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ATI RN Leadership Practice Exams B REMEDIATION

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ATI RN Leadership Practice Exams B REMEDIATION

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ATI RN Leadership Practice Exams B REMEDIATION




Remediation ATI RN Leadership Online Practice
B Reflection Statements and 3 Critical Points


Management of Care
1) Professional Responsibilities: Displaying Client Advocacy: As a nurse, remember to focus on the
wants and needs of your patient and respect their wishes.

3 Critical Points:

• Inquire about client thoughts, feelings, concerns and needs.

• Express empathy and genuine concern for clients and their family’s issues.

• Intervene to promote functional behavior and effective interpersonal relationships.

2) Professional Responsibilities: Providing an In-Service About Preventing Readmission: The nurse
must advocate for their clients, even when they do not agree with their decisions.

3 Critical Points:

• Nurses are client’s voices when the system is not acting in the client’s best interest.

• The nurse ensures that the client has all the information they need to make decisions about
their healthcare.

• The nursing profession has the responsibility to support and advocate for legislation that
promotes public policies that protect clients and creates a safe environment for their
care.

3) Coordinating Client Care: Case Manager's Role in Client Discharge: The case manager helps
to coordinate client needs after discharge.

3 Critical Points:

• A critical pathway or care map is based on cost and length of stay parameters mandated
by insurance companies and Medicare.

• Case managers in the community coordinate resources and services for clients in
residential settings.

• Case managers also coordinate care for clients who have complex healthcare needs.

4) Ergonomic Principles: Change in Status of Client Who Is Postoperative : Placing a client in a supine
position with legs elevated can help the return of blood flow to the heart. This is especially important
for patients experiencing hypovolemic shock.

3 Critical Points:



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, ATI RN Leadership Practice Exams B REMEDIATION




• Monitor for symptoms of hypovolemic shock such as decreased BP and urinary output,
increased HR and RR, narrowing pulse pressure, and slow capillary refill.

• Place the client in a supine position with legs elevated. Administer oxygen.

• Administer vasopressors and fluids as prescribed.

5) Nasogastric Intubation and Enteral Feedings: Evaluating Plan of Care: To prevent clogging, flush
the tube with 15-30 mL of warm water every 4 hours for continuous infusions, before and after
bolus feedings, after measuring gastric residual, and between each medication administration.

3 Critical Points:

• Unclog tubing using gentle pressure with 30-50 mL of warm water in a 60 mL syringe.

• Carbonated beverages are not approved for fixing a clogged tube.
• Do not mix medications with the formula.

6) Factors Influencing Community Health: Understanding the Affordable Care Act: Increases access
to healthcare for all people including giving the uninsured a change to obtain affordable care.

3 Critical Points:

• Clients cannot be denied coverage for preexisting conditions.

• Decreases health care costs.

• Children can stay on their parent's health care insurance until the age of 26 years old.

7) Managing Client Care: Rights of Delegation : It’s important to be very specific and have clear
communication when delegating tasks to prevent any misunderstandings that may lead to patient
injury.

3 Critical Points

• Specific tasks that need to be performed with client specific instructions.

• Expected results, timelines, and expectations for follow up communication must be clear.
• Method and timeline for reporting, including when to report concerns/findings must
be communicated.

8) Managing Client Care: Strategies for Performance Appraisals: The inclusion of peer reviews for
an individual performance appraisal is new information for me.

3 Critical Points:

• Peer reviews are a valuable source of data and are is the evaluation of a colleague's practice
by another peer.



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