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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: While Magnet status can enhance a hospital's reputation and attract patients, the primary purpose of seeking Magnet status is to acknowledge and validate the quality of nursing care, rather than primarily serving as a marketing tool.
Choice B rationale: While Magnet status may contribute to attracting highly qualified nursing staff, the primary focus is on recognizing and promoting excellence in patient care, not specifically on the recruitment of nurses with a particular educational background.
Choice C rationale: Magnet status is not primarily focused on the breadth of services a facility provides. Instead, it is centered on the quality and excellence of nursing care.
The designation does not necessarily indicate the quantity or variety of services offered by a healthcare facility.
Choice D rationale: Magnet status is a designation granted by the American Nurses Credentialing Center (ANCC) to healthcare organizations that demonstrate excellence in nursing practice and outstanding patient care. It signifies that the facility has met rigorous standards for nursing quality, professionalism, and overall commitment to delivering exceptional care to patients.
Correct Answer is D
Explanation
Choice A rationale: It is the role of the heathcare provider to provide the patient with explanation for the procedure and ensure their understanding.
Choice B rationale: Postponing the procedure may not be necessary if the client's concerns can be adequately addressed through communication and education. Choice C rationale: Calling the client's next of kin for verbal consent is not appropriate in this situation, as the client is capable of providing informed consent once concerns are addressed.
Choice D rationale: Notifying the healthcare provider isnecessary as it is their role to obtain informed consent. They should also address any patient specific concerns
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