ATI PN Fundamentals of Nursing 2020 with NGN Exam 2
ATI PN Fundamentals of Nursing 2020 with NGN Exam 2 ( 49 Questions)
A nurse is caring for a client who fell while walking to the bathroom. Which of the following actions should the nurse take when completing the incident report?
Using direct quotes made by the client to describe the incident is inappropriate action.
Using direct quotes from the client might introduce subjectivity or personal bias into the incident report. It's important to maintain objectivity and describe the incident based on factual observations.
Making a notation in the client's medical record that an incident report was completed is appropriate action. This action ensures that there is documentation within the client's medical record indicating that an incident report was filed. However, incident reports themselves are typically kept separate from the medical record to maintain confidentiality and prevent potential legal ramifications.
Drawing a conclusion regarding the cause of the incident is inappropriate action. While it's important to document factual details, drawing conclusions about the cause of the incident in the report might be premature or speculative. Incident reports should focus on describing the event itself without making assumptions or conclusions about causation.
Placing a copy of the incident report in the client's medical record is inappropriate action. As mentioned earlier, incident reports are usually kept separate from the medical record to maintain confidentiality and to ensure that they are used internally for quality improvement and risk management purposes rather than becoming part of the client's permanent medical record.
Choice A Reason:
Using direct quotes made by the client to describe the incident is inappropriate action.
Using direct quotes from the client might introduce subjectivity or personal bias into the incident report. It's important to maintain objectivity and describe the incident based on factual observations.
Choice B Reason:
Making a notation in the client's medical record that an incident report was completed is appropriate action. This action ensures that there is documentation within the client's medical record indicating that an incident report was filed. However, incident reports themselves are typically kept separate from the medical record to maintain confidentiality and prevent potential legal ramifications.
Choice C Reason:
Drawing a conclusion regarding the cause of the incident is inappropriate action. While it's important to document factual details, drawing conclusions about the cause of the incident in the report might be premature or speculative. Incident reports should focus on describing the event itself without making assumptions or conclusions about causation.
Choice D Reason:
Placing a copy of the incident report in the client's medical record is inappropriate action. As mentioned earlier, incident reports are usually kept separate from the medical record to maintain confidentiality and to ensure that they are used internally for quality improvement and risk management purposes rather than becoming part of the client's permanent medical record.