True or false: Asking a patient to describe the agreed plan in their own words can help reveal whether they have misunderstood it.
8 Communication, Handover, and Follow-Up Online Quiz Questions
Use this free practice quiz with 20 questions to review 8 Communication, Handover, and Follow-Up, test your knowledge, and prepare for your next test or exam.
In an I-PASS handover, the action list includes specific tasks and pending tests, along with their .
A clinician needs a concise structure for presenting the current problem, relevant context, clinical assessment, and proposed next step to a care team. Which structure best fits this purpose?
- A
Symptoms, Background, Analysis, Response
- B
Situation, Background, Assessment, Recommendation
- C
Situation, Briefing, Action, Review
- D
Status, Background, Assessment, Reassessment
In a clinical team update, what do the four letters in SBAR stand for?
A patient is discharged before all test results are available. Which documentation best supports continuity of care?
- A
Record that a test was ordered, but omit its status once the patient leaves.
- B
Document pending results without assigning anyone to review them.
- C
Document which results are pending and who will review and communicate them.
- D
Document only results that are already available.
When the evaluation has not established a diagnosis, documentation should make clear what remains and what action will address it.
A clinician is documenting a patient's assessment and plan. Which details support safe continuity of care? Select all that apply.
- A
Meaningful alternative diagnoses and why urgent possibilities are less likely or remain unresolved
- B
A definitive diagnosis even when the available evidence supports only a working diagnosis
- C
The patient's response to treatment and findings on reassessment
- D
Only the final disposition, without the reasoning behind it
- E
The rationale for discharge, admission, transfer, or observation
When handing over outstanding tasks, what should be made explicit so that each task is not left without a responsible person?
True or false: If an evaluation makes a condition less likely but does not rule it out, the documentation should still describe that condition as excluded.
- A
True
- B
False
A patient is deteriorating, and a serious cause cannot safely be excluded in the current setting. What is the most appropriate communication response?
- A
Wait for the next routine review whenever the diagnosis is uncertain.
- B
Escalate promptly, state the concern and supporting information, and make a clear request.
- C
Escalate only after a serious possibility has been confirmed.
- D
Send a vague message and let the receiving team decide what action is needed.
A clinician is deciding whether to discharge a patient after treatment. Which factors should inform the disposition? Select all that apply.
- A
The patient’s current condition
- B
Risks that remain
- C
The response to treatment
- D
The reliability of the proposed next step
- E
The clinician’s earlier assessment, regardless of subsequent changes
A clinician gives an urgent instruction to a colleague. Which exchange best demonstrates closed-loop communication?
- A
The sender delivers the instruction and immediately moves on.
- B
The receiver sends a general acknowledgment without confirming the instruction.
- C
The receiver repeats or confirms the instruction, and the sender checks that it was understood.
- D
The sender writes the instruction in a note but does not check whether the receiver saw it.
True or false: In an I-PASS handover, the receiving clinician should have an opportunity to ask questions and confirm the plan.
- A
True
- B
False
A patient with improving abdominal pain is being handed over while imaging is pending. What information and follow-up actions should the outgoing clinician include to support a safe handover?
A clinician needs to give the care team a concise update and recommend a next step. Which approach best uses SBAR?
- A
Begin with the differential, then list every possible test and treatment without a recommendation.
- B
State the current situation, relevant background, assessment, and recommended next action.
- C
Report the patient’s history and examination findings without an assessment or proposed action.
- D
Give the recommendation first, then omit the background and explain only what remains uncertain.
A patient says they understand a new care plan, but the clinician wants to check for misunderstandings. What is the best next step?
- A
Ask whether the patient has any questions, then end the conversation.
- B
Repeat the plan using more technical detail to ensure accuracy.
- C
Ask the patient to describe the plan in their own words and clarify any misunderstandings.
- D
Ask a family member to confirm the plan, regardless of the patient’s preferences.
An evaluation makes a serious alternative diagnosis less likely but does not rule it out. Which documentation approach best supports safe continuity of care?
- A
Record the evidence and state that the possibility is less likely, while noting what remains uncertain and what will address it.
- B
Document the working diagnosis as confirmed once the leading possibility is identified.
- C
Describe the possibility as excluded if the initial evaluation makes it less likely.
- D
Omit alternatives and unresolved questions to keep the record concise.
During the final part of an I-PASS handover, what should the receiving clinician do?
- A
The sender lists the patient’s severity and then ends the handover.
- B
The receiver independently reviews the chart after the sender leaves.
- C
The sender provides a list of possible changes but does not discuss the response plan.
- D
The receiver is invited to ask questions and confirms the plan.
What communication process requires the receiver to repeat or confirm an urgent instruction and the sender to verify that it was understood?
In a handover, what must be explicit for each outstanding task so responsibility is clear?