The nurse responds to a voice calling out from a room on the nursing unit. Upon entering the room, the nurse sees a patient lying on the floor near the foot of the bed. After attending to the patient and notifying the HCP, which notation would be most appropriate to record on the incident occurrence report?
Patient found lying on floor at foot of the bed.
Patient was rushing to the bathroom to avoid incontinence.
Patient fell while walking to the bathroom.
Patient states nursing staff did not respond to the call bell.
The Correct Answer is A
A. This statement is the most appropriate for an incident occurrence report. It provides a factual, objective description of what was observed without inferring causes or making assumptions about the patient’s actions. Clear documentation is critical in incident reports for accuracy and potential follow-up.
B. This statement includes assumptions about the patient's motivations and actions. It is speculative and not based on direct observation. Incident reports should avoid subjective interpretations and focus on what can be objectively verified.
C. Although this statement describes a potential scenario, it assumes that the patient was walking to the bathroom and that this was the cause of the fall. Since the nurse did not witness the event, this could be misleading and should be avoided in an incident report.
D. While documenting patient statements can be important, this particular comment is subjective and does not provide an objective account of the incident. It could also lead to potential blame without verifying the accuracy of the statement, which could complicate the report.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Libel refers to the written defamation of someone's character, which is not applicable here. The nurse leaving early does not involve any defamatory statements or written content.
B. Battery involves the intentional and unlawful physical contact with another person without consent. The nurse leaving early does not constitute physical harm or unwanted contact with patients or colleagues.
C. Slander refers to the spoken defamation of someone's character. Similar to libel, this term does not apply to the nurse’s action of leaving early, as it does not involve making false statements about someone.
D. Negligence in nursing refers to a failure to provide the standard of care that a reasonably competent nurse would provide in similar circumstances. By leaving her shift early without notifying the charge nurse, the nurse may be failing to ensure continuity of care for her patients, even if they are stable.
Correct Answer is B
Explanation
A. Collaboration between nurses at different levels is essential for improving client outcomes. By working together, nurses can share their expertise and ensure that clients receive the best possible care.
B. By increasing delegation between nurses at different levels, RNs can focus on high-risk tasks that require their expertise, while LPNs can take on more routine tasks. This can help to improve efficiency and reduce the workload of RNs, leading to better client outcomes.
C. LPNs can safely and effectively perform many low-risk tasks, such as monitoring vital signs and administering medications. Decreasing their workload for these tasks would not necessarily improve client outcomes.
D. RNs should not be overburdened with high-risk tasks. By delegating appropriate tasks to LPNs, RNs can focus on high-risk tasks that require their expertise and ensure that clients receive the best possible care.
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