While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?

Meet with nursing staff to review the policy regarding advance directives.

Reinforce the potential consequences of not having this information on record to the nursing staff.

Ask nurses who are caring for clients without this information in the medical record to obtain it.

Remind nurses to obtain this information during the admission process.

Answer and Explanation

The Correct Answer is A

A. Meeting with the nursing staff to review the policy regarding advance directives addresses the systemic issue of documentation. This action helps to ensure that all staff are aware of the importance of advance directives and the necessity for proper documentation moving forward.

B. Reinforcing potential consequences is important but may not directly resolve the immediate lack of documentation in the records. Education without action does not change current practice.

C. Asking nurses to obtain the information is a necessary step, but it is essential first to address the overall understanding and policy compliance with the entire nursing staff.

D. Reminding nurses to obtain this information during the admission process is a good practice, but it does not address the current records that are lacking documentation.

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Correct Answer is A

Explanation

A. Requiring assistance with dressing indicates a need for support with activities of daily living (ADLs), which is within the scope of occupational therapy.

B. Extreme difficulty swallowing is more appropriately addressed by a speech-language pathologist rather than an occupational therapist, as it relates to swallowing function.

C. Dysarthria, a speech disorder, also falls under the expertise of a speech-language pathologist who specializes in communication disorders, not occupational therapy.

D. Having four new medications does not directly indicate a need for occupational therapy; it may require monitoring by nursing or pharmacy for medication management.

A. Beneficence B. Fidelity C. Nonmaleficence D. Veracity

Correct Answer is D

Explanation

A. Beneficence refers to the ethical principle of doing good and promoting the well-being of clients, but it is not directly related to the integrity of incident reporting.

B. Fidelity involves being faithful to commitments and promises, but in this context, it does not address the importance of accurate reporting.

C. Nonmaleficence means "do no harm," which is essential in nursing practice, but it is not the principle that emphasizes honesty in documentation.

D. Veracity is the ethical principle that emphasizes truthfulness and accuracy, making it crucial for the charge nurse to ensure that the incident report accurately reflects the circumstances of the fall, including the absence of the gait belt.

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While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is D

Explanation

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