A nurse working in an emergency department is caring for a group of clients. Which of the following clients should the nurse report for suspected maltreatment?

Choice A Reason:
Fidelity is inappropriate. Fidelity refers to the obligation to fulfill commitments and responsibilities. While important in maintaining trust and professional relationships, fidelity may not directly apply to the situation described.
Choice B Reason:
Nonmaleficence is inappropriate. Nonmaleficence is the principle of doing no harm. In this situation, ensuring the safety and well-being of the client is paramount, and failing to use a gait belt could potentially lead to harm. However, the primary issue in this scenario is the accuracy and completeness of the incident report rather than the act of causing harm.
Choice C Reason:
Beneficence is inappropriate. Beneficence is the principle of doing good and acting in the best interest of the client. While ensuring the use of a gait belt aligns with promoting the client's safety and well-being, the primary concern in this scenario is the integrity and honesty in reporting the incident accurately.
Choice D Reason:
Veracity is appropriate. Veracity refers to truthfulness and honesty. In this situation, the charge nurse should ensure that the incident report accurately reflects the circumstances of the fall, including the absence of the gait belt. Being truthful and transparent in reporting incidents is essential for maintaining trust, promoting accountability, and improving patient safety.

Choice A Reason:
Laboratory test results is incorrect. While laboratory test results may be relevant to the client's care, they are not typically included in discharge documentation unless there are specific instructions or follow-up related to these results. Generally, the focus of discharge documentation is on providing instructions and information necessary for the client's continued care at home.
Choice B Reason:
Acuity level of client care is incorrect. The acuity level of client care may be important for internal communication within the healthcare facility, but it is not typically included in discharge documentation to be provided to the client for home care.
Choice C Reason:
Do-not-resuscitate status is incorrect. While this information is critical for the client's medical care, it may already be documented in the client's medical records. It's important to ensure that the client's wishes regarding resuscitation are documented and communicated as appropriate, but it may not be included in the discharge documentation provided directly to the client.
Choice D Reason:
Reconciled medications is correct. Reconciling medications ensures that the client has an accurate and up-to-date list of all medications they should be taking, including any changes made during their hospital stay. This information is crucial for the client's continued care at home and helps prevent medication errors. It's typically included in the discharge instructions to ensure the client understands their medication regimen upon returning home.