Risks and Needs: Assess the risks and needs for patients

A charge nurse is reviewing documentation in the medical record from a Click to highlight the findings that indicate this nurse requires additional newly licensed nurse. education. To deselect a finding, click on the finding again. Admission Assessment Provider Prescriptions Nurses’ Notes Nurses’ Note Nurses’ Notes: 2130: Client has a history of major depressive disorder and alcohol use disorder. 2130: They have had previous hospitalization which has included detoxification. Client is inappropriate and is a huge fall risk. Provider has denied this RN’s requests for physical or chemical restraints. Currently, ICU and progressive Client has a history of major depressive disorder and alcohol use care unit are full, and client is being admitted to this medical unit. They disorder. They have had previous hospitalization which has included appear ‘medically stable.’ Client is alert, oriented to self and location. Denies detoxification. Client is inappropriate and is a huge fall risk. Provider has pain. Sitting up in bed. The client’s partner is at bedside and said that their denied this RN’s requests for physical or chemical restraints. Currently, spouse is always complaining or arguing. ICU and progressive care unit are full, and client is being admitted to this medical unit. They appear ‘medically stable.’ The client is alert, oriented to self and location. Denies pain. Sitting up in bed. The client’s partner is at bedside and said that their spouse is always complaining or arguing.

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