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 D

Explanation

A. "Let's focus on something positive and not discuss the fire today." This response is dismissive and invalidates the client's feelings and experiences.
B. "I think you should move in with your parents temporarily." This response is prescriptive and assumes that the nurse knows what is best for the client without understanding her specific needs and circumstances.
C. "I don't believe that you will experience long-term effects from this." This response minimizes the client's potential trauma and does not acknowledge the serious impact such an event can have.
D. "Tell me how I can best help you right now." This response is empathetic and client-centered, allowing the client to express her needs and feel supported.

A. Ask the staff members to speak in much quieter tones. B. Tell the staff members to stop discussing confidential information about this client. C. Alert the facility's attorney about the staff members' breach of confidentiality. D. Ignore the situation because there is no one close by to hear the staff members' discussion.

Correct Answer is B

Explanation

A. Ask the staff members to speak in much quieter tones. This does not fully address the issue. HIPAA regulations prohibit discussing patient information in public areas regardless of the volume.
B. Tell the staff members to stop discussing confidential information about this client. This is correct. This action directly addresses the breach of confidentiality and promotes HIPAA regulations by stopping the inappropriate discussion.
C. Alert the facility's attorney about the staff members' breach of confidentiality. This action may be excessive and is not the immediate step needed to stop the breach. Reporting to a supervisor or manager is more appropriate.
D. Ignore the situation because there is no one close by to hear the staff members' discussion. This is incorrect. Ignoring the situation does not comply with HIPAA regulations, which require confidentiality regardless of whether anyone is nearby.

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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

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Correct Answer is B

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