A nurse is planning to use the SBAR communication tool when giving an oncoming shift report. Which of the following statements should the nurse include in the R step?
There are no provider’s prescriptions available.
The client is disoriented.
Let’s review the client’s orders.
The client was found unconscious on the floor in her home.
The Correct Answer is C
Choice A rationale
This statement does not provide a recommendation for the next steps in the patient’s care. The R step in SBAR stands for Recommendation, which involves suggesting what should be done to address the situation. Stating that there are no provider’s prescriptions available does not fulfill this requirement.
Choice B rationale
This statement is more appropriate for the Assessment step, where the nurse describes the patient’s current condition. The R step should focus on what actions need to be taken next, not just the patient’s current state.
Choice C rationale
This statement is correct because it provides a clear recommendation for the next steps in the patient’s care. The R step in SBAR is meant to suggest what should be done to address the situation, and reviewing the client’s orders is a specific action that can be taken.
Choice D rationale
This statement is more appropriate for the Situation or Background steps, where the nurse describes what has happened to the patient. The R step should focus on what actions need to be taken next, not just the patient’s history.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale
The right circumstance refers to the appropriate setting and resources being available for the task to be delegated. It ensures that the situation is suitable for delegation, considering factors such as the patient’s condition and the complexity of the task. However, this is not the focus of the question, which is about the nurse’s demonstration during delegation.
Choice B rationale
The right communication involves clear, concise, and complete instructions given to the assistive personnel. It ensures that the delegatee understands the task, the expected outcomes, and any specific instructions or precautions. This is the correct answer because the nurse is demonstrating effective communication during the delegation process.
Choice C rationale
The right supervision refers to the appropriate monitoring and evaluation of the task being performed by the delegatee. It ensures that the nurse provides guidance, support, and feedback as needed. While important, this is not the focus of the question, which is about the nurse’s demonstration during delegation.
Choice D rationale
The right task refers to the appropriateness of the task being delegated, ensuring it is within the delegatee’s scope of practice and competency level. It ensures that the task is suitable for delegation. However, this is not the focus of the question, which is about the nurse’s demonstration during delegation.
Correct Answer is B
Explanation
Choice A rationale
A Do Not Resuscitate (DNR) order is a type of advance directive that specifies that CPR should not be performed if the patient’s heart stops.
Choice B rationale
A trust fund is not a type of advance directive. It is a financial arrangement that does not relate to medical decisions.
Choice C rationale
A durable power of attorney for healthcare is a type of advance directive that allows an individual to appoint someone to make medical decisions on their behalf.
Choice D rationale
A living will is a type of advance directive that outlines an individual’s preferences for medical treatment in certain situations.
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