A nurse is using the SBAR communication tool for change-of-shift report on a client to an oncoming nurse. Which of the following information should the nurse plan to include in the background step of SBAR?

Date of client's admission to the facility

Summary of a change in the client's condition

Brief explanation of the client's current condition

Request for provider to consult physical therapy

Answer and Explanation

The Correct Answer is A

A. Date of client's admission to the facility The background step includes relevant information such as the admission date, diagnosis, and medical history.
B. Summary of a change in the client's condition This information belongs in the assessment or situation step.
C. Brief explanation of the client's current condition This information belongs in the assessment step.
D. Request for provider to consult physical therapy This information belongs in the recommendation step.

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Correct Answer is C

Explanation

A. Decrease in perspiration: A decrease in perspiration is a normal physiological change associated with aging. Sweat glands become less active, leading to reduced perspiration.
B. Thinning of the fingernails: While nail changes can occur with aging, thinning of the fingernails is not as commonly highlighted as a key physiological change compared to bone mass loss or decreased perspiration.
C. Loss of bone mass: Loss of bone mass is a well-documented physiological change associated with aging, leading to conditions like osteoporosis.
D. Decrease in pain threshold: The pain threshold may actually increase with age, making older adults less sensitive to pain rather than more sensitive.

A. Document the incident. B. Ensure client safety is not affected. C. Initiate staff training on strategies to stop lateral violence. D. Initiate a zero tolerance policy for lateral violence.

Correct Answer is B

Explanation

A. Document the incident. While important, it is not the immediate priority.
B. Ensure client safety is not affected. Client safety is always the primary concern and must be addressed first.
C. Initiate staff training on strategies to stop lateral violence. This is important for long-term resolution but is not the first step.
D. Initiate a zero tolerance policy for lateral violence. Implementing a policy is crucial but ensuring immediate client safety takes precedence.

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A nurse is using the SBAR communication tool for change-of-shift report on a client to an oncoming nurse. Which of the following information should the nurse plan to include in the background step of SBAR?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is working with a group of older adult clients. Which of the following physiological changes should the nurse identify as a factor associated with aging?

Correct Answer is C

Explanation

A nurse manager is addressing a conflict involving lateral violence amongst staff. Which of the following actions should the nurse manager take first?

Correct Answer is B

Explanation

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