The following documentation was written on a chart: The client ...

[arivle123]

The following documentation was written on a chart: The client was found lying on the floor. Dr. X was notified. Apparently the restraints were improperly applied. Which statement best describes this documentation? The documentation is:
 
  1. Appropriately written.
  2. Inappropriate because it places blame on an individual.
  3. Inappropriate because it does not include that the client was notified.
  4. Appropriately written because it only documents the facts.

Question 2

The nurse manager is reviewing the current staff to determine who should precept a newly licensed nurse. Which nurse is the most logical choice?
 
  1. A nurse who needs the temporary pay increase that accompanies precepting
  2. A nurse who is clinically competent and has the desire to assume the responsibility to train new staff
  3. A nurse who has expressed the desire for additional training and unit responsibilities
  4. The nurse who needs to work an 8-hour schedule for a few weeks while recovering from a work-related accident

[ApricotDream]

Answer to Question 1

2
Explanation: 1. Documentation in the chart following an incident should be a statement of the facts and no
blame should be placed. The documentation is not appropriately written because it infers that
someone was to blame for the incident. The documentation must indicate that the physician
was notified, not that the client was notified. The documentation is not appropriately written if
it documents only the facts because more than just facts are documented.

Answer to Question 2

2
Rationale 1: The preceptor role may offer a financial incentive, but this is not sufficient reason to choose this nurse.
Rationale 2: Clinical competence and concern for effective orientation of new nurses are critical attributes for the preceptor.
Rationale 3: While precepting will be an additional unit responsibility, the focus is on orienting the new nurse, not on increasing a staff nurse's skills.
Rationale 4: Preceptorship may or may not be based on an 8-hour schedule. Also, a nurse recovering from an accident may not have the focus and energy necessary for precepting.
Global Rationale: