You are beginning a therapeutic relationship with a patient.
Which action would you take during the orientation phase of this relationship?

The correct answer is Choice D: The patient has a history of dehydration and orthostatic hypotension.

Choice A rationale:

This statement provides situational information about the patient's current condition, which is typically covered under "Situation" in the SBAR technique.

Choice B rationale:

This statement involves recommendations for potential interventions and would be appropriate for the "Recommendation" section of the SBAR communication.

Choice C rationale:

This statement details the patient's current vital signs, which also falls under the "Situation" or "Assessment" sections rather than "Background".

Choice D rationale:

Providing the patient's history of dehydration and orthostatic hypotension is crucial background information that helps the healthcare team understand the context and potential reasons for the patient's current condition. Background information includes relevant medical history, which can significantly impact clinical decisions.

Choice A rationale:

Adhering to standard approaches when providing care may not consider the unique cultural needs of the patient, which can lead to ineffective care.

Choice B rationale:

Encouraging the patient to talk about their culture allows the healthcare provider to gain insight into the patient’s beliefs and practices, which can guide culturally competent care.

Choice C rationale:

While physical needs are important, they are not the only aspect of care. Cultural needs also play a significant role in a patient’s health and wellbeing.

Choice D rationale:

While an interpreter can provide valuable information about a culture, it is more beneficial to hear directly from the patient about their personal cultural practices and beliefs.