A nurse in a mental health facility is completing an incident report. Which of the following findings should the nurse identify as requiring completion of an incident report?
A client did not receive prescribed medication yesterday.
A client who became aggressive despite limit-setting on their behavior.
A client who missed their therapy session.
A client who has major depressive disorder and refuses to leave their room.
The Correct Answer is A
Choice A reason: Failure to administer prescribed medication is a medication error and must be documented through an incident report. This ensures accountability, promotes safety, and initiates corrective action to prevent recurrence.
Choice B reason: Aggressive behavior may be part of the client’s psychiatric presentation. Unless it results in harm or requires emergency intervention, it may not meet the threshold for an incident report unless facility policy dictates otherwise.
Choice C reason: Missing a therapy session is not typically considered an incident unless it results in harm or is part of a pattern requiring intervention. It should be documented in progress notes, not an incident report.
Choice D reason: Refusal to leave the room may indicate worsening depression but does not constitute an incident unless it leads to harm or safety concerns. It should be addressed in the care plan.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This statement reflects continued disordered eating behavior and lack of insight into the structured nature of treatment for anorexia nervosa.
Choice B reason: Allowing the client full control over food choices may reinforce restrictive patterns and undermine nutritional goals. Meal plans are typically structured by the care team.
Choice C reason: Excessive exercise is contraindicated in anorexia treatment due to the risk of further weight loss and cardiac complications. Exercise is usually restricted.
Choice D reason: This statement shows understanding of the therapeutic role of nutrition and willingness to engage in treatment. It reflects effective communication and insight.
Correct Answer is B
Explanation
Choice A reason: While teaching coping skills is important, assessing for safety and suicidal ideation takes priority in a situational crisis involving traumatic loss.
Choice B reason: Determining if the client has thoughts of self-harm is a critical safety assessment and aligns with crisis intervention protocols.
Choice C reason: Avoiding discussion of the loss may suppress emotional processing and hinder grief resolution. Therapeutic engagement is preferred.
Choice D reason: Immediate referral to long-term therapy may not be appropriate in the acute phase. Crisis stabilization and short-term support should precede long-term planning.
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