A nurse wants to prepare a patient report utilizing SBAR, which she knows is a systematic method of communication. To ensure the report is thorough, what types of information does she need? SELECT ALL THAT APPLY:

Assessment of the patient

Recommendations for moving forward.

Situation of the patient

Barriers to providing treatment.

Reason why a report is needed.

Answer and Explanation

Correct Answer : A,B,C,E

SBAR stands for Situation, Background, Assessment, and Recommendation. It is a systematic method of communication that provides a structured framework for conveying important information about a patient. To ensure that the report is thorough, the nurse needs to include information about the situation of the patient, the background leading up to the situation, an assessment of the patient, and recommendations for moving forward.

Option d is incorrect because barriers to providing treatment are not part of the SBAR framework.

Option f is incorrect because the reason why the report is needed is not part of the SBAR framework.

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Correct Answer is D

Explanation

The correct answer is Choice D.

Choice A rationale: Withdrawing consent is a client’s legal right. No error or unexpected event occurred, so no incident report is required.

Choice B rationale: Preference for shower timing is a routine care adjustment, not an adverse or unusual event requiring documentation.

Choice C rationale: Vomiting may be a side effect, but unless it causes harm or is unexpected, it doesn’t meet incident report criteria.

Choice D rationale: A medical emergency involving a visitor is unexpected and requires documentation for liability, safety, and institutional response tracking.

A. Report the observation to the nurse caring for that client. B. Notify hospital security and discuss the situation. C. Ask other staﬀ if they recognize the individual. D. Approach the man and ask why he is making copies.

Correct Answer is D

Explanation

The nurse should approach the man and ask why he is making copies of the client's medical records. This action allows the nurse to directly address the situation and gather more information before taking further steps.
Option A, may not be the best initial action because it does not directly address the situation.
Option B may be premature without first gathering more information.
Option C, may also not be the best initial action because it does not directly address the situation.

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A nurse wants to prepare a patient report utilizing SBAR, which she knows is a systematic method of communication. To ensure the report is thorough, what types of information does she need? SELECT ALL THAT APPLY:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a group of newly licensed nurses about completing an incident report. For which of the following situations should the nurse complete an incident report?

Correct Answer is D

Explanation

A nurse observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is assisting with the care of a group of pediatric clients. Which of the following actions should the nurse take first?

A nurse enters the hospital cafeteria for lunch and overhears two assistive personnel (AP) discussing a client who is currently hospitalized. Which of the following actions should the nurse take?

A male client tells the nurse that he does not want the female assistive personnel (AP) involved in his care. Which of the following statements should the nurse give?

A nurse is assigning care to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP?

A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

A nurse requests that an assistive personnel (AP) change all the linens and give bed baths to four clients on the unit. The previous day, the AP was not able to complete these same tasks. Which of the following actions should the nurse take in addressing this situation?

Mr. Smith did not receive his medication on time, as ordered, because his nurse forgot about it and went on her lunch break. Consequently, Mr. Smith's condition deteriorated, and he was sent to the emergency room. What legal term describes this form of professional negligence?

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following actions jeopardize client confidentiality? (Select all that apply.)