2 ASSIGNMENTS CASE STUDIES

EGAL/ETHICAL

CLINICAL CASE # 1

On a Wednesday morning in 2008 in Lewisville, Ohio, a man walked into Samuels Hardware Store, grabbed an pick-ax, and began swinging at the customers and shouting about the devil. When he left, one person was dead and two others were critically injured. Ten days later, police received a call from Mr. T., who was a patient in the 49-bed psychiatric unit at St. John’s Hospital. Mr. T told the police that his roommate at the hospital confessed to the crime in Lewisville. However, he didn’t know his roommate’s name but they could get it from the nurses. The police contacted Nurse S. and asked her to identify the patient but she refused to do so. She told them that she believed his name was shielded by state mental health law guaranteeing the confidentiality of mental patients. Hospital administrators supported her decision and obtained legal counsel for her.

QUESTIONS:

Why did the nurse require legal counsel?
Was the nurse legally correct in her refusal to divulge information? Why?
Was the nurse ethically correct in her refusal to divulge information? Why?
If she had divulged the identity of the patient, what legal action could be taken against her, if any?
Under what circumstances could the nurse be required to divulge information about this case?

Grading Rubric.

Content/answers to 5 questions 10 points each. Each answer should be detailed and specific.

References used/APA formatting 20 points 2 references required

Student response: 30 points. Response must be additional information and substantial (approx 150 words)

Total: 100 points.

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Elle, 39, has come in for treatment for severe panic attacks. Her daughter, Savannah, is leaving for college for the first time and is planning on driving up with a friend who will attend the same college. Savannah does not want her mother to go along. Elle says, “I have nightmares about them crashing somewhere and nobody knowing where they are.” She says she and Savannah have had arguments about this. Elle reports that the panic attacks began “about two weeks ago when Savannah and her dad both agreed that it was okay for her to drive up to the college with Jason.” Elle says that her worries are “not about sex. Jason is her best friend, but they’ve never dated, and in fact, Jason has a girlfriend. I admit the college is not far away, so it won’t be an overnight trip, but I don’t want Savannah to drive up with Jason. A three-hour drive. I want to do it.”
During assessment, you learn that 2 years ago, Savannah and her twin, Sophia, were in an after-prom car accident, in which teens in a car were driving to the next town over to go to the beach. Savannah’s twin was killed. Savannah was in the hospital for months and needed physical therapy for 18 months. As she describes the accident, Elle points out that the driver, Sophia’s date, escaped serious injury. “Funny, isn’t it?” she says. “The drunk driver always escapes injury while he hurts everyone around him.”
Savannah has pointed out that “Jason doesn’t drink. You know this. You’ve known him all his life. You’ve always liked him, even when I get annoyed with him.” Elle admits this, but still says, “I don’t want that boy driving her up there. It’s a long way.” Savannah complains that every time the subject comes up, Elle has a panic attack. Elle tells you privately, and sincerely, “I don’t mean to have these panic attacks. And I don’t want them. This just isn’t me.

QUESTIONS

1.Elle admits Jason doesn’t drink; he isn’t sexually involved with Savannah, and she has known him all his life, and that she’s always liked him. Yet she refers to him now as “that boy.” (1) Her fears aside, what emotional response to this new crisis for Elle is she displaying, particularly toward Jason? Do you think this emotion is directed just at Jason or at someone else as well? (2) What does this tell you about her current perception of this crisis?

2.Now that you have a clearer vision of Elle’s perception of the crisis, what further aspects of Elle’s current status should you assess?

3.While finishing your assessment, you learn that Elle has two very close friends, and a pretty solid marriage. Her husband has avoided the arguments between Savannah and Elle, declaring that “Savannah is a grown-up now, and capable of making such a small choice as who will drive her to school, on her own.” He refuses to get involved, and while he is sympathetic and affectionate during and after Elle’s panic attacks, he says they scare him a little. He wonders if there isn’t medication to control these.You also learn that her best friend is her sister, who lives in town. This sister moved in with Elle right after Sophia’s death and was a “great comfort” during the early stages of grief and also came to the hospital almost every day to sit with Elle and Savannah during those first rough months. Elle’s sister has proposed that they have a “girl time” with Savannah the night before she leaves for college, but Elle has said, “I can’t think about that right now.”You have not quite decided which level of crisis intervention to use just yet, but how could you apply strategies from the first three levels of crisis intervention—environmental manipulation, general support, and generic approach—in tackling Elle’s current situation?

4.How could you apply strategies from the fourth level of crisis intervention—i.e., the individual approach—in tackling Elle’s current situation?

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

Do you handle any type of coursework?

Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

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2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
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Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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