In which situations would a nurse have the duty to intervene and ...

[jwb375]

In which situations would a nurse have the duty to intervene and report? Select all that apply.
 
  a. A peer has difficulty writing measurable outcomes.
  b. A health care provider gives a telephone order for medication.
  c. A peer tries to provide patient care in an alcohol-impaired state.
  d. A team member violates relationship boundaries with a patient.
  e. A patient refuses medication prescribed by a licensed health care provider.

Question 2

Which documentation of a patient's behavior best demonstrates a nurse's observations?
 
  a. Isolates self from others. Frequently fell asleep during group. Vital signs stable.
  b. Calmer; more cooperative. Participated actively in group. No evidence of psychotic thinking.
  c. Appeared to hallucinate. Frequently increased volume on television, causing conflict with others.
  d. Wore four layers of clothing. States, I need protection from evil bacteria trying to pierce my skin.

[yasmin]

Answer to Question 1

ANS: C, D
Both keyed answers are events that jeopardize patient safety. The distracters describe situations that may be resolved with education or that are acceptable practices.

Answer to Question 2

ANS: D
The documentation states specific observations of the patient's appearance and the exact statements made. The other options are vague or subjective statements and can be interpreted in different ways.

[jwb375]

Gracias!

[Liddy]

Excellent