A Nurse Identifies a Nursing Diagnosis of Risk for Falls

question 7

Multiple Choice

A nurse identifies a nursing diagnosis of Risk for falls when assessing a patient upon admission.The nurse and the patient agree that the goal is for the patient to remain free from falls.However,the patient fell just before shift change.What is the nurse's priority action when evaluating the patient's plan of care?

• A)Counsel the unregulated care provider on duty when the patient fell.
• B)Identify factors interfering with goal achievement.
• C)Remove the "fall risk" sign from the patient's door because the patient has suffered a fall.
• D)Request that the more experienced charge nurse complete the documentation about the fall.

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Definitions:

Dependent Variable

The variable in a study or experiment that is expected to change or respond due to manipulation of the independent variable.

Fear of Crime

An emotional response of dread or anxiety to crime or symbols that a person associates with crime.

Nominal

Pertaining to data that consist of names, labels, or categories without a natural order or ranking.

Dependent Variable

The variable in an experimental or observational study that is influenced or changed by the independent variable.