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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Dressings contaminated with blood are considered biohazardous waste and must be disposed of in bags marked "biohazards."
B. Disposing of blood-saturated dressings in regular trash poses a risk of infection and is unsafe.
C. Sharps containers are used only for needles and other sharp objects, not dressings.
D. The double-bag technique may be used for isolation precautions but does not replace proper disposal of biohazardous waste.

A. "Our personal beliefs and values have no effect on how we care for people." B. "It is important to see how any biases might impact our feelings about others." C. "Even if a treatment goes against the client's values, they have to have it." D. "Folk healers really can be a deterrent to a client's care."

Correct Answer is B

Explanation

A. Personal beliefs and values do affect how nurses provide care and must be acknowledged to provide culturally competent care.
B. Recognizing how personal biases can influence feelings and care is essential for developing cultural competence and providing respectful, individualized care.
C. Forcing treatments that conflict with a client’s values violates client autonomy and cultural respect.
D. Folk healers should be understood as part of a client’s cultural practice, not viewed as deterrents; respecting these practices supports holistic care.

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The nurse should utilize ISBARR communication (Introduction, Situation, Background, Assessment, Recommendation, Read Back) during which clinical situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is disposing of an old dressing that is saturated with a client's blood. How should the nurse dispose of the dressing?

Correct Answer is A

Explanation

A nurse manager is conducting an in-service education program for a group of staff nurses on developing cultural competence. The nurse manager determines that the educational program was successful based on which statement by the group?

Correct Answer is B

Explanation

A client expresses confidence in their traditional healer to relieve symptoms of an illness. What is the client demonstrating?

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

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?

Which factor is the most important to consider when caring for clients with limited income?

When providing culturally competent care to a client, which aspect of care is most important for the nurse to keep in mind?

A nurse does not assist with ambulation of a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse?

The nurse is creating a plan of care for an older adult client at risk for constipation. Which intervention by the nurse will decrease this risk?

Which misconception is common in clients in pain?