Documentation and Hand-Off Communication · NCLEX Exam

In written hand‐off documentation, using abbreviations without checking policy can lead to errors. According to best practice, the nurse should:

Use any convenient abbreviation in order to save time.
Use no abbreviations at all, even ones that are approved.
Use only facility-approved abbreviations, clarifying when needed.
Assume incoming staff understand every abbreviation used.

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Correct answer: Use only facility-approved abbreviations, clarifying when needed.

Unapproved or ambiguous abbreviations cause misinterpretation; using only facility-approved abbreviations and clarifying when needed meets professional standards.

Difficulty: Medium Question 11 of 20

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In written hand‐off documentation, using abbreviations without checking policy can lead to errors. According to best practice, the nurse should:

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