Ch. 1 The Past, Present, and Future
The experienced nurse is instructing the new nurse about communications
concerning the patient. The nurse suggests using an SBAR method and lists the four
elements included in the technique. Which four elements should be included in the
instruction?
A. Shift-end report, background, assessment, and reassessment
B. Situation, background, assessment, and recommendation
C. Shift-end report, background, assessment, and recommendation
D. Situation, background, actual nursing diagnoses, and remedy - correct answer-B.
Situation, background, assessment, and recommendation
Rationale: SBAR stands for situation, background, assessment, and
recommendation. The other options are not elements of SBAR. p16
A group of women are discussing childbirth experiences. Which statement would
most likely indicate that the woman gave birth in the 1950s?
A. "My husband stayed with me throughout labor and birth."
B. "The suite allowed me to deliver and recover in the same room."
C. "I was discharged from the hospital 1 week following delivery."
D. "The birthing center rooms were decorated in a homelike fashion." - correct
answer-C. "I was discharged from the hospital 1 week following delivery."
Rationale: During the 1950s, the hospital stay for labor and delivery was 1 week. The
other situations described would not have occurred until after 1960 with the natural
childbirth movement. p6
The nurse admitting a 3-year-old patient with the medical diagnosis of pneumonia
identifies congestion and inspiratory wheezes in both lungs. This information is
considered part of which step of the nursing process?