabetes and has two recent fasting blood glucose results of 132mg/dL (7.33mmol/L) and 146mg/dL (8.10mmol/L) How should these result be interpreted?

The fasting blood glucose tests should be repeated two more times

These results indicate diabetes mellitus. Follow-up is required These are normal results. No further action is needed

The patient should be scheduled for a hemoglobin A1c(HbA1C)test

3 A nurse is assessing a patient for a suspected anaphylactic reaction following a CT scan with contrast media. For which of the following patient findings should the nurse intervene first?

Stridor Urticaria Vom

Reflecting on Challenging Patient Encounters