The Patient Was in Bed with All Side Rails Up

question 23

Multiple Choice

The patient was in bed with all side rails up.During the night,the patient tried to get up to go to the bathroom and fell while trying to climb over the side rails.After meeting the patient's needs and assessing that the patient is not harmed,the nurse needs to:

• A) Complete an incident report and put it in the medical record
• B) Chart what happened and state that an incident report has been filled out
• C) Do nothing since the patient was not harmed
• D) Document what happened in the patient record without mentioning the incident report

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Definitions:

Depersonalization Disorder

A disorder marked by periods of feeling disconnected or detached from one's body and thoughts (depersonalization).

Sexual Abuse

Unwanted or forced sexual activity, often used as a means to exert power and control over the victim.

Avoidance

A behavior or strategy employed to distance oneself from uncomfortable thoughts, feelings, situations, or interactions.

PTSD

Post-Traumatic Stress Disorder, a psychiatric disorder that may occur in people who have experienced or witnessed a traumatic event.