A nurse is admitting a 79-year-old woman with a fractured hip to ...

[Beheh]

A nurse is admitting a 79-year-old woman with a fractured hip to the orthopedic unit. Her husband states that she broke her hip when she tripped in her garden. Upon examination, the nurse notes purple, green, and yellow bruises on the back and arms.
 
  The patient states that those were received when she fell. The nurse should do which of the following? a. Ask the husband to wait in the waiting room.
  b. Ignore the bruises because the patient has provided an explanation.
  c. Realize that the patient may be abused, but that is a family issue.
  d. Prepare to discharge the patient home once treatment is complete.

Question 2

Which information indicates the nurse has a correct understanding of the purpose of a patient's medical record?
 
  a. To invoice the nurse for reimbursement
  b. To protect the patient in case of a mal-practice suit
  c. To ensure everyone is working toward a common goal of providing safe care
  d. To contribute to a worldwide databank for trends in health care

[tsternbergh47]

Answer to Question 1

A
Patients are more likely to reveal problems when the suspected abuser is not present in the room. Psychological abuse as well as obvious physical injury or neglect (e.g., evidence of malnutrition or presence of bruising on the extremities or trunk) should be assessed. If you have suspicion of abuse, find a way to interview the patient privately. If you assess a pattern of findings indicating abuse, most states mandate a report to a social service center. (Refer to state guidelines.) Obtain immediate consultation with a health care provider, social worker, and other support staff to faci-litate placement in a safer environment.

Answer to Question 2

C
The medical record helps to ensure that all health team members are working toward a common goal of providing safe and effective care. Documentation can be used for reimbursement but it is not to invoice the nurse, but to invoice patients and/or insurance companies. It protects the clini-cian in cases of a malpractice suit, not the patient. It does not contribute to a worldwide databank for trends in health care, but it can be used for medical or nursing research.

[Beheh]

Excellent

[aliotak]

Gracias!