A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR Communication tool. Which of the following information should the nurse include in the background portion of the report?
The client's code status
The client's vital signs
The client's name
A prescribed consultation
The Correct Answer is C
Choice A reason: The client's code status is not part of the background information, but rather the recommendation or request section of the SBAR Communication tool. The code status indicates the level of resuscitation the client wishes to receive in case of a cardiac or respiratory arrest.
Choice B reason: The client's vital signs are not part of the background information, but rather the assessment section of the SBAR Communication tool. The vital signs reflect the client's current condition and response to treatment.
Choice C reason: The client's name is part of the background information, along with the client's age, diagnosis, reason for admission, and relevant medical history. The background information provides a brief overview of the client's situation and helps to identify the client.
Choice D reason: A prescribed consultation is not part of the background information, but rather the recommendation or request section of the SBAR Communication tool. A consultation is a referral to another health care professional for further evaluation or management of the client's condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is not the correct choice because this response is inaccurate and misleading. Respite services do not provide medical care or treatment for the client, but rather temporary relief and support for the family caregivers. The nurse should not give false hope or unrealistic expectations to the client's partner.
Choice B reason: This is not the correct choice because this response is incomplete and vague. Respite services may include some practical assistance such as meal delivery or housekeeping, but their main purpose is to provide emotional and social support for the family caregivers. The nurse should explain how respite services can help the client's partner cope with the stress and challenges of caregiving.
Choice C reason: This is the correct choice because this response is accurate and clear. Respite services can provide the client's partner with some time off from their caregiving duties, which can help them recharge their energy, attend to their own needs, and maintain their well-being. The nurse should emphasize the benefits of respite services for the client's partner and their relationship with the client.
Choice D reason: This is not the correct choice because this response is confusing and irrelevant. Respite services do not offer psychological interventions for the client or the family, but rather companionship and support. The nurse should not imply that the client's partner needs therapy or counseling, which may be perceived as judgmental or insensitive.
Correct Answer is C
Explanation
Choice A reason: Asking the client's daughter to interpret the conversation is not a correct action, as it may compromise the accuracy and confidentiality of the information. The nurse should not use family members or friends as interpreters, as they may have biases, emotions, or personal agendas that could interfere with the communication.
Choice B reason: Talking loudly while facing the client is not a correct action, as it may be perceived as rude or aggressive by the client. The nurse should not assume that the client can understand them better by increasing the volume or using gestures, as these may have different meanings in different cultures.
Choice C reason: Accessing a language line to interpret what is being said is the correct action, as it ensures that the communication is clear, accurate, and respectful. The nurse should use a qualified interpreter who is familiar with the medical terminology and the cultural context of the client.
Choice D reason: Using a bilingual dictionary to translate is not a correct action, as it may be time-consuming and ineffective. The nurse should not rely on a dictionary or a translation app, as they may not capture the nuances or expressions of the language. The nurse should also avoid using medical jargon or slang that may not be understood by the client.
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