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 D
Explanation
Choice A rationale
Using a nicotine patch to assist in smoking cessation involves the psychomotor domain of learning, which focuses on physical skills and actions.
Choice B rationale
Starting to use nicotine gum as part of the cessation plan also involves the psychomotor domain of learning, which focuses on physical skills and actions.
Choice C rationale
Encouraging the client to share their feelings about smoking involves the affective domain of learning, which focuses on emotions, attitudes, and values.
Choice D rationale
Explaining the benefits of smoking cessation involves the cognitive domain of learning, which focuses on knowledge, understanding, and intellectual skills.
Correct Answer is C
Explanation
Choice A rationale
Reserving a facility for the program is a logistical step, not a SMART goal. SMART goals should be Specific, Measurable, Achievable, Relevant, and Time-bound. This choice does not meet those criteria.
Choice B rationale
Having clients share their feelings is important for support and motivation, but it is not a SMART goal. It lacks specificity and measurability, making it difficult to assess progress and success.
Choice C rationale
Setting a goal for 50% of the clients to stop smoking within 3 weeks is a SMART goal. It is Specific (50% of clients), Measurable (stop smoking), Achievable (within 3 weeks), Relevant (smoking cessation), and Time-bound (3 weeks). This goal provides a clear target and timeframe for evaluating the program’s effectiveness.
Choice D rationale
Discussing smoking cessation techniques is an important part of the program, but it is not a SMART goal. It lacks specificity and measurability, making it difficult to assess the program’s success.
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