A patient gets out of bed following hip surgery and falls and re-injures her hip. The nurse caring for her knows that it is her duty to make sure an incident report is filed. Which of the following statements accurately describes the correct procedure for filing an incident report?

Correct Answer: D

Rationale: The correct answer is D because incident reports should contain all the variables related to the incident for accurate documentation and analysis. Step 1: Documenting all details ensures transparency and provides a complete picture. Step 2: Including variables like date, time, location, individuals involved, and details of the incident helps in understanding the cause and implementing preventive measures. Step 3: Omitting critical information may hinder the investigation and resolution process. Therefore, choice D is correct. Choices A, B, and C are incorrect. Choice A is incorrect as incident reports are typically filled out by the person directly involved in the incident. Choice B is incorrect because including names of staff involved is crucial for accountability and follow-up. Choice C is incorrect as incident reports are meant for improving processes, not for punitive measures.

Correct Answer: B

Rationale: The correct answer is B because a woman recovering from a car accident is at high risk for situational stress due to the traumatic experience and potential physical and emotional challenges. This patient may experience fear, anxiety, and various stress-related symptoms. A, an infant learning to walk, is not typically considered high risk for situational stress as this is a normal developmental milestone. C, a young couple expecting their first child, may experience stress, but it is more likely related to adjustment rather than a situational stressor. D, a man getting married to his long-time girlfriend, may experience stress related to the event but it is not typically classified as situational stress.

Correct Answer: B

Rationale: The correct answer is B: Advanced care directive. This document allows individuals to specify their healthcare preferences in advance, including life-sustaining treatments, if they become unable to communicate. Verbal consent (A) is not a formal document and may not be legally binding. Durable power of attorney (C) designates someone to make healthcare decisions but may not include the patient's specific wishes. Comfort measures only (CMO) order (D) specifies end-of-life care but does not encompass broader healthcare choices.

Correct Answer: D

Rationale: The correct answer is D, as determining the client's perceptions and belief system is essential in understanding their spiritual needs and preferences. This step allows the nurse to tailor support and interventions accordingly. A: Referring the client to the agency chaplain may not be appropriate without first understanding the client's specific beliefs. B: Assisting the client to use faith to get well assumes all clients have faith and may not align with their individual beliefs or preferences. C: Providing a variety of religious literature may not be helpful if it does not align with the client's specific spiritual beliefs and practices. In summary, understanding the client's perceptions and belief system is crucial for providing personalized and effective spiritual support.

Correct Answer: D

Rationale: The correct answer is D: Role performance. Role performance refers to our ability to fulfill societal expectations related to specific roles we occupy. It involves effectively carrying out behaviors and responsibilities associated with these roles. Body image (A) is related to how we perceive our physical appearance. Role conflict (B) occurs when individuals face conflicting demands from different roles. Personal identity (C) refers to one's sense of self and values, which is distinct from role performance. Therefore, D is the correct answer as it directly addresses executing societal expectations regarding role-specific behaviors.