A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The nurse notes the client is post op day one with a history of sleep apnea. The nurse should include information about the client in which component of the SBAR report?
Assessment
Background
Situation
Recommendation
The Correct Answer is B
A. Assessment: The Assessment section includes the nurse's findings and interpretations of the client's current condition. Information specific to sleep apnea would more likely be part of the client's history and not a direct assessment finding at this time.
B. Background: The Background section includes relevant background information that could impact the client’s current situation. This would be the appropriate section to include the client's history of sleep apnea.
C. Situation: The Situation section focuses on the current issue or reason for the communication. While it should be concise, it does not include detailed past medical history unless directly relevant to the current situation.
D. Recommendation: The Recommendation section is where the nurse suggests the next steps or interventions needed. Information about sleep apnea is not a recommendation but part of the client's background.
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Related Questions
Correct Answer is A
Explanation
A. The nurse determines the client’s readiness to learn: Assessing the client's readiness to learn is part of the assessment phase of the teaching plan. It involves evaluating the client’s emotional and cognitive state to ensure they are prepared to absorb new information.
B. The nurse discusses types of food that the client needs to avoid: This is part of the teaching or implementation phase, not the assessment phase.
C. The nurse describes which supplies would be needed: Describing necessary supplies is also part of the teaching or implementation phase.
D. Ask the client to demonstrate emptying of the colostomy bag: This is part of the evaluation phase, where the nurse assesses the client’s ability to perform the task taught.
Correct Answer is B
Explanation
A. "You will be okay. Your surgeon will talk to you in the morning.": This statement is reassuring but does not encourage the patient to express their feelings or concerns. It is not considered therapeutic.
B. "Tell me how you care for your colostomy at home." This statement encourages the patient to share information and express concerns about their care, which is a therapeutic communication technique.
C. "I understand how you feel; the same thing happened to me last year." This shifts the focus to the nurse’s experience rather than the patient's feelings, which is nontherapeutic.
D. "Don't worry, you are in good hands." This is a reassuring statement that does not encourage the patient to express their feelings or concerns, making it nontherapeutic.
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