A nurse is receiving a handoff report from another nurse at shift change. Which information should the nurse prioritize when receiving the report?
The client's name, age, diagnosis, and allergies.
The client's vital signs, laboratory results, and medications.
The client's goals, preferences, values, and expectations.
The client's current condition, changes, interventions, and outcomes.
The Correct Answer is D
Correct answer: D) The client's current condition, changes, interventions, and outcomes.
Rationale: The nurse should prioritize the client's current condition, changes, interventions, and outcomes when receiving
the report, as this provides essential information about the client's status, progress, response to treatment, and plan of care. This information also helps to identify any potential problems or issues that need immediate attention or follow-up.
Incorrect options:
A) The client's name, age, diagnosis, and allergies. - This is important information, but not the most important when receiving
the report, as this provides basic demographic and background information about the client that can be easily accessed from
the chart or other sources. This information does not reflect the client's current condition or needs.
B) The client's vital signs, laboratory results, and medications. - This is important information, but not the most important when receiving
the report, as this provides objective data about the client's physiological status that can be easily accessed from
the chart or other sources. This information does not reflect the client's subjective experience or response to treatment.
C) The client's goals, preferences, values, and expectations. - This is important information,
but not the most important when receiving
the report, as this provides subjective data about
the client's psychosocial status that can be easily accessed
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Related Questions
Correct Answer is D
Explanation
Correct answer: D) Respect different opinions and perspectives from other team members.
Rationale: The nurse should respect different opinions and perspectives from other team members, as this fosters a culture of mutual trust, collaboration, and shared decision-making among interprofessional team members. Respecting diversity also enhances creativity and innovation in problem-solving and improves client outcomes.
Incorrect options:
A) Delegate tasks according to each team member's scope of practice and expertise. - This is a correct action, but not
the best answer, as delegating tasks according to each team member's scope of practice and expertise is only one aspect of effective teamwork. The nurse should also respect different opinions and perspectives from other team members, as this is more relevant to promoting effective teamwork than delegating tasks.
B) Communicate with other team members using abbreviations and jargon for efficiency. - This is an incorrect action, as communicating with other team members using abbreviations and jargon may lead to miscommunication, errors, or confusion among interprofessional team members who may not be familiar with the terms. The nurse should communicate with other team members using clear, concise, and standardized language for accuracy and clarity.
C) Make decisions based on evidence-based practice and best available data. - This is a correct action, but not the best answer, as making decisions based on evidence-based practice and best available data is a common goal and expectation for all interprofessional team members, not a specific action that promotes effective teamwork. The nurse should respect different opinions and perspectives from other team members, as this is more relevant to promoting effective teamwork than making decisions.
Correct Answer is C
Explanation
Correct answer: C) Log out of the system after completing the documentation.
Rationale: The nurse should log out of the system after completing the documentation, as this prevents unauthorized access to the client's information by other users. Logging out also ensures that the nurse's name and time stamp are accurate for each entry.
Incorrect options:
A) Use a personal identification number (PIN) to access the system. - This is a correct action, but not the best answer, as using a PIN alone does not ensure confidentiality and security of the client's information. The nurse should also log out of the system after completing the documentation.
B) Share the PIN with another nurse who needs to update the record. - This is an incorrect action, as sharing the PIN with another nurse violates the client's privacy and compromises the security of the system. The nurse should never share the PIN with anyone, and each nurse should use their own PIN to access and document in the record.
D) Leave the computer screen on while attending to another client. - This is an incorrect action, as leaving the computer screen on while attending to another client exposes the client's information to anyone who can view the screen. The nurse should log out of the system or lock the screen before leaving the computer.
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