Professionalism and Leadership
This structured communication tool helps nurses give concise reports to providers using Situation, Background, Assessment, and Recommendation.
What is SBAR?
A nurse prepares to enter a room of a client with tuberculosis. The most appropriate PPE to prevent transmission is this type of mask.
What is a N95 respirator?
In SBAR, when the nurse reports current vital signs and clinical findings, they are giving this part of the report.
What is assessment?
Ensuring all clients receive equal pain management regardless of race, age, or socioeconomic status demonstrates this professional nursing responsibility.
What is patient advocacy?
After teaching a new medication, the nurse asks the client to explain the instructions back in their own words to verify understanding.
What is the teach back method?
Maintaining therapeutic communication, avoiding favoritism, and not sharing personal contact information with clients demonstrates this key nursing principle.
What is professional boundaries?
A nurse notes non-blanchable redness over a client’s sacrum. ATI identifies this stage of pressure injury.
What is stage 1 pressure injury?
Saying “Everything will be fine, don’t worry” to an anxious client is considered this type of non-therapeutic communication.
What is giving false reassurance?
A nurse asks, “What name and pronouns do you prefer?” This demonstrates this inclusive communication practice.
What is using patient preferred identifiers?
A nurse asks a client about personal goals and treatment preferences before creating a care plan. ATI identifies this core principle of patient-centered care.
What is respecting patient values and preferences?
Advocating for a patient’s wishes even when others disagree shows this important leadership role of the nurse.
What is patient advocacy?
A client receiving enteral tube feeding should be positioned this way to reduce risk of aspiration during feeding.
What is high fowler’s?
ATI recommends using this resource instead of family members when a client has limited English proficiency.
What is a professional, medical interpreter?
ATI describes unconscious attitudes that can influence clinical decisions without the nurse realizing it as this concept.
What is implicit bias?
A nurse explains treatment options, risks, and benefits, then invites the client to participate in choosing the plan of care.
What is shared decision making?
A nurse leader must consider right task, right circumstance, right person, right direction, and right supervision — known collectively as this delegation framework.
What are the five rights of delegation?
Instead of writing “patient seems better,” ATI recommends using this type of charting that includes measurable and observable data.
What is factual charting?
Maintaining eye contact, nodding, and allowing pauses for the client to speak demonstrates this essential communication skill.
What is active listening?
A nurse asks a client about personal health practices and beliefs before planning care. ATI identifies this as demonstrating this culturally competent behavior.
What is cultural humility?
Using open-ended questions and allowing time for the client to express concerns supports this patient-centered communication strategy.
What is active listening?
Accepting responsibility for actions, following scope of practice, and completing accurate documentation reflects this professional leadership quality.
What is accountability?
When obtaining a blood pressure, the nurse should inflate the cuff to about this many mmHg above the point where the radial pulse disappears.
What is 20–30 mmHg above the disappearance of the radial pulse?
A client says, “I’m scared about my surgery.” The nurse responds, “Tell me more about what worries you.” ATI identifies this therapeutic technique.
What is open ended questions?
Providing additional education and community resources to clients who have limited access to healthcare reflects this nursing goal of reducing disparities.
What is health equity?
Including family members in education and discharge planning only after obtaining the client’s permission demonstrates this ethical principle.
What is respect for autonomy?