The mother of a 15-year-old girl remarks to the nurse that she is ...

[future617RT]

The mother of a 15-year-old girl remarks to the nurse that she is concerned because her daughter has not started her period yet. The most appropriate answer is,
 
  a. I don't know, but the doctor will find out and I'm sure you have no need to worry.
  b. Don't worry, I've known lots of girls who didn't start their periods before they were 15 and they are just fine.
  c. It's usually a minor hormonal imbalance that medication can correct.
  d. The average age for girls to begin menstruation is 12 years of age; however, some are as old as 17 before they have their first period.

Question 2

Which statement is true regarding the quality assurance or incident report?
 
  a. The report assures the legal department that no problem exists.
  b. Reports are a permanent part of the patient's chart.
  c. The nurse's notes should contain, Incident report filed, and copy placed in chart.
  d. This report is a form of documentation of an event that may result in legal action.

[Beatricemm]

Answer to Question 1

D
The nurse's response that The average age for girls to begin menstruation is 12 years of age; however, some are as old as 17 before they have their first period. is a true statement based on physiologic facts that a nurse should know. Telling the girl, I don't know, but the doctor will find out and I'm sure you have no need to worry does not address the mother's question. Telling a client not to worry is not a professional nurse answer based on sound information.Also, stating It's usually a minor hormonal imbalance that medication can correct is not an appropriate answer in assuming there is a pathophysiologic process occurring.

Answer to Question 2

D
Feedback
A The report is a warning to the legal department to be prepared for a potential
legal action.
B Incident reports are not a part of the patient's chart.
C Incident reports are not mentioned in the nurse's notes.
D Documentation on the chart should include all factual information regarding the
woman's condition that would be recorded in any situation. Incident reports are
not mentioned in the nurse's notes. The nurse completes an incident report when
something occurs that might result in a legal action against the clinic or hospital
or is a variance from the standard of care.