Communication & CultureQuestion 22 of 200

A CNA notices a resident's blood pressure rose from a baseline 118/76 to 168/96 with new headache. The best way to report this to the nurse is:

a.SBAR: Situation (BP elevated with headache), Background (baseline 118/76), Assessment (current 168/96, c/o headache), Recommendation (request nurse assessment now)
b.'Mr. Lee doesn't look so good, can you check him sometime?'
c.Write it in the chart and finish the shift
d.Tell another CNA to mention it later

Explanation

SBAR (Situation, Background, Assessment, Recommendation) is the standard structured communication tool taught in CNA programs and endorsed by Joint Commission and ANA for safe handoffs. It conveys complete, actionable information so the nurse can prioritize response. Vague reports (b), chart-only documentation (c), and indirect relay (d) delay needed assessment of a possible hypertensive event and place the resident at risk.

Law Reference: ANA Standards of Practice; SBAR communication

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