An incident report is to be completed because the client climbed ...

[cherise1989]

An incident report is to be completed because the client climbed over the side rails and fell to the floor. The correct reporting of an incident involves which of the following?
 
  1. The witnessing nurse completes the report.
  2. Details of the incident are subjectively described.
  3. An explanation of the possible cause for the incident is entered.
  4. A notation is included in the medical record that an incident report was prepared.

Question 2

A client has been recently told that the primary cancer has metastasized and the cancer is consid-ered terminal.
 
  When the nurse offers to discuss palliative care options the client replies, I can't understand why you all want to upset me by bringing the topic up. Now please just leave me alone. The nurse recognizes this response as:
  1. Anger
  2. Disbelief
  3. Bargaining
  4. Acceptance

[Smiles0805]

Answer to Question 1

ANS: 1
The nurse who witnessed the incident is the one who completes the report. Details of the incident should be objectively described. An explanation of the possible cause is not included. The se-quence of events is described objectively. A notation is not included in the medical record that an incident report was written.

Answer to Question 2

ANS: 1
In this example, the client blames others and complains. The client often directs anger toward the nurse or others. The remaining options are other stages of the grieving process.