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.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: The minimum number of items on the exam is 65 is not an information that the nurse should identify about the NCLEX exam. This is a false statement that does not reflect the current format of the exam. According to the NCSBN website, the minimum number of items on the NCLEXRN exam is 75, and the minimum number of items on the NCLEXPN exam is 85.
Choice B reason: The maximum number of items on the exam is 165 is not information that the nurse should identify about the NCLEX exam. This is a false statement that does not reflect the current format of the exam. According to the NCSBN website, the maximum number of items on the NCLEXRN exam is 145, and the maximum number of items on the NCLEXPN exam is 205.
Choice C reason: All 50 states have the same criteria for passing the exam is not an information that the nurse should identify about the NCLEX exam. This is a false statement that does not account for the variations in the passing standards among different jurisdictions. According to the NCSBN website, the passing standard for the NCLEXRN exam is 0.2700 logits, and the passing standard for the NCLEXPN exam is 0.1800 logits. However, some jurisdictions may have additional requirements or criteria for licensure or registration, such as education, background checks, or jurisprudence exams.
Choice D reason: An 80% confidence rule is used for passing the exam is information that the nurse should identify about the NCLEX exam. This is a true statement that describes the statistical method that is used to determine the pass or fail status of the candidates. According to the NCSBN website, the NCLEX exam uses a computerized adaptive testing (CAT) model that adjusts the difficulty and the number of the items based on the candidate's ability. The exam ends when the candidate's ability estimate is either above or below the passing standard with at least 80% confidence, or when the maximum or minimum number of items or time is reached.
Correct Answer is ["A","D","E"]
Explanation
Choice A reason: This is correct. Caring is one of the interlocking principles of shared governance. Caring refers to the nurse's commitment to the well-being of patients, families, colleagues, and the profession. Caring also involves the nurse's self-care and professional development. Caring is the foundation of nursing practice and the core value of shared governance.
Choice B reason: This is incorrect. Navigation is not one of the interlocking principles of shared governance, but a skill that nurses need to practice shared governance. Navigation refers to the nurse's ability to navigate the complex and dynamic health care environment, and to adapt to changes and challenges. Navigation also involves the nurse's use of evidence, technology, and innovation to improve outcomes and quality of care².
Choice C reason: This is incorrect. Finance is not one of the interlocking principles of shared governance, but a factor that influences shared governance. Finance refers to the financial resources and constraints that affect the health care system and the nursing profession. Finance also involves the nurse's understanding of the economic impact of their practice and decisions, and their participation in budgeting and resource allocation.
Choice D reason: This is correct. Leading is one of the interlocking principles of shared governance. Leading refers to the nurse's role as a leader and a follower in the health care team and the organization. Leading also involves the nurse's empowerment, autonomy, accountability, and collaboration. Leading is the key to achieving shared governance and transforming nursing practice.
Choice E reason: This is correct. Knowing is one of the interlocking principles of shared governance. Knowing refers to the nurse's knowledge and expertise in their specialty and practice area. Knowing also involves the nurse's lifelong learning, inquiry, and scholarship. Knowing is the basis of nursing excellence and the driver of shared governance.
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