Which option reflects the nurse's duty to prevent patient falls?
1. The nurse has a duty to provide minimal assistance.
2. The nurse has a duty to assess the patient for risk for falls.
3. The nurse has a duty to provide continual observation of patients.
4. The nurse has a duty to see that siderails on all beds are raised at all times.
2
Rationale: Identification of patient risk is the primary duty to prevent falls. Siderails often produce a risk for patient falls, in some instances are regarded as restraints, and are not always recommended. Continual observation is not always feasible, and minimal assistance often provides insufficient care.
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