The nurse is caring for a patient who is concerned about living alone. The best response by the nurse is:
“I think you should live with your family."
"Why don't you live with your family?"
“If you were my mom, I'd have you live with me."
"Where have you considered living?"
The Correct Answer is D
A. "I think you should live with your family." This is too directive and imposes the nurse’s opinion rather than allowing the patient to explore their own options.
B. "Why don't you live with your family?" This response may come across as judgmental or dismissive, potentially making the patient feel defensive.
C. "If you were my mom, I'd have you live with me." This statement is not helpful and shifts the focus to the nurse’s feelings rather than exploring the patient’s concerns.
D. "Where have you considered living?" This is an open-ended question that invites the patient to discuss their thoughts and feelings, facilitating a more patient-centered response.
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View Related questions
Correct Answer is A
Explanation
A. Follows agency policy for correcting the error.
Following agency policy is the best approach, as it ensures compliance with legal and procedural standards for correcting documentation errors.
B. Whites out the wrong entry and writes the note in the chart of the correct patient. Whiting out errors is not permissible, as it can appear as an attempt to alter records and compromises the integrity of documentation.
C. Removes the page on which the error is located and documents the other correct notes. Removing pages from a medical record is improper and could be considered tampering with documentation.
D. Blacks out the note to protect the confidentiality of the patient about whom it was written and writes in the margin "wrong patient," his signature, and the date and time.
Blacking out notes is not allowed, as it destroys information that should remain legible, even if it was written in error.
Correct Answer is B
Explanation
A. "Blood not drawn because tests are no longer desired by patient."
This statement is vague and lacks specific details regarding the patient's exact refusal and the communication with the doctor.
B. "Refuses to have blood drawn; says tests are 'useless.' Doctor notified."
This response documents the patient's refusal with their exact words ("useless") and also notes that the doctor has been informed, which is essential for clear, complete documentation.
C. "Doctor notified of failure to draw ordered blood work."
This documentation lacks the reason for the blood draw failure (patient refusal) and omits the patient’s specific wording.
D. "Refuses to have blood drawn. Doctor notified."
Although this documents the refusal and the doctor’s notification, it omits the patient’s exact words, which can provide additional context for the healthcare team.