Case 3: Introduction and Instructions
Care of a Young Adult with Diabetes, Altered Mood, and Substance Use in a Community Setting
Scenario Introduction
The goal of this virtual case-based scenario is to promote clinical reasoning and decision-making during an interaction with a young adult diagnosed with traumatic brain injury, Type 2 diabetes, altered mood, and substance use disorder in a community setting. Participants will use a virtual case-based scenario to assess a client, identify priority problems, formulate and implement a nursing plan, and evaluate the plan. The virtual scenario provides intermediate-level BSN students with an experience working with a client in a community setting.
Concepts
- Clinical Judgement
- Cognition
- Communication
- Mental Health
- Metabolic Regulation
- Pharmacology
- Safety
- Stress and Coping
Context
Community Setting – Client’s Home
Level of Participant
Intermediate (Year 2 – 3)
Completion Time
Varied, up to 3.5 hours.
- Pre-Learning: Varied depending on the knowledge students have prior to engaging in the scenario. Completing all activities in their entirety may take up to 2.5 hours.
- Scenario: Allow for about 30 minutes to complete the activity.
- Reflection: Allow for about 30 minutes to complete the activity.
Learning Objectives
By the end of this scenario, participants will be able to do the following in a virtual case-based scenario:
- Identify the signs and symptoms of traumatic brain injury, Type 2 Diabetes, altered mood, and substance misuse, to enhance safe nursing care.
- Implement teaching-learning principles when caring for a young adult in a community setting to provide a client-centered and prioritized plan of care.
- Identify appropriate nursing actions and clinical judgments related to safe medication administration of naloxone and anti-anxiety medications.
- Communicate effectively with a young adult in a community setting to enhance a therapeutic relationship and provide culturally safe care.
Instructions
- Complete each section in the order it is presented.
- After completing the pre-brief and pre-learning, you will find a short scenario to work through with decision-making questions. You can go through the scenario as many times as you would like.
- After you complete the scenario, work through the post-scenario activities.
- Your role is to assume all aspects of a practicing nurse’s professional behavior as if caring for a client in the clinical setting. However, work within your scope of practice as a student nurse.
- Several aspects of the scenario may be limited in realism, and when a gap occurs between simulated reality and actual reality, act according to the goals of the learning session.
- These scenarios follow what is known as the Basic Assumption™ of simulation, meaning that it is believed that you are intelligent, capable, and want to do your best to improve your skills.[1]
- © Copyright 2004-2022 Center for Medical Simulation, Boston, Massachusetts, USA. info@harvardmedsim.org All Rights Reserved – Used with permission. ↵