ATI LEADERSHIP PROCTORED RETAKE REMEDIATION
CHAPTER 3 – UNDERSTANDING CLIENT ADVOCACY
It is the nurses’ role in supporting clients by ensuring
... [Show More] they are properly informed, that their rights are respected, and that they are receiving the proper level of care.
The complex health care system puts clients in a vulnerable position. Nurses are clients’ voices when the system is not acting in their best best interest.
Do not direct or control their decisions.
CHAPTER 1 – USING TIME APPROPRIATELY
“life before limb” Acute before chronic
Actual problems before potential future problems Listen carefully to clients and don’t assume.
Recognize and respond to trends vs. transient findings: recognizing a gradual deterioration in a client’s level of consciousness and/or Glasgow Coma Scale score
Recognizing indications of increasing intracranial pressure in a client who has a new diagnosis of a stroke vs. the findings expected following a stroke
Recognize the timing of administration of antidiabetic and antimicrobial medications is more important than administration of some other medications
CHAPTER 1 – INTERVENTION FOR INCORRECT TRANSFER TECHNIQUE
Intervene if only necessary (unsafe clinical practice)
Right supervision: delegate the ambulation of a client to an AP. Observe the AP to ensure safe ambulation of the client and provide positive feedback to the AP after completion of the task
CHAPTER 1 – RESOLVING STAFF CONFLICT
Use I statemtns and remember to focus on the problem, not on personal differences Listen carefully to what others are saying, and try to understand their perspective
Move a conflict that is escalating to a private location or post pone the discussion until a later time to give everyone a chance to regain control of their emotions
CH 1 – CLIENT TRIAGE IN EMERGENCY DEPARTMENT
Give priority to clients who have a reasonable chance of survival with prompt intervention. Clients who have a limited likelihood of survival even with intense intervention are assigned the lowest priority.
ABCDE
Ch 3 – decision making in end-of-life care
The purpose of advance directives is to communicate a client’s wishes regarding end-of life care should the client become unable to do so.
Two components of Advance directives: living will and DPOA for health care
Living will = expresses client’s wishes regarding medical treatment of CPR, mechanical ventilation or feeding by artificial means. Treatments that have the capacity to prolong life DPOA = person who serves in the role of health care surrogate to make decisions for the client should be very familiar with the client’s wishes
Ch 3 – Verifying Informed Consent
Emancipated minors (minors who are independent from their parents such as a married minor) can provide informed consent for themselves
A trained medical interpreter must be provided if patient is unable to communicate due to a language barrier [Show Less]