Asked by Daniel Tapia-Hernandez on Jul 09, 2024
Verified
A nurse identifies a fall risk when assessing a patient upon admission. The nurse and the patient agree that the goal is for the patient to remain free from falls. However, the patient fell just before shift change. Which action is the nurse's priority when evaluating the patient?
A) Identify factors interfering with goal achievement.
B) Counsel the nursing assistive personnel on duty when the patient fell.
C) Remove the fall risk sign from the patient's door because the patient has suffered a fall.
D) Request that the more experienced charge nurse complete the documentation about the fall.
Fall Risk
The likelihood of an individual experiencing a fall, which may result in injuries, often evaluated in elderly or those with physical impairments.
Goal Achievement
The act of reaching a set target or objective, often requiring planning, effort, and perseverance.
Shift Change
The process in workplaces, especially in healthcare or services, where employees transition between working periods or shifts.
- Identify and revise care plans as indicated by patient progress or lack thereof.
Verified Answer
Learning Objectives
- Identify and revise care plans as indicated by patient progress or lack thereof.
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