Please answer the following Discussion Question. Please be certain to answer the three questions on this week DQ and to provide a well-developed and complete answer to receive credit. Your main discussion answer needs to be at least 3 paragraphs in length with 3 references to justify your answer.   

Discussion Question 1

1.  Julie is a 35-year-old with bipolar II disorder. After her third child was born, she had a severe depressive episode. She attempted suicide by taking 25 Xanax pills. She is back in the hospital with depression after having a 2-week hypomanic episode. She has not been taking her medications.

• a.      What responsibility does the health care organization have to Julie?
• b.      What structures are needed at a hospital to ensure that Julie will get the care she needs?
• c. What is the nurse’s responsibility regarding the health promotion activities directed toward Julie?

2.  Stephane, a 15-year-old Haitian refugee who is living at a center for children of refugees, has a severe cough and fever. She is curled up in a corner of the community room wrapped in a towel. She looks like she has been crying.

• a.   How can the nurse ensure culturally competent care?
• b. List three priorities for the nurse regarding the cultural values, beliefs, and possible practices that Stephane may have.

DQ2:  

1. What actions can nurses take if they believe that OSHA guidelines are not being followed in the workplace?
2. What will you look for in the work environment that will support positive patient outcomes?
3. Discuss the characteristics of health-care organizations that may lead to burnout among nurses. How could they be changed or eliminated?

DQ3:  

1. Why is a positive work environment important in Nursing?
2. Describe some ways to create a positive work environment.
3. What role can you play in creating a positive work environment?