The nurse notes that the blood glucose level of a client has increased and is planning to notify the health care provider by telephone. Which technique would be most appropriate for the nurse to use when communicating with the health care provider?

EMAR

SOAP

ISBAR

CBE

Answer and Explanation

The Correct Answer is C

A. EMAR (Electronic Medication Administration Record) is a documentation tool, not a communication method.
B. SOAP (Subjective, Objective, Assessment, Plan) is a documentation format, not specifically for verbal communication.
C. ISBAR (Introduction, Situation, Background, Assessment, Recommendation) is a standardized communication technique designed to convey critical information clearly and efficiently, especially during telephone reporting.
D. CBE (Charting by Exception) is a documentation method focusing on deviations from norms, not a communication strategy.

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Correct Answer is D

Explanation

A. "Staff visits" is not a standard term for this activity.
B. Interdisciplinary referrals involve consulting other health professionals, not group nurse visits.
C. Nursing care conferences are meetings where nurses discuss care plans, not individual client visits.
D. Nursing care rounds involve nurses visiting clients together at the beginning of each shift to assess and discuss care needs.

A. Family members live far away and the client is lonely. B. These behaviors are signs of spiritual distress. C. These behaviors are expected before major surgery. D. The client is naturally emotional and reactive

Correct Answer is B

Explanation

A. While loneliness can contribute to distress, the specific behaviors observed (excessive religious reading, crying, and poor sleep) suggest something deeper than just social isolation.
B. These behaviors are signs of spiritual distress, which may occur when a person is facing a serious illness or surgery and is struggling with questions of meaning, faith, or fear. Spiritual distress can manifest emotionally and behaviorally, as seen here.
C. While some anxiety is expected before major surgery, persistent emotional signs like excessive crying and poor sleep, along with intense religious focus, indicate more than normal preoperative nerves.
D. Labeling the client as “naturally emotional” is an assumption and dismisses the need for assessment and appropriate support.

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The nurse notes that the blood glucose level of a client has increased and is planning to notify the health care provider by telephone. Which technique would be most appropriate for the nurse to use when communicating with the health care provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A group of nurses visits selected clients individually at the beginning of each shift. What are these procedures called?

Correct Answer is D

Explanation

client scheduled for complex heart surgery has been reading their religious text for hours each day, cries often, and is not sleeping well. What might these observations cue the nurse about the client?

Correct Answer is B

Explanation

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