What is the primary role that the SBAR system (Situation, Background, Assessment, Recommendation) has in the clinical setting?
Establishes the physician as the primary and sole source of authority during codes.
Reduces confusion in the communication between nurse and physician.
Aids nurses in independent practice when necessary.
Reduces the number of lawsuits associated with the care of critically ill clients.
The Correct Answer is B
A) Establishes the physician as the primary and sole source of authority during codes:
This statement is incorrect. The SBAR system does not establish the physician as the sole authority. It's a communication tool designed to enhance collaboration and understanding between healthcare professionals, ensuring effective communication during critical situations.
B) Reduces confusion in the communication between nurse and physician:
This statement is correct. One of the primary roles of the SBAR system is to reduce confusion and enhance the clarity of communication between nurses and physicians. By providing a structured framework (Situation, Background, Assessment, Recommendation), it ensures that crucial information is communicated clearly and effectively, especially during critical situations.
C) Aids nurses in independent practice when necessary:
This statement is partially correct. While the SBAR system aids in communication, it does not specifically address independent practice. It focuses on improving interprofessional communication, which is essential for collaborative care.
D) Reduces the number of lawsuits associated with the care of critically ill clients:
This statement is incorrect. While clear communication can contribute to better patient outcomes and potentially reduce the risk of errors, the SBAR system itself does not directly impact the number of lawsuits. Lawsuits are influenced by various factors, including the quality of care, documentation, and adherence to established protocols.
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Related Questions
Correct Answer is C
Explanation
The document will name a durable power of attorney for health care (DPOAHC), who will make all medical decisions for the client, regardless of the client's mental status: This statement is partially correct. Advanced directives may include naming a healthcare proxy or DPOAHC, but their decisions are typically in line with the client's expressed wishes, especially if those wishes are documented in the advanced directive.
The document means nothing to the nurse because the attending physician will decide the client's care: This statement is incorrect. Advanced directives are legally binding documents that guide medical decisions when the client is unable to communicate or make decisions.
The document is a tool for client self-determination. It allows the client to express their desire for life-sustaining care when they are incapacitated: This statement is true. Advanced directives empower clients to make decisions about their healthcare preferences, including the desire for life-sustaining measures, in the event they become unable to communicate their wishes.
The nurse may assume the client is dying, and he or she will not call a "Rapid Response" or "Code Blue" if the client's status deteriorates: This statement is incorrect. The nurse should always follow appropriate protocols and initiate necessary interventions regardless of the presence of advanced directives, especially if the client's condition deteriorates.
Correct Answer is D
Explanation
Covers services of nurse practitioners: Medicare does cover services provided by nurse practitioners within their scope of practice.
Does not pay full costs of certain services: Medicare often does not cover the full cost of certain services, and beneficiaries are responsible for copayments, deductibles, and sometimes premiums.
Finances a large portion of maternal and clinical care for the poor: Medicare, along with Medicaid, plays a significant role in financing healthcare services, including maternal and clinical care, for low-income individuals and families.
Supplemental insurance is necessary: While Medicare covers a wide range of services, there are gaps in coverage. Many beneficiaries choose to purchase supplemental insurance, also known as Medigap, to help cover the costs that Medicare doesn't, such as copayments and deductibles.
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