A nurse uses the SBAR method to give report about a patient to another unit in the hospital.
What statement by the nurse would the nurse identify as the "situation" portion of the SBAR report?
"I am calling report on Mr. Jones who is being transferred to your unit today from the emergency room.”.
"He has swelling of the left knee and it is bruised, red and tender.
"He is requesting a bed close to the bathroom so he can get to the bathroom easier.”.
"Mr. Jones has had left knee pain following a motor vehicle accident four days ago.”.
The Correct Answer is A
Choice A rationale:
In the SBAR method, "S" stands for Situation. This portion of the report includes a brief and concise statement about the patient's current situation or problem. In this case, option A provides a clear and specific statement about the patient's situation, indicating that Mr. Jones is being transferred to another unit from the emergency room. The nurse would identify this statement as the "situation" portion of the SBAR report because it conveys the current status of the patient and the reason for the communication.
Choice B rationale:
Option B discusses the patient's symptoms and condition in detail, focusing on the left knee swelling, bruising, redness, and tenderness. While this information is important, it falls under the "Background" section of the SBAR report, not the "Situation" section. The "Situation" section should provide a brief overview of the patient's current status and the reason for the communication, which choice A accurately conveys.
Choice C rationale:
Option C mentions the patient's request for a specific bed location, which is relevant to the patient's preferences but does not constitute the "situation" portion of the SBAR report. This information is more appropriate for the "Recommendation" or "Request" section of the SBAR communication model.
Choice D rationale:
Option D provides information about the patient's history of left knee pain following a motor vehicle accident four days ago. While this information is important for understanding the patient's background, it does not represent the current situation or reason for the communication. Therefore, it does not fit the "situation" portion of the SBAR report.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Sharing a positive and educational experience, such as witnessing a lung transplant, demonstrates enthusiasm for the nursing profession and a willingness to learn. It also respects patient privacy as it doesn't disclose any patient's personal information. This kind of post reflects professionalism and genuine interest in the field.
Choice B rationale:
Posting about working with prisoners from the federal prison can be inappropriate and breach patient confidentiality. It is essential to respect patients' privacy and not disclose sensitive information on social media platforms. Sharing such information can lead to legal and ethical consequences.
Choice C rationale:
Posting about having a great day at clinical is a positive and general statement. However, it lacks specific details and does not contribute significantly to the professional image of the nursing student. While it is not necessarily inappropriate, sharing more educational and insightful experiences would be more beneficial.
Choice D rationale:
Posting negative comments about the food at XYZ Hospital is unprofessional and disrespectful. It reflects negatively on the hospital and could damage professional relationships. Additionally, it does not contribute to the nursing student's growth or demonstrate any meaningful engagement with the nursing profession.
Correct Answer is ["B","E"]
Explanation
Choice A rationale:
Using correction fluid to correct an erroneous written entry is not appropriate as it can obscure the information and raise questions about the accuracy of the documentation. It is better to strike through the error with a single line, write the correct information, and sign and date the correction.
Choice B rationale:
Documenting changes in the patient's status is crucial for ensuring continuity of care and keeping all healthcare providers informed about the patient's condition.
Choice C rationale:
Leaving a blank line for the charge nurse to add additional documentation is not recommended. Each entry should be complete and include all relevant information at the time of documentation.
Choice D rationale:
Planning to finish charting the procedure after returning from a break is not appropriate. Charting should be done in real-time to ensure accuracy and timeliness of the information.
Choice E rationale:
Charting using military (24-hour) time is appropriate as it reduces confusion and ensures a standardized way of documenting time across different healthcare settings.
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