Which of the following statements are true regarding hand-off reports? Select the 3 correct answers.
Must be given face to face between the nurses.
Provides for the continuity and individualized care of the patient.
Must include an opportunity for the receiver to ask querry of the person giving the report.
Includes up-to-date and recent changes about the patient.
Takes the place of documentation.
Correct Answer : B,C,D
Choice A rationale
While face-to-face hand-off reports are often preferred for direct communication and clarification, they are not always the only acceptable method. Other methods, such as recorded reports or written summaries with opportunities for questions, can also be effective in ensuring continuity of care, especially in situations where face-to-face reporting is not feasible.
Choice B rationale
Providing for the continuity and individualized care of the patient is a primary purpose of hand-off reports. By sharing relevant information about the patient's current condition, care plan, and any recent changes, the hand-off ensures that the receiving nurse has the necessary information to provide consistent and tailored care.
Choice C rationale
Including an opportunity for the receiver to ask questions of the person giving the report is crucial for effective communication and to clarify any ambiguities or obtain additional details. This interactive element helps ensure that the receiving nurse fully understands the patient's situation and can provide safe and appropriate care.
Choice D rationale
Hand-off reports should include up-to-date and recent changes about the patient's condition, treatments, and any new orders or concerns. This ensures that the receiving nurse is aware of the most current information and can adjust care accordingly. Outdated information can lead to errors or omissions in care.
Choice E rationale
Hand-off reports supplement, but do not replace, formal documentation in the patient's medical record. Documentation provides a comprehensive and permanent record of the patient's care, while the hand-off report is a verbal or brief written communication to ensure a smooth transition of care between nurses. Both are essential for effective patient care and communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While electronic medical records (EMRs) improve legibility by using standardized digital text, they do not entirely eliminate the need to interpret physician notes or potential data entry errors. Clinicians still input information, and nuances in terminology or abbreviations can require careful review. EMRs primarily address the issue of illegible handwriting associated with paper-based records.
Choice B rationale
Electronic medical record systems streamline documentation processes by offering templates, drop-down menus, and the ability to copy forward information. This reduces the need for repetitive manual charting, freeing up nurses' time for direct patient care and other essential tasks. Efficient data entry and retrieval contribute significantly to time savings in documentation.
Choice C rationale
Password management is a security feature of computer systems, including EMRs, and often requires periodic changes to protect patient data. Implementing a new EMR system does not typically eliminate the need for password changes; in fact, it might introduce new password protocols. Security protocols necessitate regular password updates to maintain data integrity and confidentiality.
Choice D rationale
Accessing a family member's medical record violates patient privacy and confidentiality regulations, such as HIPAA. Nurses should only access records of patients for whom they are directly providing care. Viewing a son's medical record without a professional need is an ethical and legal breach of patient confidentiality.
Correct Answer is C
Explanation
Choice A rationale
This is a closed-ended question that requires a yes or no answer. While it gathers specific information about breathing difficulty, it limits the patient's ability to describe their chest pain experience in their own words and provide richer details.
Choice B rationale
This question focuses on the duration of the chest pain. While this is important information for the nurse to know, it does not elicit a description of the pain itself, which is crucial for understanding the potential underlying cause and guiding further assessment.
Choice C rationale
This open-ended question encourages the patient to describe the characteristics of their chest pain, such as its quality (e.g., sharp, dull, crushing), location, radiation, and intensity. This detailed information is vital for differentiating between various causes of chest pain, including cardiac, musculoskeletal, or gastrointestinal issues.
Choice D rationale
While family history is relevant to the patient's overall health status and potential risk factors for certain conditions like heart disease, it does not directly address the patient's immediate experience of chest pain or provide details about the current symptom.
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