A nurse is using the introduction, situation, background, assessment, recommendation, and readback (I-SBAR-R) communication tool when contacting a provider about a client who has Parkinson's disease. Which of the following statements by the nurse should be included in the situation component?
A. "The client is coughing while eating."
B. "Should I obtain a chest X-ray?"
C. "I will request a referral with a speech therapist."
D. "The client has a history of Parkinson's disease."
Answer (2)
The best statement to include in the situation component of the I-SBAR-R tool is option A, 'The client is coughing while eating,' as it directly describes the client's immediate issue. The other options do not appropriately convey the current situation. Effective communication of the situation ensures timely and appropriate care for the patient.
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The I-SBAR-R tool is a standardized communication method used in healthcare settings to ensure clear and effective information exchange. It stands for Introduction, Situation, Background, Assessment, Recommendation, and Readback. Let's break down the process and identify which statement fits the 'Situation' component:
Introduction: This is where the nurse would state who they are and their role, as well as who they are speaking to.
Example: "Hello, this is Nurse Smith from the neurology ward."
Situation: This component involves describing the current situation or the reason for the communication. It answers the question, "What is happening at the present time?"
In this scenario, "The client is coughing while eating" is the statement that fits. This statement provides immediate and pertinent information about the client's current condition, which could indicate a risk for aspiration, particularly significant in a patient with Parkinson's disease.
Background: This provides relevant background information about the client to give context to the situation.
Example: "The client has a history of Parkinson's disease."
Assessment: This is the nurse's assessment of the situation, based on their observations and professional judgment.
Example: "The client is showing signs of dysphagia, which may be related to their Parkinson's disease."
Recommendation: Here, the nurse would suggest a course of action or next steps to be taken.
Example: "Should I obtain a chest X-ray?"
Readback: This involves repeating back the orders or instructions provided by the healthcare provider to ensure they are understood correctly.
Therefore, the correct statement by the nurse that should be included in the 'Situation' component is: "The client is coughing while eating." This statement directly addresses the immediate condition that needs attention during the communication with the provider.
