A nurse in a long-term care facility is caring for a client who reports the assistive personnel repositioned him in bed using excessive force. Which of the following actions should the nurse take?
Contact the nurse manager.
Call risk management to interview the client.
Reassure the client that the staff is well trained.
Document in the client's chart that an incident report has been filed.
The Correct Answer is A
A. Contacting the nurse manager allows for immediate notification of the incident to someone in authority who can initiate appropriate follow-up and investigation.
B. Involving risk management might be necessary but should come after informing the immediate supervisor or manager.
C. Reassuring the client, while important, should not be the primary action; addressing the issue and initiating appropriate steps should take precedence.
D. Documenting the incident report in the client's chart is important but should follow the immediate notification of the supervisor or manager.
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Related Questions
Correct Answer is D
Explanation
A. Posting a client's vital signs in their room violates their confidentiality by making private health information publicly accessible.
B. Discarding personal health information documents in the trash can expose sensitive information and is not a secure method of disposal.
C. Using another nurse's password compromises security and individual accountability, leading to potential breaches of confidentiality.
D. Encrypting personal health information when sending emails demonstrates an understanding of the importance of protecting sensitive client data during electronic communication.
Correct Answer is B
Explanation
A. Collaborative, user-edited websites might contain varying levels of accuracy and reliability regarding medical information, making them less suitable for obtaining specific prevalence data.
B. An evidence-based nursing journal is a reliable source of information that often includes statistical data, prevalence rates, and updated research on various medical conditions, including Tay-Sachs disease.
C. The facility's case manager might have general information but may not provide specific prevalence rates for Tay-Sachs disease.
D. While the client's health care provider might have knowledge about Tay-Sachs disease, their primary focus during a clinical encounter might be the client's immediate care needs rather than providing statistics on disease prevalence.
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