A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

The client's preferred time for bathing

The time the client received his last dose of pain medication

The belief that the client has a difficult relationship with his son

The steps to follow when providing wound care

Answer and Explanation

The Correct Answer is B

A.   The client's preferred time for bathing: While this information may be relevant to the client's care, it is not typically included in a change-of-shift report unless it directly impacts the client's medical condition or care plan.
B.   The time the client received his last dose of pain medication: This information is crucial for ensuring continuity of care and managing the client's pain appropriately during the transfer to the rehabilitation facility.
C.   The belief that the client has a difficult relationship with his son: While psychosocial factors can impact a client's care, this information may not be relevant to the client's immediate medical needs or the transition to the rehabilitation facility.
D.   The steps to follow when providing wound care: While wound care instructions are important, they are typically documented in the client's medical record and may not need to be included in a change-of-shift report unless there are specific wound care concerns that need to be addressed during the transfer.

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Correct Answer is B

Explanation

A. Reinforce the potential consequences of not having this information on record to the nursing staff: While reinforcing the importance of advance directives is necessary, the immediate priority is to ensure that missing information is obtained.
B. Ask nurses who are caring for clients without this information in the medical record to obtain it: This is the correct answer. The priority action is to address the missing documentation by
instructing nurses to obtain advance directive information from clients who lack it in their medical records.
C. Meet with nursing staff to review the policy regarding advance directives: While policy review may be necessary, it is not the immediate action needed to address the missing documentation.
D. Remind nurses to obtain this information during the admission process: While obtaining advance directive information during the admission process is important, the priority is to address the missing documentation for current clients.

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

Correct Answer is C

Explanation

A. Nonmaleficence: This principle emphasizes the obligation to avoid causing harm. While the absence of a gait belt could have contributed to the client's fall, the primary ethical concern in this scenario is related to truthfulness and honesty in documentation rather than solely avoiding harm.
B. Fidelity: Fidelity refers to the obligation to fulfill commitments and obligations. While accurate documentation is part of professional integrity, the primary ethical issue in this scenario is related to honesty and accuracy in reporting rather than fidelity to commitments.
C. Veracity: This is the correct answer. Veracity refers to truthfulness and honesty. The charge nurse should ensure that incident reports accurately reflect the circumstances surrounding a client's fall, including the absence of a gait belt, to maintain ethical standards and promote patient safety.
D. Beneficence: Beneficence involves acting in the best interest of the patient and promoting their well-being. While the absence of a gait belt may have compromised the client's safety, the primary ethical issue in this scenario is related to truthfulness in reporting rather than directly promoting the client's well-being.

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A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Correct Answer is C

Explanation

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