A nurse in a provider's office is collecting a health history from a client who has a new prescription for glyburide to treat type 2 diabetes mellitus. Which of the following statements by the client indicates a contraindication for taking this medication?

Rationale:

A. "I am sure these feelings will pass once you go home." is dismissive and does not address the client's current emotional state.

B. "Tell me what you understand about your illness." opens up a dialogue for the client to express their feelings and concerns, which can help in assessing their emotional state and providing support.

C. "Tell me why you feel hopeless." might be too direct and could make the client feel pressured.

D. "If I were you, I would ask for a referral to hospice care." could be perceived as judgmental and does not address the client’s immediate feelings of hopelessness.

Rationale:

A. "There are no provider's prescriptions available." is related to background information but does not describe the current situation of the client.

B. "The client was found unconscious on the floor in her home." provides information about the situation but not the current clinical background.

C. "The client should be seen by a neurologist." is a recommendation for further action and should be included in the "Recommendation" section of SBAR, not "Background."

D. "The client is disoriented. Pupils are slow to respond to light." provides relevant background information about the client's current condition, which is necessary for the SBAR "Background" step.