A nurse suspects that a coworker is diverting opioid analgesics. Which of the following is an adverse effect of opioid medications?

Rationale:

A. “There are no provider's prescriptions available.” This reflects the Situation (current problem), not background.

B. The B (Background) step of SBAR includes relevant clinical history and context that led to the current situation. Explaining how the client was found provides important background information that helps the provider understand the circumstances surrounding the client’s condition.

C. “The client should be seen by a neurologist.” This is part of the Recommendation step, where the nurse suggests actions or next steps.

D. “The client is disoriented. Pupils are slow to respond to light.” This belongs in the Assessment step, as it describes the nurse’s clinical findings.

Rationale:

A. Informing the staff member of her appraisal time for that day prior to change-of-shift report is not ideal as it may disrupt the shift handover process.

B. Scheduling the appraisal interview as early in the shift as possible might not be feasible or considerate, especially if it impacts patient care or the staff member's workflow.

C. Providing the staff member with a copy of the appraisal form in advance is best practice as it allows the staff member to prepare for the discussion and address any concerns or achievements.

D. Providing a chair directly across the desk for the staff member to sit in is not as important as preparing the staff member by sharing the appraisal criteria in advance.