A nurse is caring for a group of patients. For which of the following situations should the
nurse complete an incident report? - A client was
... [Show More] administered one-half of the
prescribed dose of medication
Rationale: An incident report is a recording of any occurrence that does not meet the
standard of care. The nurse should report medication errors using the facility's incident
or occurrence form.
A nurse is caring for a group of patients. Which of the following findings is the nurse
required to report? - A client who has borderline personality disorder threatened to harm
their roommate
Rationale: Signs and symptoms of BPD include interpersonal relationships
accompanied by threats and other-directed violence. While it is important for the nurse
to maintain the patients confidentiality, when another individual might be in danger, the
nurse is required by law to report it to authorities.
A nurse is caring for a patient who has borderline personality disorder. Which of the
following goals is the priority when planning care for this patient?
a. The patient will take the prescribed medications as scheduled
b. The patient will express feelings of frustration
c. The patient will refrain from self-mutilation
d. The patient will participate in group therapy - c. The client will refrain from selfmutilation
Rationale: The greatest risk to the patient is injury to self and others. Therefore, the
priority goal is for the patient to refrain from self-mutilation
a. Taking prescribed medications as scheduled to maintain therapeutic blood levels is
an important goal. However, this is not the priority goal
b. Expressing feelings of frustration to acknowledge these feelings is an important goal.
However, this is not the priority goal
d. Participating in group therapy as part of the treatment plan is an important goal.
However, this is not the priority goal
A nurse is discussing the home care of a patient who has advanced Alzheimer's
disease. The patient's caregiver is planning to go out of town for several days. Which of
the following resources should the nurse recommended to the caregiver [Show Less]