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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A: This statement is accusatory and non-collaborative, which can lead to defensiveness and hinder communication.
B: While offering some flexibility, this statement lacks assertiveness. It does not make clear the importance of taking medication as prescribed.
C: This is an example of assertive communication. The nurse clearly and respectfully communicates the importance of following the treatment plan while outlining the consequences of non-compliance.
D: This response is overly passive and does not address the importance of medication adherence, nor does it encourage the patient to follow the prescribed plan.

A. "I will lay down for 4 to 6 hours every time the new solution is dwelling in my peritoneal cavity." B. "I must wash my hands every time before I connect the tubing to the catheter in my stomach." C. "I will complete the instillation of fluid once a day at bedtime." D. "I will check my blood pressure and follow the instructions related to changes I might need to do based on the results." E. "I will weigh myself daily and keep track of my weight in my dialysis record."

Correct Answer is ["B","D","E"]

Explanation

A. Clients do not need to lie down for CAPD; it's designed to be done during normal daily activities.
B. Strict hand hygiene is vital to prevent peritonitis, a major complication.
C. CAPD typically requires multiple exchanges per day, not just once at bedtime.
D. Monitoring blood pressure helps detect volume imbalances and guides fluid management.
E. Daily weight monitoring is essential to assess fluid retention or excessive fluid removal.

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Which of the following is a key component of an effective nursing shift report and hand-off process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient and using assertive communication. Which of the following statements by the nurse demonstrates assertive communication?

Correct Answer is C

Explanation

A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis at home. Which of the following statements from the client indicates understanding of this type of dialysis management? (Select All that Apply.)

Correct Answer is ["B","D","E"]

Explanation

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