Nur Case Study Hand-Off Reports with
Complete Solutions
The nurse should include critical data related to the client's care, such as when the
client last received a PRN pain medication, when providing a hand-off report.
A nurse is providing a hand-off report to another nurse for a client who is newly admitted
and has Crohn's disease. Which of the following information is the priority for the nurse
to include in the report? - ANSWER-Hgb 6.8 g/dL
The greatest risk to this client is injury from bleeding; therefore, this is the priority piece
of information the nurse should include in the hand-off report.
A nurse is providing a transfer report to an inpatient rehabilitation facility for a client who
has atrial fibrillation. Which of the following pieces of information is the priority for the
nurse to include in the report? - ANSWER-"Today's INR is 2.0."
The greatest risk to this client is injury from bleeding, due to an increased INR as a
result of receiving anticoagulant therapy for atrial fibrillation; therefore, this is the priority
piece of information the nurse should include in the transfer report.
A nurse is speaking with the provider about a client who has had a change in mental
status since admission. Which of the following statements by the nurse demonstrates
the use of assertive communication? - ANSWER-"I am concerned about the client's
rapid change in mental status."
This statement by the nurse is demonstrating the use of an "I" statement, which is a
form of assertive communication. The use of the "I" statement by the nurse encourages
discussion about the client with the provider and emphasizes the importance of working
together for the benefit of the client.
A nurse is teaching a newly licensed nurse about telephone reporting using the SBAR
acronym. Which of the following responses by the newly licensed nurse indicates an
understanding of the teacher? - ANSWER-"S stands for situation."
The nurse should identify that "S" stands for the "situation" of the client when providing
a telephone report using the SBAR acronym.
Complete Solutions
The nurse should include critical data related to the client's care, such as when the
client last received a PRN pain medication, when providing a hand-off report.
A nurse is providing a hand-off report to another nurse for a client who is newly admitted
and has Crohn's disease. Which of the following information is the priority for the nurse
to include in the report? - ANSWER-Hgb 6.8 g/dL
The greatest risk to this client is injury from bleeding; therefore, this is the priority piece
of information the nurse should include in the hand-off report.
A nurse is providing a transfer report to an inpatient rehabilitation facility for a client who
has atrial fibrillation. Which of the following pieces of information is the priority for the
nurse to include in the report? - ANSWER-"Today's INR is 2.0."
The greatest risk to this client is injury from bleeding, due to an increased INR as a
result of receiving anticoagulant therapy for atrial fibrillation; therefore, this is the priority
piece of information the nurse should include in the transfer report.
A nurse is speaking with the provider about a client who has had a change in mental
status since admission. Which of the following statements by the nurse demonstrates
the use of assertive communication? - ANSWER-"I am concerned about the client's
rapid change in mental status."
This statement by the nurse is demonstrating the use of an "I" statement, which is a
form of assertive communication. The use of the "I" statement by the nurse encourages
discussion about the client with the provider and emphasizes the importance of working
together for the benefit of the client.
A nurse is teaching a newly licensed nurse about telephone reporting using the SBAR
acronym. Which of the following responses by the newly licensed nurse indicates an
understanding of the teacher? - ANSWER-"S stands for situation."
The nurse should identify that "S" stands for the "situation" of the client when providing
a telephone report using the SBAR acronym.
