HESI Registered Nurse EXIT Practice Exam

What is the nurse's initial response when a client reports being abused by staff?

1. Focus on reality orientation.

2. Assist in the client's report to the police.

3. Gather more details regarding the client's claim.

4. Document the complaint and report to the manager.

The correct answer is: Gather more details regarding the client's claim.

When a client reports being abused by staff, the nurse’s initial response should be to gather more details regarding the client’s claim. This approach ensures that the nurse fully understands the situation before taking any further actions. It allows the nurse to clarify what happened, when it occurred, who was involved, and any other relevant information. This thorough collection of details is vital for accurately assessing the situation and determining the appropriate steps to take thereafter. Understanding the specifics of the report is crucial; it not only aids in evaluating the severity of the abuse but also ensures that the nurse has the necessary information to provide effective support to the client and to properly address the issue with the appropriate authorities or the facility management. Collecting this information sensitively and compassionately is also important for establishing trust with the client and making them feel heard. Subsequent actions—like reporting to police or documenting and informing management—are also essential but should follow after a detailed understanding is achieved. Focusing on reality orientation might distract from the client’s immediate needs and concerns in this context.