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RN Nursing · Reporting and Handoff Communication · Practice question

A nurse is using the SBAR communication technique during a patient emergency. Which nursing intervention reflects the R?

Answer & explanation

Correct: Recommending a potential action to manage the event

SBAR is a standardized communication framework used during patient handoffs and emergencies. The acronym stands for Situation, Background, Assessment, and Recommendation. The 'R' component — Recommendation — is the phase in which the nurse proposes a specific course of action or requests a particular intervention from the receiving provider or team. This is where the nurse exercises clinical judgment to suggest what should be done next, such as ordering a medication, obtaining a diagnostic test, or transferring the client to a higher level of care. Reassessing the patient after medical intervention describes follow-up evaluation, which is important but occurs after the SBAR communication is complete; it is not part of the SBAR framework itself. Recording the reaction of the patient describes documentation, which is a separate nursing activity from the communication technique. Reporting the situation to the primary healthcare provider corresponds to the 'S' — Situation — component of SBAR, which is the opening statement identifying who the patient is and what is happening. Understanding that the Recommendation component requires the nurse to actively advocate for a specific action is essential, as this transforms SBAR from a passive report into a proactive communication that facilitates rapid clinical decision-making during emergencies.

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