A nurse is preparing to notify the provider about a change in a client's status. Which of the following information should the nurse plan to include in the "background" portion of the Situation, Background, Assessment, Recommendation (SBAR) Communication tool?
Client's present condition.
Suggestions for the provider regarding client care.
Physical findings.
Previous treatments.
The Correct Answer is A
Choice A rationale:
In the "background" portion of the SBAR communication tool, the nurse should include the client's present condition. This information provides the provider with context and a clear understanding of the client's current status. It helps the provider to have a baseline understanding before moving on to the assessment and recommendation stages of the communication. Including the client's present condition allows the provider to quickly grasp the urgency and severity of the situation, enabling them to make informed decisions regarding the client's care.
Choice B rationale:
Suggestions for the provider regarding client care are typically included in the "assessment" or "recommendation" portions of the SBAR communication tool, rather than the "background" portion. The "background" portion is focused on providing information about the current situation and the client's present condition, setting the stage for the rest of the communication.
Choice C rationale:
Physical findings are part of the assessment and observation of the client's current condition. While important, these findings are better suited for the "assessment" portion of the SBAR communication. The nurse should summarize the physical findings in the "assessment" section after providing the context in the "background" section.
Choice D rationale:
Previous treatments are also relevant information, but they belong in the "assessment" or "background" portions of the SBAR communication tool. The nurse should provide the provider with information about the client's current condition before discussing previous treatments, as the provider needs to know the current situation before considering the relevance of past interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Cleaning reusable equipment with isopropyl alcohol before removing it from the client's room is not the appropriate approach for preventing Clostridium difficile infection transmission. While cleaning equipment is important, this choice does not address the primary mode of transmission, which is through contaminated hands.
Choice B rationale:
This is the correct choice. Using alcohol-based hand sanitizer after removing the client from the bedpan is a crucial step in preventing the transmission of Clostridium difficile infection. The spores of C. difficile can be present on surfaces, including the bedpan, and proper hand hygiene is essential to prevent their spread.
Choice C rationale:
Wearing a mask when within 3 feet of the client is not a specific measure for preventing the transmission of Clostridium difficile infection. This infection is primarily transmitted through the fecal-oral route, and mask usage does not directly address this mode of transmission.
Choice D rationale:
Wearing gloves when changing the client's hospital gown is an important infection control measure, but it does not specifically address the prevention of Clostridium difficile transmission. Gloves are essential to prevent contact with bodily fluids and contaminated surfaces, but hand hygiene is the primary focus for C. difficile prevention.
Correct Answer is B
Explanation
Choice A rationale:
Breathing normally while performing relaxation techniques is not accurate. Progressive relaxation involves a systematic tensing and relaxing of muscle groups while controlling your breath. Slowing down the breath and focusing on relaxation techniques can enhance the effectiveness of the exercise.
Choice B rationale:
Imagining oneself in a peaceful, garden-like setting is an appropriate approach to progressive relaxation. Visualization helps create a calming and soothing mental environment, contributing to the reduction of stress and tension. This technique is commonly used to enhance the relaxation experience.
Choice C rationale:
Comparing sensations while tensing and relaxing muscles is not a step in progressive relaxation. The technique involves focusing on each muscle group, tensing it, and then releasing the tension while paying attention to the contrast between tension and relaxation. This comparison aids in increasing body awareness and promoting relaxation.
Choice D rationale:
Using a series of stretches is not characteristic of progressive relaxation techniques. Progressive relaxation primarily involves muscle tensing and relaxing, rather than stretches. Stretching can be a separate technique for relaxation, but it is not typically combined with progressive muscle relaxation
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