The nurse is aware that the first “R” in I-SBAR reflects which statement best?

Choice A reason: This option is inappropriate because the client is non-verbal and cannot confirm their identity verbally. Asking them to state their birthday would not be effective in this situation.

Choice B reason: This is the correct action because checking the client’s identification band and comparing the MRN and picture in the chart aligns with National Patient Safety Goals. It ensures accurate patient identification using two identifiers, which is critical to prevent errors in treatment, medication administration, and procedures.

Choice C reason: This option is unsafe because room numbers are not reliable identifiers. Patients may be moved to different rooms, and relying on location can lead to misidentification and serious errors.

Choice D reason: This option is inappropriate because relying on another nurse’s memory or familiarity is not a standardized or safe method of identification. Patient identification must be verified using official identifiers, not personal recognition.

Choice A reason: Asking respectfully about cultural beliefs or food preferences is patient-centered and demonstrates cultural competence. It allows the nurse to identify practices important to the patient, such as dietary restrictions, modesty, or religious observances, and incorporate them into care planning. This approach fosters trust and ensures care is individualized.

Choice B reason: Referring to beliefs as “strange” is disrespectful and judgmental. It undermines therapeutic communication and may alienate the patient. Nurses must avoid biased language and instead use neutral, respectful phrasing when discussing cultural practices.

Choice C reason: Asking directly about electricity use may oversimplify Amish culture and stereotype the patient. While Amish communities often limit electricity, the nurse should not assume or reduce cultural assessment to a single practice. Broader, respectful questions are more appropriate.

Choice D reason: Asking if family members will “interrupt” care is dismissive and negative. Family involvement is often central to Amish culture, and framing it as an interruption disregards its importance. Nurses should instead explore how family participation can be integrated into care.