A nurse observes an unlicensed assistive personal (UAP) getting a risk for falls patient up to walk the halls without a gait belt or non-skid socks. The nurse is concerned for this patient's safety. Which communication tool would assist the nurse with effective communication related to patient safety concerns when talking with the unlicensed assistive personal (UAP)?
The helping relationship, orientation phase, working phase, termination phase
Nursing Process, assess, diagnose, plan, implement, evaluate
SBAR, situation, background, assessment, recommendation.
CUS, I am concerned, I feel uncomfortable, this is unsafe.
The Correct Answer is D
A. The helping relationship phases and nursing process are not specific communication tools for addressing safety concerns.
B. The nursing process is a systematic approach to patient care but is not a communication tool specifically for addressing safety concerns.
C. SBAR (Situation, Background, Assessment, Recommendation) is a structured communication tool commonly used in healthcare settings for reporting and addressing safety concerns.
D. CUS (I am concerned, I feel uncomfortable, this is unsafe) is a communication tool for expressing concerns, for instance, by saying something like this: "I am concerned about the patient's risk for falls. I feel uncomfortable seeing you walk the patient without a gait belt or non-skid socks. This is unsafe for the patient and could cause harm or injury. Please use a gait belt and non-skid socks when walking the patient." This way, the nurse can convey their message in a clear, respectful, and assertive way, and prompt the UAP to take action to ensure the patient's safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Incentive spirometry is a technique that helps prevent atelectasis by encouraging deep breathing and lung expansion.
B. Nebulizer medications may be important for respiratory health but do not specifically address the risk of atelectasis.
C. Sequential compression devices are used to prevent deep vein thrombosis and do not directly address atelectasis.
D. A low-fat diet is not directly related to preventing atelectasis; respiratory exercises are more relevant.
Correct Answer is B
Explanation
A. Occluding the Y-port during insertion is not a standard practice and may impede proper suctioning.
B. Limiting the application of suction to 20-30 seconds helps prevent hypoxia and tissue damage.
C. Assisting the client into a supine position is not a standard practice for endotracheal tube suctioning.
D. Using sterile saline to moisten the end of the suction catheter may introduce unnecessary moisture into the airway.
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