The nurse is completing the charting after a patient suffered a fall. Which statement is appropriate for the nurse to include in the description of the incident?

The patient is grouchy and inappropriate, always causing trouble for the nurses.

The patient’s nurse assistant always took her time to answer his call lights.

The patient probably urinated on the floor and slipped on the wet floor.

The patient was found on the floor and his urinal was on the floor next to him.

Answer and Explanation

The Correct Answer is D

Choice A reason: This is an inappropriate statement for the nurse to include in the description of the incident because it is subjective, biased, and disrespectful. The nurse should not make judgments or assumptions about the patient's personality or behavior, but rather report the facts and observations of the situation.

Choice B reason: This is an inappropriate statement for the nurse to include in the description of the incident because it is irrelevant, speculative, and accusatory. The nurse should not blame or criticize the nurse assistant's performance, but rather focus on the patient's condition and the actions taken to prevent or manage the fall.

Choice C reason: This is an inappropriate statement for the nurse to include in the description of the incident because it is uncertain, hypothetical, and unprofessional. The nurse should not use words like "probably" or "maybe" that indicate a lack of clarity or certainty, but rather state the facts and evidence of the situation.

Choice D reason: This is an appropriate statement for the nurse to include in the description of the incident because it is objective, factual, and concise. The nurse should report the patient's location, status, and environment at the time of the fall, and the possible cause or contributing factors of the fall.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: This is the correct choice because assessment is the step of the nursing process that involves collecting and organizing data about the patient's health status and needs. The nurse who carefully enters a new patient’s medical history and current medication list into the agency’s electronic health record (EHR) is performing an assessment by gathering relevant information from the patient and other sources.

Choice B reason: This is an incorrect choice because implementation is the step of the nursing process that involves carrying out the planned nursing interventions to achieve the patient's goals and outcomes. The nurse who carefully enters a new patient’s medical history and current medication list into the agency’s electronic health record (EHR) is not performing an implementation by executing any actions or treatments for the patient.

Choice C reason: This is an incorrect choice because diagnosis is the step of the nursing process that involves analyzing and interpreting the data to identify the patient's actual or potential health problems. The nurse who carefully enters a new patient’s medical history and current medication list into the agency’s electronic health record (EHR) is not performing a diagnosis by making any judgments or conclusions about the patient's condition.

Choice D reason: This is an incorrect choice because evaluation is the step of the nursing process that involves measuring and comparing the patient's progress and outcomes with the expected goals and outcomes. The nurse who carefully enters a new patient’s medical history and current medication list into the agency’s electronic health record (EHR) is not performing an evaluation by assessing any changes or improvements in the patient's status.

A. Careful delegation B. Team communication C. Case management D. Time management E. Priority setting

Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A reason: This is a correct choice because careful delegation is a leadership skill that involves assigning tasks to the appropriate staff members based on their scope of practice, competence, and availability. Careful delegation ensures that the nursing student can focus on the most important aspects of patient care while supervising and supporting the delegated staff¹.

Choice B reason: This is a correct choice because team communication is a leadership skill that involves exchanging information, ideas, and feedback with other members of the health care team in a clear, respectful, and timely manner. Team communication facilitates collaboration, coordination, and continuity of care for the patients².

Choice C reason: This is a correct choice because case management is a leadership skill that involves planning, organizing, and evaluating the care of a specific group of patients across the continuum of care. Case management ensures that the patients receive the best quality of care while optimizing the use of resources and reducing costs³.

Choice D reason: This is a correct choice because time management is a leadership skill that involves prioritizing, scheduling, and completing tasks within the available time. Time management helps the nursing student to balance the demands of patient care, education, and personal life while avoiding stress and burnout.

Choice E reason: This is a correct choice because priority setting is a leadership skill that involves identifying the most urgent and important tasks and goals and allocating the appropriate time and resources to them. Priority setting helps the nursing student to provide safe and effective care for the patients while meeting their needs and expectations.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is completing the charting after a patient suffered a fall. Which statement is appropriate for the nurse to include in the description of the incident?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which step of the nursing process is being performed by the nurse who carefully enters a new patient’s medical history and current medication list into the agency’s electronic health record (EHR)?

Correct Answer is A

Explanation

Which leadership skills will the nursing student use when caring for patients? (Select all that apply)

Correct Answer is ["A","B","C","D","E"]

Explanation

Which assessment finding indicates to the nurse that the patient is experiencing difficulty with proprioception?

What are the priority actions of the nurse who enters the patient’s room to begin teaching the patient about wound care management and notes that the patient is nauseated due to medication side effects? (Select all that apply).

Which characteristic qualifies the hospital for Magnet Recognition status?

Which statement by the nurse is an example of back-channeling?

Which bedtime action by the nurse may make it more difficult for the patient to fall asleep?

The nurse is caring for a patient who took 60 acetaminophen tablets. Which resource will the nurse contact for treatment guidelines when the patient arrives in the emergency room?

The nurse is caring for a patient who becomes agitated when visitors stay for extended periods or the hospital unit becomes noisy. The nurse identifies this as sensory overload. Which interventions will be of benefit to the patient? (Select all that apply.)

What is the correct term for the nursing action of deciding that a nonverbal patient who just had surgery is in pain and administering an analgesic, based on the observation that the patient moans with position changes, the hands are clenched, and the skin is very sweaty?