Moderate

A patient reports new pressure-like chest discomfort while resting. The nurse records the assessment and immediately informs the responsible clinician. Which communication approach is most appropriate for this report?

Correct answer: B. State the current concern, findings, and requested review

  • A. Give a long chronological account of the admission
  • B. State the current concern, findings, and requested review
  • C. Wait until the next routine handover to mention it
  • D. Ask another patient whether similar pain is expected

Explanation

An urgent report should focus on the present concern, relevant assessment findings, and the action needed. Delaying the report risks harm, while unrelated history can obscure the immediate clinical problem.

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About Documentation, Reporting and Communication

Documentation covers accurate, timely and objective nursing records, charting formats, incident reports, medication records, confidentiality and legal accountability. Communication includes therapeutic listening, questioning, empathy, handover and reporting using a structured method such as SBAR, while distinguishing subjective patient statements from objective observations.

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