Page 182 - Saunders Comprehensive Review For NCLEX-RN

4. Call the laboratory and ask for the name of the individual who
sent the photograph.

Answers

16. Answer: 3

Rationale: The occurrence report should contain a factual description of the
occurrence, any injuries experienced by those involved, and the outcome of the
situation. The correct option is the only one that describes the facts as observed by
the nurse. Options 1, 2, and 4 are interpretations of the situation and are not factual
information as observed by the nurse.
Test-Taking Strategy: Focus on the subject, documentation of events, and note the
data in the question to select the correct option. Remember to focus on factual
information when documenting, and avoid including interpretations. This will direct
you to the correct option.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Communication and Documentation
Content Area: Leadership/Management: Ethical/Legal
Health Problem: N/A
Priority Concepts: Communication; Health Care Law
Reference: Potter et al. (2017), p. 367.

17. Answer: 3

Rationale: In general, there are two situations in which informed consent of an
adult client is not needed. One is when an emergency is present and delaying
treatment for the purpose of obtaining informed consent would result in injury or
death to the client. The second is when the client waives the right to give informed
consent. Option 1 will delay emergency treatment, and option 2 is inappropriate.
Although option 4 may be pursued, it is not the best action because it delays
necessary emergency treatment.
Test-Taking Strategy: Note the strategic word, best. Also note that an emergency
is present. Recalling that a delay in treatment for the purpose of obtaining informed
consent could result in injury or death will direct you to the correct option.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Implementation
Content Area: Leadership/Management: Ethical/Legal
Health Problem: Adult Health: Neurological: Head Injury/Trauma
Priority Concepts: Ethics; Health Care Law
References: Potter et al. (2017), pp. 309-310.

18. Answer: 1

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