A client who fell at home and experienced a brief loss of consciousness becomes increasingly confused after admission to the medical unit. The family presents the client's signed power of attorney and a home medication list. When reporting to the healthcare provider using SBAR (Situation, Background, Assessment, Recommendation) communication, which information should the nurse provide first?
Client's healthcare power of attorney.
Increasing confusion of the client.
Currently prescribed medications.
Fall at home as reason for admission.
The Correct Answer is B
Choice A rationale: The assessment is the client's signed power of attorney and a home medication list, which are important documents that indicate the client's wishes and potential drug interactions. While the client's healthcare power of attorney is important information, the reason for admission should be provided first to give context to the situation.
Choice B rationale: The nurse should start by presenting the immediate situation or concern, which is the client's increasing confusion which needs immediate attention. Choice C rationale: The recommendation is the nurse's suggestion for further diagnostic tests, interventions, or referrals based on the situation, background, and assessment. The currently prescribed medications are relevant, but the primary reason for admission should be communicated first to establish the context of the client's condition. Choice D rationale: The background is the fall at home as the reason for admission, which explains the possible cause of the confusion and the loss of consciousness. This comes after the situation which is the increasing confusion.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: While understanding staff opinions on healthcare insurance costs is valuable, being available to discuss changes in health benefits is more directly related to the implementation of the new plan.
Choice B rationale: Announcing the new plan at a special employee wellness event is important, but being available to discuss the changes on all shifts ensures that all staff members have the opportunity to understand and address their concerns.
Choice C rationale: Surveying nurses to see who wants to keep the old benefits plan may not be as effective as being available to all shifts for direct communication about the changes.
Choice D rationale: Being available to all shifts to discuss the changes in health benefits is crucial for effective communication and addressing any concerns or questions that may arise during the implementation of the new plan.
Correct Answer is B
Explanation
Choice A rationale: Scheduling educational leave for all staff may be challenging and could disrupt the unit's operations.
Choice B rationale: Asking two staff members to attend and report what they learned to the unit's staff is a practical approach to disseminating the information without disrupting the entire staff.
Choice C rationale: Offering the program at three different times may still be challenging for staff with varying schedules, and it may not be the most efficient way to share the information.
Choice D rationale: Encouraging the education department to schedule the program at a convenient time is reasonable, but it may not guarantee that all staff can attend, and it may delay the dissemination of important information.
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