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 C

Explanation

A. While the need for assistance with bathing may indicate the need for home health services, it is not specifically a reason to involve a social worker.

B. Arranging for oxygen tanks and equipment typically involves nursing and respiratory therapy rather than social work.

C. The need to arrange financial resources for purchasing equipment indicates a financial or logistical concern that is within the social worker's scope of practice to address, making this the most appropriate reason for the referral.

D. Range-of-motion exercises pertain more to physical therapy and nursing care, not social work.

A. Inform the client that a catheter will be inserted. B. Document the client's refusal in their chart. C. Tell the client that their blood alcohol level will be checked. D. Assess the client for urinary incontinence.

Correct Answer is B

Explanation

A. Informing the client that a catheter will be inserted is not appropriate; a catheter should only be used if necessary and with the client’s consent.

B. Documenting the client's refusal is crucial for legal and ethical reasons, ensuring that the healthcare team is aware of the client’s decision regarding the urine sample.

C. Telling the client that their blood alcohol level will be checked does not address their refusal and may lead to confusion or further resistance.

D. Assessing for urinary incontinence does not address the situation regarding the urine sample and is not directly relevant to the client's refusal to provide a sample.

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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?

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Naxlex Comprehensive Predictor Exams

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