A nurse is assisting with the care of a client who has a new colostomy and states they are not ready to look at the stoma. The nurse encourages the client to share their feelings about the colostomy. Which of the following strategies is the nurse utilizing?

A. Request another nurse to complete the occurrence report:

The nurse who found/assessed the patient is responsible for documenting initial assessments and notifying appropriate personnel; delegating the occurrence report to another nurse is inappropriate for immediate clinical follow-up.

B. Document the completion of an occurrence report in the client's medical record:

Do not document in the medical record that an occurrence report was completed; occurrence/incident reports are a separate administrative document. The nurse should document objective assessment findings, actions taken, and notifications in the medical record, but not mention the internal incident report.

C. Notify the client's provider about the occurrence:

After ensuring the client's immediate safety and completing an assessment, the nurse should notify the provider so any needed orders (imaging, labs, immobilization, transfer) or treatments can be implemented. Timely clinician notification is essential.

D. Contact risk management about the occurrence:

Risk management may be involved later, and an incident report will be filed per facility policy, but the immediate clinical priority after safety/assessment is to notify the provider and document the clinical findings.

A. Financial difficulties:

Financial problems are psychosocial or environmental stressors (emotional/psychological), not direct physiologic insults. They can indirectly cause physiologic stress responses but are classified as psychosocial.

B. Burn injury:

A burn is a direct physical or physiological insult to the body that triggers inflammatory, metabolic, and homeostatic stress responses (pain, fluid shifts, hypermetabolism, risk of infection), so it is a classic physiological stressor.

C. Academic pressure:

Academic pressure is a psychological or social stressor (performance-related), not a primary physiological insult.

D. Change in marital status:

Changes in marital status (divorce, marriage) are major life-event/psychosocial stressors that primarily affect emotional and social domains.