You find a patient on the floor at shift change. She is awake and alert. She is confused now and was not controlled before being found on the floor.
What is your first step in the nursing process in this situation?
Leave the patient to get help.
Call the patient’s health-care provider from your cell phone.
Help the patient get up and then document your findings in the chart.
Gather more information by making observations about the patient.
The Correct Answer is D
The first step in the nursing process is assessment, which involves gathering information about the patient’s condition. In this situation, the nurse should make observations about the patient’s physical and mental status, including any signs of injury or distress. This information can then be used to determine the appropriate course of action and provide appropriate care. The other
The other options do not represent the first step in the nursing process and may not be appropriate in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Florence Nightingale was a pioneer in the field of nursing and is considered the founder of modern nursing. She recognized the importance of a clean environment in promoting health and preventing disease transmission. Nightingale's work during the Crimean War in the 1850s led to significant improvements in sanitation and hygiene in hospitals. She emphasized the need for clean water, fresh air, and proper disposal of waste to reduce the spread of infection.
Nightingale's approach to nursing included the promotion of health and the prevention of illness through environmental measures, such as maintaining a clean and well-ventilated environment. Therefore, the act of developing a clean environment is a factor in providing effective health care as demonstrated by Florence Nightingale.
Correct Answer is B
Explanation
This response is an open-ended question that encourages the client to express their concerns and feelings. It also allows the nurse to assess the client’s understanding of the procedure and provide appropriate education and support. The other
The other options are either closed-ended statements or questions that do not address the client’s concerns directly.
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