The nurse is caring for a client who reports that another nurse hit them.
The nurse should take which action?
The nurse is caring for a client who reports that another nurse hit them.
The nurse should take which action?
A. Inquire with the nurse if this incident occurred
[12%]
B. Assess the client for any prior episodes of abuse
[21%]
C. Determine if the client has any cognitive impairments
[12%]
D. Report the client's concern to the nursing supervisor
[55%]
Statistics
Subject/Lesson
Subject
Leadership & Management
Lesson
Ethical/Legal
Client Need
Test Plan
Safety & Infection Control
Related Topic
Reporting of Incident/Event
Item Type
Item Type
Application
Explanation
Choice D is correct. If a client reports being hit by another nurse, the nurse's primary responsibility is to ensure the safety and well-being of the client. Reporting the client's concern to the nursing supervisor is essential for appropriate investigation and intervention. All allegations of abuse require prompt and thorough investigation. The nurse should also complete an incident/event report regarding the allegation.
Choice A is incorrect. While it may be necessary to gather information, directly inquiring with the nurse accused of the incident is not appropriate at this initial stage. The priority is to ensure the client's safety and involve appropriate channels for investigation.
Choice B is incorrect. Assessing the client for prior episodes of abuse, while potentially relevant to understanding the client's history, should not be the immediate action. The priority is addressing the current concern and ensuring the client's safety.
Choice C is incorrect. Determining if the client has cognitive impairments, while an important aspect of assessment, is not the immediate priority when a client reports being hit.
Related Videos
2 Key Topics
Incident Reporting
15.3 Quality, Safety & Risk Management
Additional Info
✓ Adhere to the established protocols and policies of your healthcare facility regarding reporting incidents of abuse or assault. This may involve notifying the nursing supervisor and higher levels of management or human resources.
✓ Acknowledge the client's feelings and concerns, offering empathy and a non-judgmental environment. Reassure the client that their safety is the top priority.
✓ Certain groups are more vulnerable to healthcare abuse, including the elderly, individuals with cognitive impairments and psychiatric conditions, or those with limited social support.
