A nurse witnesses a coworker not following facility procedure when discarding the unused portion of a controlled substance. Which of the following actions should the nurse take? (Select all that apply.)
Identify all witnesses to the incident.
Request that the coworker complete an incident report.
Submit an incident report to the risk manager.
File an anonymous report of the incident to the nurse manager.
Document a factual account of the incident.
Correct Answer : A,C,E
Rationale:
A. Identifying all witnesses ensures that accurate accounts of the event are available for investigation.
B. It is the responsibility of the nurse who witnessed the incident, not the coworker, to report the occurrence.
C. Submitting an incident report to the risk manager is appropriate to initiate a formal review and ensure compliance with legal and facility requirements.
D. Anonymous reporting is discouraged because it may limit the ability to investigate and follow up appropriately.
E. Documenting a factual, objective account provides a clear record of the incident without personal bias or judgment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Home health provides ongoing nursing care and monitoring in the home but does not typically arrange for durable medical equipment like a wheelchair.
B. Social services coordinate community resources, including arranging for durable medical equipment such as a wheelchair, making this the correct referral.
C. Physical therapy focuses on improving strength, mobility, and teaching the client how to safely transfer and use mobility aids but does not arrange for equipment procurement.
D. Occupational therapy helps the client adapt to activities of daily living (ADLs) and may train the client in wheelchair use but does not arrange for obtaining the wheelchair itself.
Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. Initiating IV access while a client with dementia is sleeping violates autonomy and informed consent—this is not advocacy.
B. Implementing a plan of care based on nursing goals reflects nursing practice, but advocacy focuses on protecting the client’s rights and wishes, not just following nursing objectives.
C. Providing written information about palliative care supports informed decision-making, which is a key aspect of advocacy.
D. Obtaining an interpreter ensures the client understands their care and can make informed decisions, which is an advocacy action.
E. Documenting a client’s refusal of medication respects and upholds the client’s autonomy, which is a form of advocacy.
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