A nurse is explaining to a student that SBAR is a type of
a. format for conducting a debriefing.
b. process for multidisciplinary meetings.
c. standardized patient chart template.
d. structured communication strategy.
D
SBAR is a structured communication strategy and stands for situation, background, assessment, and recommendation.
SBAR is not a format for conducting debriefings.
SBAR is not a process used in multidisciplinary meetings.
SBAR is not a template for standardized patient charting.
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The nurse, assessing the musculoskeletal status of an elderly client, realizes which of the following for this client?
a. Kyphosis is primarily a result of poor posture. b. Osteoporosis is more common in men than women. c. Ligaments and tendons become softer with age. d. Flexion is often painful.
The nurse is caring for a 63-year-old woman whose husband died 6 months ago. As the nurse gives the client her bed bath, the client begins to tell the nurse stories about things her husband did over the years
When the bath is complete, the client thanks the nurse for listening when her own children will not. The nurse understands and has planned outcome care for this client based on which of the following? 1. The mourner will be reluctant to share memories with caregivers who are not family. 2. The mourner's family is tired of these stories. 3. The mourner is still in deep pain. 4. The mourner has the right to treasure their memories.
What form of vaginitis is this patient most likely to have?
5. A 55-year-old married homemaker comes to your clinic, complaining of 6 months of vaginal itching and discomfort with intercourse. She has not had a discharge and has had no pain with urination. She has not had a period in over 2 years. She has no other symptoms. Her past medical history consists of removal of her gallbladder. She denies use of tobacco, alcohol, and illegal drugs. Her mother has breast cancer and her father has coronary artery disease, high blood pressure, and Alzheimer's disease. On examination she appears healthy and has unremarkable vital signs. There is no lymphadenopathy with palpation of the inguinal nodes. Visualization of the vulva shows dry skin but no lesions or masses. The labia are somewhat smaller than usual. Speculum examination reveals scant discharge and the vaginal walls are red, dry, and bleed easily. Bimanual examination is unremarkable. The KOH whiff test produces no unusual odor and there are no clue cells on the wet prep. A) Trichomonas vaginitis B) Candida vaginitis C) Bacterial vaginosis D) Atrophic vaginitis
The nurse applies resistance to the top of the client's foot and asks him to pull his toes toward his knee. The nurse observes active motion against some, but not against full, resistance. How should the nurse document this finding?
a. 5: Normal b. 4: Slight weakness c. 3: Weakness d. 2: Poor ROM