Nursing fundamentals · practice question

A 76-year-old client in a long-term care facility is being evaluated for nursing care related to documentation fundamentals. Assessment data include the client tries to get out of bed unassisted and becomes unsteady. Which communication to the oncoming nurse or provider is most appropriate?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026nursing-fundamentals

Vague statements without measurable assessment data.SBAR format with specific objective findings, current status, and a clear recommendation."The client is doing fine; no issues to report."Blaming the client for nonadherence instead of stating facts.

Answer and explanation

Correct answer

B. SBAR format with specific objective findings, current status, and a clear recommendation.

Why

Handoff and escalation require concise, objective communication such as SBAR with current assessment data.

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A 76-year-old client in a long-term care facility is being evaluated for nursing care related to documentation fundamentals. Assessment data include the client tries to get out of bed unassisted and becomes unsteady. Which communication to the oncoming nurse or provider is most appropriate?

Correct answer

Why

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