The nurse should utilize ISBARR communication (Introduction, Situation, Background, Assessment, Recommendation, Read Back) during which clinical situation?
When preparing to discharge the client home
When documenting the care that was provided to a client whose condition recently deteriorated
When transferring a client from the emergency department to the acute care unit
When reporting to a client's family member or significant other
The Correct Answer is C
A. Discharge preparation involves teaching and planning, but ISBARR is not typically used.
B. Documentation uses standard medical record formats, not ISBARR.
C. ISBARR is designed for clear, structured communication between healthcare providers, especially during client handoffs like transferring from the emergency department to acute care.
D. Reporting to family uses a different communication style focused on support and explanation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Discharge preparation involves teaching and planning, but ISBARR is not typically used.
B. Documentation uses standard medical record formats, not ISBARR.
C. ISBARR is designed for clear, structured communication between healthcare providers, especially during client handoffs like transferring from the emergency department to acute care.
D. Reporting to family uses a different communication style focused on support and explanation.
Correct Answer is C
Explanation
A. Delegation guidelines may be influenced by organizational policy but are often based on state nurse practice acts.
B. Medicare and Medicaid qualification criteria are defined at the federal level, not state.
C. Scope of practice differences between registered nurses and licensed practical nurses are established by state legislation, which regulates nursing practice within the state.
D. Medication administration processes can be guided by federal laws and facility policies but are also regulated by state laws; however, the clear differentiation of scope of practice is specifically legislated at the state level.
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