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Zorluk: OrtaClient Rights and Advocacy

A practical nurse (PN) observes an unlicensed assistive personnel (UAP) speaking forcefully to an older adult client and tightly grabbing their arm to keep them still during care. The client appears frightened and tries to pull away. In what order should the PN perform the following actions to advocate for the client and ensure safety? Arrange the actions in the correct sequence from first to last.

  1. 1Intervene immediately to stop the UAP and separate them from the client.
  2. 2Assess the client's arm for physical injury and evaluate their emotional state.
  3. 3Reassure the client that they are safe and that their well-being is a priority.
  4. 4Report the incident to the charge nurse or nursing supervisor.
  5. 5Document the objective details of the event in a facility incident report.

Cevap

The correct sequence is to first intervene to stop the behavior, then assess the client for injury, reassure the client, report the incident to the supervisor, and finally document the event objectively.
When a nurse witnesses potential abuse or a violation of client rights, the priority action is always to protect the client by stopping the harmful behavior immediately. Once the client is secure, the nurse must apply the nursing process by assessing for injuries and providing emotional reassurance. After the client's immediate physical and psychosocial needs are met, the nurse must report the incident up the chain of command to ensure proper administrative and legal actions are taken. Finally, the nurse must document the incident objectively according to facility policy.

Adım Adım Çözüm

1
Prioritize immediate client safety by stopping the unsafe behavior.
The UAP is separated from the client, preventing further potential harm.
In any situation involving potential abuse or safety risks, the immediate physical protection of the client is the highest priority.
2
Assess the client's physical and emotional status.
The PN identifies any injuries, such as bruising on the arm, and assesses the client's level of fear or distress.
Following the nursing process, assessment must occur immediately after securing the environment to determine if medical intervention is needed.
3
Provide therapeutic communication and reassurance.
The client feels supported and understands that the behavior they experienced was unacceptable and will be addressed.
Advocacy includes protecting the client's psychosocial integrity and helping them feel safe after a distressing event.
4
Notify the charge nurse or nursing supervisor.
The chain of command is activated to investigate the incident and fulfill mandatory reporting requirements for suspected elder abuse.
Nurses are mandatory reporters. The supervisor must be informed promptly to take administrative action and ensure facility protocols are followed.
5
Complete objective documentation of the incident.
A factual, chronological record of the event is created in an incident report, separate from the client's main medical record.
Accurate, objective documentation is legally required but should be completed after immediate client needs and reporting have been addressed.

Anahtar Kavram

Client Advocacy and Protection from Abuse
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Konular

Client Rights and Advocacy

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