A nurse manager is preparing to discuss incident reporting with nursing staff. Which of the following situations should the nurse manger include as a reason to complete an incident report?
Client concerns regarding meals
Inability to obtain a client's prescribed medication from pharmacy
Client refusal of a medication
Withholding a client's scheduled medication
The Correct Answer is D
Rationale:
A. Client concerns about meals should be addressed but do not require an incident report—these can be managed through dietary services or routine documentation.
B. Difficulty obtaining medication from the pharmacy is a systems issue, but it does not directly involve a client safety event and therefore does not require an incident report.
C. A client’s refusal of medication is their right and should be documented in the medical record, not reported as an incident.
D. Withholding a client’s scheduled medication constitutes a medication error/variance, which directly affects client safety and must be documented using an incident report.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Nonmaleficence refers to the ethical principle of avoiding harm or preventing injury. By removing a fall hazard, the nurse is actively working to prevent harm to the client.
B. Veracity means telling the truth and being honest with clients, which is not demonstrated in this scenario.
C. Utility focuses on the greatest good for the greatest number, not on preventing individual harm in a direct care setting.
D. Autonomy is respecting the client’s right to make their own decisions about care, but it does not apply to removing environmental hazards.
Correct Answer is D
Explanation
Rationale:
A. Dysarthria (difficulty with articulation) is a speech problem that requires referral to a speech-language pathologist, not an occupational therapist.
B. Difficulty swallowing indicates dysphagia, which also requires referral to a speech-language pathologist, not an occupational therapist.
C. Managing new medications requires teaching and monitoring by the nurse or pharmacist, not an occupational therapist.
D. An occupational therapist (OT) helps clients regain independence in activities of daily living (ADLs) such as cooking, dressing, and grooming. Since the client enjoys meal preparation, the OT can provide strategies and adaptive equipment to help safely resume this meaningful activity.
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