RN ATI Capstone Proctored Comprehensive Assessment:
Form B Remediation
Management of Care: (3)
Advance Directive/Self-Determination/Life
... [Show More] Planning (1)
o Professional Responsibilities: Admission requirement from the patient selfdetermination act
PSDA-stipulates that on admission to a health care facility, all clients must
be informed of their right to accept or refuse care
Competent adults have the right to refuse treatment including
Right to refuse treatment
Right to leave a health care facility without a prescription for
discharge from the provider
Advocacy (1)
o Therapeutic Communication: Responding to a client who wants to discontinue
treatment
Refers to nurses’ role in supporting clients by ensuring that they are
properly informed, that their rights are respected, and that they are
receiving, and that they are receiving the proper level of care
Advocacy is one of the most important roles of the nurse,
especially when clients are unable to speak or act for themselves
The nurse ensures that the client has the information they need to
make decisions about health care
Nurses must act as advocates even when they disagree with
clients’ decisions
The complex health care system puts clients voice when they
system is not acting in their best interest
Legal Rights and Responsibilities (1)
o Infection control: infectious diseases to report
A complete list of reportable disease and the reporting system are
available through the CDC
Ensure appropriate medical treatment of diseases
Monitor for common source outbreaks
Plan and evaluate control and prevention plans
Identify outbreaks and epidemics
Determine public health priorities based on trends
Safety and Infection Control: (2)
Home Safety (1)
o Family and Community violence: safety planning following partner violence
All states have mandatory reporting laws that require nurses to report
suspected child or vulnerable adult abuse; there are civil and criminal
penalties for not reporting suspicions of abuse
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Document subjective and objective data obtained during
assessment
Provide basic care to treat injuries
Make appropriate referral
Help client develop a safety plan, identify behaviors and situations
that might trigger violence, and prove information regarding safe
places to live.
Use crisis intervention techniques to help resolve family or
community situations where violence has been devastating
Interventions for community-wide or mass casualty incidents (a school
shooting or gang violence)
Use of Restraints/Safety Devices (1)
o Anger Management: use of mechanical restraints
New initiatives are being proposed to reduce or elevate the use of
mechanical restraints
National, state, and local initiatives advocate for restraint elimination
Also heightened awareness of the damaging effects restraint can have on
clients, health care professionals, and caretakers
When it is deemed essential to use restraints, remove the client from
seclusion or restraint as soon as the crisis is over when the clients
attempts reconciliation and is no longer aggressive
Health Promotion and Maintenance: (1)
Lifestyle Choices (1)
o Older Adults: Assessing a client for social isolation
Social isolation is a state of complete or near-complete lack of contact
between an individual and society. It differs from loneliness, which
reflects temporary and involuntary lack of contact with other humans in
the world.
To improve self-concept and alleviate social isolation
Therapeutic communication
Touch
Reality orientation
Validation therapy
Reminiscence therapy
Attending to physical appearance
Assistive devices
o Canes
o Walkers
o Hearing aids [Show Less]