A nurse is preparing to complete an occurrence report for a client who fell at the facility. Which of the following actions should the nurse take?
Use objective terminology when documenting
Wait at least 12 hours to report the occurrence
Omit the name of the individuals involved
Document completion of the report in the client’s medical record
The Correct Answer is A
Choice A reason: This statement is correct because the nurse should use objective terminology when documenting the occurrence. Objective terminology means using factual, unbiased, and verifiable information, such as the date, time, location, witnesses, and events of the occurrence. The nurse should avoid using subjective, opinionated, or judgmental language, such as blaming, criticizing, or speculating about the occurrence.
Choice B reason: This statement is incorrect because the nurse should not wait at least 12 hours to report the occurrence. The nurse should report the occurrence as soon as possible, preferably within an hour of the incident. The nurse should also notify the appropriate personnel, such as the charge nurse, the provider, and the risk manager. Delaying the report may compromise the client's safety and wellbeing, and the accuracy and completeness of the documentation.
Choice C reason: This statement is incorrect because the nurse should not omit the name of the individuals involved in the occurrence. The nurse should include the name of the client, the staff, and any other relevant parties, such as family members or visitors. The nurse should also document the role and actions of each individual, and their response to the occurrence. Omitting the name of the individuals may affect the accountability and follow-up of the occurrence.
Choice D reason: This statement is incorrect because the nurse should not document completion of the report in the client’s medical record. The nurse should document the occurrence report separately from the client’s medical record, and follow the facility's policy and procedure for filing and storing the report. The nurse should also document the occurrence in the client’s medical record, but only the facts and the nursing actions, not the details or the existence of the report. Documenting completion of the report in the client’s medical record may expose the facility to legal liability or litigation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is b. Misunderstanding of roles.
Choice A: Scope of practice
Reason: While the scope of practice defines the roles and responsibilities of different healthcare professionals, it is not inherently a barrier to interprofessional communication. Instead, it provides clarity on what each professional can and cannot do, which can actually facilitate better teamwork and communication.
Choice B: Misunderstanding of roles
Reason: Misunderstanding of roles is a significant barrier to interprofessional communication. When team members are unclear about each other’s roles and responsibilities, it can lead to confusion, overlap, and gaps in care. This misunderstanding can hinder effective collaboration and communication, as team members may not know who to turn to for specific issues or may duplicate efforts.
Choice C: Privacy laws
Reason: Privacy laws, such as HIPAA in the United States, are designed to protect patient information. While they impose certain restrictions on information sharing, they are not a primary barrier to interprofessional communication. Healthcare teams can still communicate effectively within the boundaries of these laws by ensuring that patient information is shared appropriately and securely.
Choice D: Burnout
Reason: Burnout is a significant issue in healthcare, affecting the well-being and performance of healthcare professionals. However, it is more of a personal and systemic issue rather than a direct barrier to interprofessional communication. Burnout can indirectly affect communication by reducing the overall effectiveness and engagement of team members.
Correct Answer is D
Explanation
Choice A reason: This statement is false and should not be included in the teaching. Placing the client on 12hour observation is not enough to ensure the client's safety, as the client may still attempt suicide when the nurse is not watching. The client should be placed on continuous observation, preferably one-to-one, until the risk of suicide is reduced.
Choice B reason: This statement is false and should not be included in the teaching. Encouraging visitors to bring items to the client is not advisable, as some items may pose a potential danger to the client, such as sharp objects, medications, or alcohol. The nurse should inspect and limit the items that the client and the visitors have access to, and remove any items that could be used for self-harm.
Choice C reason: This statement is false and should not be included in the teaching. Encouraging visitors for the client at any time is not appropriate, as some visitors may have a negative impact on the client, such as those who are abusive, judgmental, or unsupportive. The nurse should screen and monitor the visitors, and allow only those who are helpful and respectful to the client.
Choice D reason: This statement is true and should be included in the teaching. Removing harmful objects from the client's room is a priority action that the nurse should take to prevent the client from harming themselves. The nurse should search the client's room and belongings, and remove any objects that could be used for suicide, such as knives, scissors, razors, belts, cords, or plastic bags.
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