Author Question: The following documentation was entered in the client's medical record: The client was found lying ... (Read 90 times)

CBme · **on:** Jul 8, 2018

The following documentation was entered in the client's medical record: The client was found lying on the floor. Dr. X was notified. Apparently the restraints were improperly applied. Which statement best describes this documentation?

1. Appropriately written
2. Inappropriate because it places blame on an individual
3. Inappropriate because it does not include that the client's family was notified
4. Appropriately written because it only documents the facts

Question 2

A nurse working in a rehabilitation center notices clients frequently asking for something to drink while in the facility. Which action indicates the use of creativity in finding a solution to this problem?

1. Calling local beverage distributors to inquire about service pricing
2. Asking all employees to write down their ideas about a solution
3. Determining what type of drinks most clients might want
4. Encouraging clients to bring a drink from home

AngeliqueG · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

2
Rationale 1: Documentation in the chart following an incident should be a statement of the facts; no blame should be placed.
Rationale 2: The documentation is not appropriately written because it implies that someone was to blame for the incident.
Rationale 3: The documentation must indicate that the physician was notified, not that the client's family was notified.
Rationale 4: The documentation is not appropriately written; no blame should be placed.
Global Rationale:

Answer to Question 2

2
Explanation: 1. Asking others to think about different options opens up the possibilities beyond one
individuals ideas. This is part of the preparation stage of creativity. The other choices do not
encourage thinking of different ways to fix the problem.