Which of the following is a key component of an effective nursing shift report and hand-off process?
Only verbal communication is necessary for hand-offs
Using a standardized format such as SBAR (Situation, Background, Assessment, Recommendation)
Discussing all minor details about the patient's history
Including personal opinions about the patient's family
The Correct Answer is B
A: Verbal communication alone can lead to missed details; written or electronic hand-offs are often required.
B: SBAR ensures consistency, clarity, and structured communication, which improves patient safety.
C: Including all minor details can overwhelm and distract from key information.
D: Personal opinions have no place in professional hand-off reports.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A: Furosemide is a loop diuretic that can increase sensitivity to sunlight, so wearing sunscreen and limiting sun exposure is important.
B: Furosemide can cause potassium loss (hypokalemia), so clients should actually eat a potassium-rich diet, not a low-potassium one.
C: Furosemide typically lowers blood pressure by removing excess fluid, so it is unlikely to increase blood pressure.
D: Fluid intake is generally not restricted unless the client is in fluid overload or has another condition that requires fluid restriction. Diuretics like furosemide are used to promote fluid excretion.
Correct Answer is A
Explanation
A. Wet-to-dry dressing changes are complex procedures that require more advanced skills and experience, making them inappropriate to delegate to a new graduate nurse.
B. This is appropriate delegation, as assistive personnel can help with ambulation under the supervision of a nurse.
C. This is an appropriate task for an efficient AP, as glucometer monitoring is a routine task within their scope.
D. A competent RN is appropriate to perform a central line dressing change, as it falls within their scope of practice.
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