The nursing assistant insists Nina the New Nurse visit the client assigned to the licensed practical nurse (LPN) on the nursing team. According to the nursing assistant, the client is very upset. When Nina the New Nurse enters the client’s room, the client cries out, “That other nurse abused me!” What is Nina the New Nurse’s best response?
Explanation
Answer: C - A nurse is obligated to gather further information to assess the abuse allegation and determine the next action. Nina the New Nurse does this by encouraging further discussion with the client. Client safety is always priority. Evaluating a client’s level of orientation may be necessary; however, no indication of a disoriented client is offered in this scenario, and such an evaluation may close off communication. Notification of the supervisor, as well as completion of an incident report, would be necessary if the allegations were true, but would not be documented in the chart. A professional nurse is responsible for the care given by members of their healthcare team.
