A nurse enters a room and finds the client lying on the floor. Which of the following actions should the nurse take first?

Choice A reason: Superseding the need for staff members to file incident reports would not address the underlying issue of fall prevention and could lead to underreporting of incidents.

Choice B reason: Disciplining staff members for previous incidents does not contribute to a proactive approach to fall prevention and may create a punitive environment that discourages reporting.

Choice C reason: While compensating for previous injuries may be necessary, it does not prevent future falls or address the root cause of the problem.

Choice D reason: Eliminating risks before anyone is harmed is the most proactive and effective approach to fall prevention, aligning with the principles of risk management to anticipate and mitigate potential hazards.

Choice A reason: Conducting a chart review can provide insights into the care issue, but it does not directly address the employee's performance or reasons for failing to meet standards.

Choice B reason: Asking other staff to document concerns may be part of a broader investigation into the issue, but it should not be used solely for the purpose of discharging an employee without a fair assessment and opportunity for improvement.

Choice C reason: Asking questions of the employee can help understand their perspective and knowledge base, but it is not a comprehensive approach to dealing with performance issues.

Choice D reason: Determining if the issue is related to the employee's will or skill is essential. If it is a skill issue, the leader can provide additional training or resources. If it is a will issue, then further action, such as motivational interviewing or disciplinary measures, may be necessary. This approach ensures a fair and constructive response to the problem.