Bonnie feels that the office is always too cold, so she keeps a heater under her desk. to use the heater,
she must run an extension cord across to another electrical outlet. several times, the safety officer in
the practice asks her to discontinue using the heater. bonnie will put the heater away for a couple of
days, then bring it back out when she feels it will not be noticed. the safety officer comes by one day
and confiscates the heater and extension cord. bonnie feels that this is unfair because she is cold
during the day. she thinks she should be allowed to use the heater, which allows her to perform her
duties in comfort and more efficiently.
questions:
• what osha violations are of concern in this situation?
• did the safety officer handle the situation correctly the first few times?
• did the safety officer have the right to confiscate the heater and extension cord?
• how might the situation be rectified to make bonnie comfortable?

Mr smith a 52 year old patient, is admitted to the coronary care unit with the diagnosis of acute inferior myocardial infarction. the patient has a history of smoking two packs of cigarettes for 35 years, and he drinks a six pack of beer on weekend nights, but does not drink the rest of the week. he is the sole financial support for his family. he is a consultant for a company and is out of town during the week days. mr smith has gained 20 pounds. he is 5 foot, 6 inches, weighing 200 pounds. his diet consists mostly of fast foods. he rarely exercise. his wife care for their three teenage children. the eldest son, 17 years of age, totaled the family car when drinking and driving 2 days ago and he is in the local children’s hospital in the intensive care unit in critical condition. mr smith developed chest pains and slumped over in his chair during an argument with his wife about their teenage daughter, who is 15 years of age and wanted to get birth control pills. the wife is in the waiting room while the nurses settle mr smith into his room. the youngest son, 13 years of age, is at a friends house. the teenage daughter is staying at the bedside of the criticall i’ll eldest son. the wife blames her eldest son for her husband’s heart attack and told the emergency department nurse that she does not care to see her son i’ll. a. what maladaptive response to stress may have contributed to mr smith’s development of an illness b. based on the case study, what family assessment data may be used to determine coping strategies being currently used by the family. c. what nursing interventions should be used to promote effective coping for the patient and his family?