Communication

A nurse is using the I-SBAR communication tool to provide the client's provider with information about the client. The nurse should convey the client's pain status in which portion of the report? a. Assessment b. Background c. Situation d. Recommendation

a. Assessment (assessment includes vital signs, pain assessment, and changes in assessment) ATI

A nurse prepares to contact a patient's physician about a change in the patient's condition. Using SBAR (Situation, Background, Assessment, and Recommendation) communication, which of the following is the correct order? a. "She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on Levaquin at 5 pm yesterday. She complains of a poor appetite." b. "The patient reported feeling very nauseated after her dose of Levaquin an hour ago." c. "Would you like to make a change in antibiotics, or could we give her a nutritional supplement before her medication?" d. "The patient started complaining of nausea yesterday evening and has vomited several times during the night."

d, a, b, c 1. d. "The patient started complaining of nausea yesterday evening and has vomited several times during the night." 2. a. "She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on Levaquin at 5 pm yesterday. She complains of a poor appetite." 3. b. "The patient reported feeling very nauseated after her dose of Levaquin an hour ago." 4. c. "Would you like to make a change in antibiotics, or could we give her a nutritional supplement before her medication?" (The nurse describes the patient's complaint of nausea and vomiting to the physician (Situation). Specific patient demographic information and reason for admission with current symptomology are provided (Background). The physician is informed of the patient's complaint of nausea after receiving Levaquin (Assessment). Physician is asked if he or she would like to make a change in the antibiotic or provide a nutritional supplement before medication administration (Recommendation).) Fundamentals ch 24

The nurse recognizes that which interventions are likely to facilitate effective communication between a dying client and family? (Select all that apply) 1. the nurse encourages the client and family to identify and discuss feelings openly 2. the nurse assists the client and family in carrying out spiritually meaningful practices 3. the nurse removes autonomy from the client to alleviate any unnecessary stress for the client 4. the nurse makes decisions for the client and family to relieve them of unnecessary demands 5. the nurse maintains a calm attitude and one of acceptance when the family or client expresses anger

1. the nurse encourages the client and family to identify and discuss feelings openly 2. the nurse assists the client and family in carrying out spiritually meaningful practices 5. the nurse maintains a calm attitude and one of acceptance when the family or client expresses anger NCLEX

SBAR

Situation Background Assessment Recommendation

When working with an older adult who is hearing-impaired, the use of which techniques would improve communication? (Select all that apply.) a. Check for needed adaptive equipment. b. Exaggerate lip movements to help the patient lip read. c. Give the patient time to respond to questions. d. Keep communication short and to the point. e. Communicate only through written information.

a. Check for needed adaptive equipment. c. Give the patient time to respond to questions. d. Keep communication short and to the point. Fundamentals ch 24

A nurse is providing care for a patient who had a transurethral resection of his prostate this morning. The patient is receiving continuous bladder irrigation, and the urinary catheter is now occluded. The nurse is planning to contact the patient's health care provider and communicate using the SBAR (Situation-Background-Assessment-Recommendation) format. Which statement is a component of communication using SBAR? a. "What do you think could be causing this occlusion?" b. "I think that we should manually irrigate his catheter." c. "What do you know about this patient and his history?" d. "Could you please provide some direction for his care?"

b. "I think that we should manually irrigate his catheter." (proposing a recommendation is a component of the "R" component of SBAR communication) MS ch 1

The nurse is caring for a Spanish-speaking patient that speaks no English. What action should the nurse take when using an interpreter for communication with this patient? a. Ask a family member to interpret. b. Maintain eye contact with the patient. c. Ask fewer questions to prevent fatigue. d. Use medical terms wherever as possible.

b. Maintain eye contact with the patient. MS ch 2