A nurse is planning to use the SBAR communication tool when giving on coming shift report. Which of the following statements should the nurse include in the R step?

"There are no provider's prescriptions available."

"The client should be seen by a neurologist."

"The client is disoriented. Pupils are slow to respond to light."

"The client was found unconscious on the floor in her home."

Answer and Explanation

The Correct Answer is B

A. "There are no provider's prescriptions available." This statement is about the current situation or background, not a recommendation.
B. "The client should be seen by a neurologist." The Recommendation (R) step involves suggesting actions or solutions, such as recommending that the client be seen by a neurologist.

C. "The client is disoriented. Pupils are slow to respond to light." This statement belongs in the Assessment (A) step as it describes the nurse’s clinical findings.
D. "The client was found unconscious on the floor in her home." This statement provides background information (B) about the client’s situation.

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Correct Answer is B

Explanation

A. The client states that she will be staying with her daughter after discharge: Staying with her daughter could potentially be a support system, not a barrier to learning.
B. Client states she is having pain: Pain can significantly impair a client's ability to focus and understand new information, making it a potential barrier to learning.
C. The client states she uses a pill container to divide her daily medication: Using a pill container indicates that the client has a system in place for managing medications and is not a barrier to learning.
D. The client states her pharmacy also provides information on the medication: Having access to additional information from the pharmacy is an aid to learning, not a barrier.

A. Physical therapist B. The pharmacist C. The case manager D. Occupational therapist

Correct Answer is C

Explanation

A. Physical therapist: The physical therapist does not refer themselves but receives referrals from other team members.
B. The pharmacist: The pharmacist is involved in medication management and does not typically make referrals to physical therapy.
C. The case manager: The case manager coordinates overall patient care and is responsible for making referrals to various services, including physical therapy.
D. Occupational therapist: The occupational therapist provides a different type of therapy focused on daily living skills and would not typically make referrals to a physical therapist.

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