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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Facial expressions are indeed an example of non-verbal communication. Non-verbal communication includes body language, facial expressions, gestures, and eye contact. These cues can provide significant insights into a client’s feelings and attitudes.
Choice B rationale
Verbal communication is not always an accurate reflection of what the client really feels. Clients may sometimes say what they think the nurse wants to hear or may not fully express their true feelings verbally.
Choice C rationale
Nonverbal communication often reflects what the client is truly feeling more accurately than verbal communication. For example, a client may say they are not in pain, but their body language, such as grimacing or guarding a body part, may indicate otherwise.
Choice D rational
Body posture is an example of non-verbal communication, not verbal communication. Verbal communication involves spoken or written words, while non-verbal communication includes body language, facial expressions, and other physical cues.
Correct Answer is C
Explanation
Choice A rationale
Providing all information at once to ensure understanding is not an effective teaching strategy, especially for clients newly diagnosed with diabetes. This approach can overwhelm the client and make it difficult for them to retain and comprehend the information. Effective teaching involves breaking down the information into manageable segments and reinforcing key concepts over time.
Choice B rationale
Avoiding repetition to prevent boredom is not an effective teaching strategy. Repetition is essential for reinforcing important concepts and ensuring that the client fully understands the information. Repetition helps to reinforce learning and improve retention, especially for complex topics such as diabetes management.
Choice C rationale
Tailoring teaching strategies to the client’s learning style is the most effective approach for teaching clients newly diagnosed with diabetes. Each client has a unique learning style, and adapting the teaching methods to match their preferences can enhance understanding and retention. This personalized approach ensures that the client receives the information in a way that is most meaningful and effective for them.
Choice D rationale
Using medical terminology to enhance credibility is not an effective teaching strategy for clients newly diagnosed with diabetes. Medical jargon can be confusing and intimidating for clients, making it difficult for them to understand the information. It is important to use clear, simple language that the client can easily comprehend.
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