1/ 15ATI RN MENTAL HEALTH 2019 WITH NGN 100% CORRECTWITH RATIONALES GRADE A1.a nurse is caring for a groupof clients. For which of thefollowing situations shouldthe nurse complete an inci-dent report?2.a nurse is caring for a groupof clients. Which of the fol-lowing findings is the nurserequired to report?3.A nurse is caring for a clientwho has borderline person-ality disorder. Which of thefollowing goals is the prior-ity when planning care forthis client?4.A nurse is discussing thehome care of a client whohas advanced Alzheimer'sdisease with the client'spartner, who is planning togo out of town for severaldays. Which of the follow-ing resources should thenurse recommend to thecaregiver?a client was administered one-half of the pre-scribed dose of medicationRationale:An incident report is a recording ofany occurrence that does not meet the stan-dard of care. The nurse should report medica-tion errors using the facility's incident or occur-rence form.A client who has borderline personality disor-der threatened to harm their roommate.Rationale:Manifestationsofborderlineperson-alitydisorderincludedisturbedinterpersonalrelationshipsaccompaniedbythreatsandoth-er-directedviolence.Whileitisimportantforthenursetomaintaintheclient'sconfidentiality,onoccasions when another individual's life mightbe in danger, the nurse is required by law toreport it to authorities.The client will refrain from self-mutilation.Greatest risk to the client is injury to self andothersRationale:The greatest risk to the client is in-juryto self and others. Therefore, the prioritygoalisfortheclienttorefrainfromself-mutila-tion.Respite CareRationale: Respite care programs allow theclienttostayinanursingfacilityforasetnum-ber of days, allowing the caregivers to go onvacationorhavesometimetothemselves.5.Preview Mode
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