Final answer:
Negligence can be determined by examining the nurse's actions and potential breach of duty in disregarding the client's concerns and refusing to call the physician. The role of the dietary department in sending the wrong diet may also be considered.
Step-by-step explanation:
Negligence can be determined in this situation by examining the actions of the nurse and the potential breach of duty. In this case, the nurse insisted that the client take the solid food tray, despite the client's refusal and request for a physician. By disregarding the client's concerns and refusing to call the physician, the nurse may be considered negligent as she failed to provide appropriate care and follow the client's wishes. Additionally, it is important to consider the potential role of the dietary department in sending the wrong diet for the client. If they indeed sent the wrong diet, this could also contribute to the development of complications and be a factor in determining negligence.