A nurse is talking to a client who is explaining her home situation and the intimate partner violence she recently experienced.
Which of the following responses should the nurse make?

Choice A rationale:

Standing at the patient’s bedside can seem intimidating, which might hinder communication.

Choice B rationale:

Using simple yes-no questions can limit the depth of information gathered.

Choice C rationale:

Limiting the amount of time can make the patient feel rushed and less likely to share important information.

Choice D rationale:

Leaning forward when listening shows engagement and can enhance communication. .

The correct answer is Choice D: The patient has a history of dehydration and orthostatic hypotension.

Choice A rationale:

This statement provides situational information about the patient's current condition, which is typically covered under "Situation" in the SBAR technique.

Choice B rationale:

This statement involves recommendations for potential interventions and would be appropriate for the "Recommendation" section of the SBAR communication.

Choice C rationale:

This statement details the patient's current vital signs, which also falls under the "Situation" or "Assessment" sections rather than "Background".

Choice D rationale:

Providing the patient's history of dehydration and orthostatic hypotension is crucial background information that helps the healthcare team understand the context and potential reasons for the patient's current condition. Background information includes relevant medical history, which can significantly impact clinical decisions.