A nurse is planning to use the SBAR communication tool when giving an oncoming shift report. Which of the following statements should the nurse include in the R step?
There are no provider’s prescriptions available.
The client is disoriented.
Let’s review the client’s orders.
The client was found unconscious on the floor in her home.
The Correct Answer is C
Choice A rationale
This statement does not provide a recommendation for the next steps in the patient’s care. The R step in SBAR stands for Recommendation, which involves suggesting what should be done to address the situation. Stating that there are no provider’s prescriptions available does not fulfill this requirement.
Choice B rationale
This statement is more appropriate for the Assessment step, where the nurse describes the patient’s current condition. The R step should focus on what actions need to be taken next, not just the patient’s current state.
Choice C rationale
This statement is correct because it provides a clear recommendation for the next steps in the patient’s care. The R step in SBAR is meant to suggest what should be done to address the situation, and reviewing the client’s orders is a specific action that can be taken.
Choice D rationale
This statement is more appropriate for the Situation or Background steps, where the nurse describes what has happened to the patient. The R step should focus on what actions need to be taken next, not just the patient’s history.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Disease surveillance is not a level of prevention. It is an activity that can be part of different levels of prevention.
Choice B rationale
Tertiary prevention involves managing and rehabilitating patients with established diseases. Disease surveillance does not fit this category.
Choice C rationale
Primary prevention aims to prevent the onset of disease. Disease surveillance is not primary prevention.
Choice D rationale
Secondary prevention involves early detection and treatment of disease. Disease surveillance fits this category as it aims to monitor and identify health issues early.
Correct Answer is B
Explanation
Choice A rationale
Asking the client to demonstrate walking with the crutches is part of the evaluation step, not the teaching plan. It assesses the client’s understanding and ability to perform the skill.
Choice B rationale
Assessing the client’s readiness to learn is a crucial step in the teaching plan. It ensures that the client is mentally and emotionally prepared to absorb and apply the information being taught.
Choice C rationale
Developing short-term goals for the client is part of the planning process, but it is not the initial step in the teaching plan. The nurse must first assess the client’s readiness to learn.
Choice D rationale
Showing the client a video of proper crutch walking is a teaching strategy, but it is not the first step in the teaching plan. The nurse must first assess the client’s readiness to learn.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.