Author Question: The nurse is admitting a patient with a foul smelling leg wound. Which behavior by the nurse ... (Read 65 times)

luminitza · **on:** Jul 23, 2018

The nurse is admitting a patient with a foul smelling leg wound. Which behavior by the nurse indicates an understanding of appropriate body language?

a. Using hand gestures to enhance verbal communication
b. Standing at the end of the bed with arms crossed
c. Facial grimacing at the sight of the wound
d. Gentle touching of the patient's shoulder

Question 2

During a shift report, a staff member briefly describes the history of a patient admitted with chronic gastrointestinal bleeding. In which SBAR topical area would this information be presented?

a. Situation
b. Background
c. Assessment
d. Recommendation

CAPTAINAMERICA · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Therapeutic touch, such as holding the patient's hand or touching the patient's shoulder, can provide comfort and may alleviate pain. This is especially true when a patient is undergoing a painful or stressful procedure. Making inappropriate facial expressions may be offensive and hurtful to patients or their family members. The nurse must control his or her facial expressions to avoid communicating disdain or judgmental attitudes in challenging patient care situations. Maintaining a neutral facial expression establishes an environment of caring and openness in which the patient and family members can feel safe to share their innermost concerns. The use of gestures may be challenging to nurses practicing in a multicultural environment. Although they may enhance verbal communication, gestures may be viewed as inappropriate by patients of various cultures. Standing with crossed arms may be indicating a lack of openness or acceptance.

Answer to Question 2

ANS: B
The B in SBAR stands for Background, or what led up to the current situation. The S stands for Situation or what is happening right now. The A stands for Assessment, or what is the identified problem, concern, or need. The R stands for Recommendation, or what actions or interventions should be initiated to alleviate the problem.