A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?
Room number
Telephone number
Patient’s name
Diagnosis
The Correct Answer is C
A. Using the room number to identify a patient is not reliable since many clients may share it.
B. The telephone number is not typically used for client identification during assessments.
C. The nurse should use the client's name to properly identify the client before performing any assessment or intervention. This is a standard safety measure that helps to prevent errors and ensure quality care.
D. The diagnosis is important for providing appropriate care but is not used for client identification during assessments.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Although this client may have physical limitations, they are still engaging in social activities by going to the gym, indicating less likelihood of social isolation.
B. This client has regular social interactions with family members, suggesting they are not socially isolated.
C. Regular social gatherings with friends indicate social engagement and are not indicative of social isolation.
D. Restricting activities outside the home to only essential tasks like getting the mail due to pain or other reasons can indicate social isolation and limited social interactions.
Correct Answer is D
Explanation
A. While a prescription may be necessary, attempting less restrictive alternatives should be the first action.
B. Documentation is important but should not precede attempting less restrictive alternatives.
C. Education about the use of restraints is important but should follow attempts at less restrictive alternatives.
D. The nurse should exhaust all possible alternatives to restraints before considering their use, in line with the principle of least restrictive intervention.
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