Management of CareQuestion 1450 of 2368

A client falls, and the nurse completes an incident report. Which action is correct?

  1. Note in the medical record that an incident report was filed
  2. Document the event in the record without mentioning the incident report
  3. Place a copy of the incident report in the client's paper chart
  4. Include personal assumptions about the cause in the incident report
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Correct answer: Document the event in the record without mentioning the incident report

Incident reports are not part of the medical record. The event, provider notification, and interventions are documented in the record.

Source: Nursing Fundamentals, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Communication: Common Types of Documentation. Licensed under CC BY 4.0.

Practice the topic "Management of Care"

Questions last reviewed: 18 October 2026