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A newly-graduated nurse named Sarah is orienting to the hospital behavioral health unit. This is her first orientation shift. Kyle is the nurse who has been assigned to orient and help teach her about what is involved with caring for clients on the psychiatric unit. During day-shift change hand-off report, Sarah reads the report sheet while listening to updates on the five clients she and Kyle will be caring for this shift. She makes note of questions she will ask Kyle about afterward. The night-shift nurse giving report seems tired, and Sarah suspects she is not giving them all of the important information. After shift change report, Kyle and Sarah make a plan for the care of their clients. Since it's only her first shift orienting, Sarah will be following Kyle rather than taking her own clients. Sarah asks him questions she identified during report. These are her questions and Kyle's answers during their conversation. Sarah: "About client A, does a history of abuse make a difference in the individual's condition?" Kyle: "Yes, in fact, a high percentage of our clients here have a history of abuse. We need to keep this in mind while providing care.
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