A nurse is preparing to provide a change-of-shift report. Using the SBAR communication technique, which of the following client information should the nurse include in the "A" portion of the report?

"The client is 2 hours postoperative following a cholecystectomy."

"The client rates her pain at a 3 on a 0 to 10 pain rating scale."

"The client has type 2 diabetes mellitus."

"The client should wear compression stockings."

Answer and Explanation

The Correct Answer is B

A.   "The client is 2 hours postoperative following a cholecystectomy." This belongs in the "B" (Background) section since it provides historical or procedural information.
B.   "The client rates her pain at a 3 on a 0 to 10 pain rating scale." This is part of the "A" (Assessment) portion as it involves the nurse's evaluation of the client's current condition.
C.   "The client has type 2 diabetes mellitus." This is background information relevant to the client's medical history and should be included in the "B" section.
D.   "The client should wear compression stockings." This is part of the "R" (Recommendation) section as it involves future care instructions.

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Correct Answer is A

Explanation

A. Establish eye contact with the other person: Maintaining eye contact demonstrates attentiveness and respect during communication, fostering trust.
B. Passively listen to the other party: Passive listening is ineffective and may lead to misunderstandings. Active listening is preferred for conflict resolution.
C. Use "you" rather than "I" statements to express thoughts: "You" statements can be perceived as accusatory and escalate conflicts. "I" statements help express concerns without blame.
D. Focus on the person, not the problem: Effective conflict resolution focuses on addressing the problem, not assigning blame or targeting individuals.

A. Carry bedridden clients to safety by lifting them onto your back. B. Ask ambulatory clients to help to move clients in wheelchairs. C. Place dry towels around the bases of doors. D. Aim the extinguisher at the top of the fire.

Correct Answer is C

Explanation

A. Carry bedridden clients to safety by lifting them onto your back: This is not a safe or recommended practice for evacuating bedridden clients.
B. Ask ambulatory clients to help to move clients in wheelchairs: Ambulatory clients should be prioritized for independent evacuation rather than being assigned caregiving tasks.
C. Place dry towels around the bases of doors: This can help to prevent smoke from entering the room and provide some protection while awaiting rescue.
D. Aim the extinguisher at the top of the fire: The correct action is to aim the extinguisher at the base of the fire, where the fuel source is.

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A nurse is preparing to provide a change-of-shift report. Using the SBAR communication technique, which of the following client information should the nurse include in the "A" portion of the report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing conflict resolution with a group of assistive personnel. Which of the following information should the nurse include in the discussion?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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