2.What would be a successful outcome for
Mr. Santorini?3.What intellectual, technical, interpersonal,
and/or ethical/legal competencies are most
likely to bring about the desired outcome?4.What resources might be helpful for
Mr. Santorini?PATIENT CARE STUDY
Read the following patient care study and use
your nursing process skills to answer the
questions below.
Scenario:An English teacher asks you, the
school nurse, to see one of her students, Julie,
whose grades have recently dropped and who
no longer seems to be interested in school
or anything else. “She was one of my best stu-
dents, and I can’t figure out what’s going on,”
the teacher says. “She seems reluctant to talk
about this change.” When Julie, a 16-year-old
junior, walks into your office, you are immedi-
ately struck by her stooped posture, unstyled
hair, and sloppy appearance. Julie is attractive,
but at 5 feet 3 inches and 150 pounds, she is
overweight. Julie is initially reluctant to talk,
but she breaks down at one point and confides
that for the first time in her life she feels
“absolutely awful” about herself. “I’ve always
concentrated on getting good grades and
achieved this easily. But now, this doesn’t
seem so important. I don’t have any friends.All I hear the girls talking about is boys, and I
was never even asked out by a boy, which I
guess isn’t surprising. Look at me!” After a few
questions, it becomes clear that Julie has new
expectations for herself based on what she
observes in her peers, and she finds herself
falling far short of her new, ideal self. Julie
admits that in the past, once she set a goal
for herself, she was always able to achieve
it because she is strongly self-motivated.
Although she has withdrawn from her parents
and teachers, she admits that she does know
adults she can trust who have been a big sup-
port to her in the past. She says, “If only I
could become the kind of teenager other kids
like and have lots of friends!”
1.Identify pertinent patient data by placing a
single underline beneath the objective data in
the case study and a double underline beneath
the subjective data.
2.Complete the Nursing Process Worksheet on
page 289 to develop a three-part diagnostic
statement and related plan of care for this
patient.
3.Write down the patient and personal nursing
strengths you hope to draw upon as you assist
this patient to better health.
Patient strengths:Personal strengths:4.Pretend you are performing a nursing
assessment of this patient after the plan of
care has been implemented. Document your
findings.288 UNIT VIII PROMOTING HEALTHY PSYCHOSOCIAL RESPONSES
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:LWBK696-C41_p283-289.qxd 9/3/10 12:36 PM Page 288 Aptara Inc