While making her rounds, a nurse hears a cry for help. Upon entering the room she finds the
patient on the floor at the end of her bed. The side rails were up, the call button was within reach,
and the bed was in its lowest position.
The patient stated, I needed to use the bathroom and I just
didn't want to bother the nurses.. How should this incident be written in the occurrence report?
A) The patient crawled out of bed attempting to go to the bathroom and fell. The call bell was in
reach, the side rails were up, and the bed was in the lowest position.
B) The nurse found the patient on the floor at the end of her bed. The side rails were up, the bed
was in its lowest position, and the call bell had been within reach.
C) Though instructed to call for help, the patient insisted on ambulating without assistance. She
was found on the floor.
D) The patient was found on the floor. Assisted back to bed. No injuries noted. Instructed to call
the nurse prior to getting out of bed in the future.
Question 2
What behavior is a new nurse demonstrating when he or she politely refuses to give up
scientifically sound skill techniques learned in school in favor of common non-evidence-based
practices of a clinical unit?
A) Effective followership and beginning leadership skills
B) Poor interpersonal skills
C) Failure to function as a team player
D) Inflexibility
A nurse communicates with her non–English-speaking patient through an interpreter
Bill Viola, Room for St. John of the Cross.
ROM exercises on a patient’s wrist: extension.
Cyanosis as shown here at the patient’s fingertips results from a lack of oxygen in the tissues
Grief Responses and Patient Verbalization