What is the primary role that the SBAR system (Situation, Background, Assessment, Recommendation) has in the clinical setting?
Establishes the physician as the primary and sole source of authority during codes.
Reduces confusion in the communication between nurse and physician.
Aids nurses in independent practice when necessary.
Reduces the number of lawsuits associated with the care of critically ill clients.
The Correct Answer is B
A) Establishes the physician as the primary and sole source of authority during codes:
This statement is incorrect. The SBAR system does not establish the physician as the sole authority. It's a communication tool designed to enhance collaboration and understanding between healthcare professionals, ensuring effective communication during critical situations.
B) Reduces confusion in the communication between nurse and physician:
This statement is correct. One of the primary roles of the SBAR system is to reduce confusion and enhance the clarity of communication between nurses and physicians. By providing a structured framework (Situation, Background, Assessment, Recommendation), it ensures that crucial information is communicated clearly and effectively, especially during critical situations.
C) Aids nurses in independent practice when necessary:
This statement is partially correct. While the SBAR system aids in communication, it does not specifically address independent practice. It focuses on improving interprofessional communication, which is essential for collaborative care.
D) Reduces the number of lawsuits associated with the care of critically ill clients:
This statement is incorrect. While clear communication can contribute to better patient outcomes and potentially reduce the risk of errors, the SBAR system itself does not directly impact the number of lawsuits. Lawsuits are influenced by various factors, including the quality of care, documentation, and adherence to established protocols.
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Related Questions
Correct Answer is B
Explanation
They are not used extensively in high-level nursing research: This statement is not accurate. Middle-range nursing theories are frequently used in nursing research, especially in studies focusing on specific areas or phenomena within nursing. Researchers often apply middle-range theories to guide their studies and develop hypotheses, making them an essential part of high-level nursing research.
They form the foundation for the current evidence-based practice movement: This statement is accurate. Middle-range nursing theories provide the framework for evidence-based practice. They offer specific concepts and relationships that guide research and practice. By using these theories as a foundation, nurses can integrate research findings into their practice, leading to evidence-based care.
They do not focus on abstract concepts: This statement is partially accurate. Middle-range nursing theories focus on specific concepts related to a particular aspect of nursing care. While they may not be as abstract as grand theories, they are not entirely devoid of abstract concepts. Middle-range theories still involve theoretical and conceptual thinking, albeit in a more focused and specific manner.
They are often developed into major nursing theories: This statement is not accurate. Middle-range nursing theories are distinct from major nursing theories. Major nursing theories, often referred to as grand theories, are more comprehensive and abstract, attempting to explain the overall phenomenon of nursing. Middle-range theories, on the other hand, focus on narrower aspects of nursing practice and are not typically developed into grand theories.
Correct Answer is A
Explanation
A local politician is admitted after an automobile accident in which he was inebriated.
Breaching confidentiality might be necessary in this situation due to public safety concerns and legal obligations. If the politician was inebriated, it could imply illegal activity (driving under the influence) and could endanger others on the road. Reporting this to the appropriate authorities might be required by law.
An 18-year-old unwed teenager seeks abortion at an abortion clinic.
In most cases, healthcare providers are bound by confidentiality, even for sensitive issues like abortion. However, laws regarding confidentiality can vary by location, so nurses should be aware of local regulations. Typically, a teenager's confidentiality might be breached only if there's a concern for the minor's safety (such as abuse) or if there are specific local laws requiring parental involvement.
A 32-year-old housewife comes to the emergency room for care after being raped in a parking lot.
Healthcare providers, including nurses, must preserve the confidentiality of patients who have experienced sexual assault. Breaching confidentiality without the patient's consent in this situation would not be ethical and could deter survivors from seeking help.
An important member of the business community is treated for cuts and bruises after fighting with his neighbor.
The patient's status in the community does not justify breaching confidentiality. Healthcare providers are generally obligated to maintain patient confidentiality regardless of the person's social or economic status.
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