Which of the following is not a strategy used to decrease a nurse's chance of being involved in a malpractice case?

• A. Documentation
• B. Improved communication
• C. Assess and monitor the patient
• D. Generosity

Answer: (D)

Preventing malpractice comes from actions that clearly support patient safety and create a reliable record of care. Thorough documentation captures what was assessed, what was done, and how the patient responded, providing a clear, defendable trail of care that aligns with standards of practice. It helps others understand decisions, ensures continuity, and can be crucial if a claim arises.

Improved communication reduces misunderstandings and errors during all transitions of care, such as handoffs, patient and family conversations, and changes in treatment plans. Clear, timely communication lowers the risk of misinterpretation or omissions that could lead to liability.

Assessing and monitoring the patient continuously is essential for early detection of deterioration and prompt intervention. Ongoing evaluation demonstrates attentiveness to the patient’s condition and adherence to a proactive standard of care, both of which reduce harm and liability risk.

Generosity, while admirable, is not a formal strategy for reducing malpractice risk. It does not address safety outcomes, documentation standards, or communication processes, and it doesn’t establish the evidence base that protects against liability.