A nurse was injured when a client with Alzheimer's disease struck ...

[OSWALD]

A nurse was injured when a client with Alzheimer's disease struck the nurse on the side of the head during a transfer. The nurse has completed an incident report. Which statement about an incident report is most accurate?
 
  A) The report becomes a confidential part of the client's health record once it is reviewed by hospital administration.
  B) The incident report is reviewed by state agencies and the Occupational Safety and Health Administration rather than by hospital administration.
  C) The report provides a detailed and objective account of the circumstances before, during, and after the event.
  D) The client and the client's family will be required to sign the report, acknowledging that they read it before it was filed.

Question 2

A client has been diagnosed with a glioblastoma and the care team has determined that this brain tumor is inoperable.
 
  Which aspects of the client's subsequent care demonstrate adherence to the Quality and Safety Education for Nurses (QSEN) competencies? Select all that apply.
  A) The care team meets with the client and family promptly to identify their preferences for treatment.
  B) The care team balances the best available evidence about glioblastoma treatment with the client's preferences.
  C) Nurses proactively identify threats to the client's safety that may occur as treatment is provided.
  D) Each member of the care team uses the best available technology to organize and provide care.
  E) Treatments are chosen with the goal of minimizing the financial burden on the health care institution.

[Ptupou85]

Answer to Question 1

Ans: C
Feedback:
Incident reports are used for internal review and improvements to systems. They include detailed descriptions of the event in question. They do not become part of the client's health record. They are often provided to outside agencies, but they do not bypass the institution where the event occurred. Clients and their families do not sign incident reports.

Answer to Question 2

Ans: A, B, C, D
Feedback:
Meeting with the family exemplifies client-centered care. Evidence-based practice includes research evidence as well as client preferences. Safety is a QSEN competency, as is informatics (the effective use of technology). Financial concerns of the health care institution are not included among the six QSEN competencies.

[OSWALD]

TYSM

[scikid]

Excellent