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 ["D","A","E","C","B"]
Explanation
Correct Answer is C
Explanation
Choice A rationale:
The statement that abbreviations are forbidden on a medical record is not entirely accurate. While there are specific abbreviations that should be avoided, not all abbreviations are forbidden. The key is to use recognized and standard abbreviations to prevent misunderstandings.
Choice B rationale:
The statement about using abbreviations only for units of measurement is too restrictive. Abbreviations can be used for various purposes in medical charting, but it is crucial to ensure they are standard, recognized, and widely understood to maintain clarity and patient safety.
Choice C rationale:
Uncommon and unrecognized abbreviations could indeed be misunderstood, leading to misinterpretation of important information. This misunderstanding could compromise patient safety by affecting treatment decisions or medication administration. Using standardized and commonly accepted abbreviations ensures clear communication among healthcare professionals.
Choice D rationale:
Allowing the use of uncommon and unrecognized abbreviations with staff education does not guarantee patient safety. Educating staff about these abbreviations might mitigate some risks, but misunderstandings can still occur, especially in high-stress situations or when dealing with staff turnover. Standardized communication methods are essential to prevent errors.
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