A nurse is preparing a teaching plan for a client who is learning crutch walking. The nurse should identify the following in the teaching plan.

Choice A rationale
The statement “The vital signs are stable” is incorrect for the fifth step of the SBAR communication tool. The fifth step in SBAR is the Recommendation step, where the nurse provides a recommendation or request for what action should be taken next. Stating that the vital signs are stable does not provide a clear recommendation or action plan for the provider to follow.
Choice B rationale
The statement “The client has a history of high blood pressure” is incorrect for the fifth step of the SBAR communication tool. This information belongs in the Background step, where the nurse provides relevant clinical background information about the patient’s condition. The Recommendation step should focus on what action the nurse recommends based on the assessment.
Choice C rationale
The statement “The client should be seen by a neurologist” is correct for the fifth step of the SBAR communication tool. In the Recommendation step, the nurse provides a clear and specific recommendation for what action should be taken next. Recommending that the client be seen by a neurologist is an appropriate and actionable recommendation based on the nurse’s assessment.
Choice D rationale
The statement “The client is experiencing severe headaches” is incorrect for the fifth step of the SBAR communication tool. This information belongs in the Assessment step, where the nurse provides an analysis of the patient’s current condition. The Recommendation step should focus on what action the nurse recommends based on the assessment.

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.