RN ATI Capstone Proctored Comprehensive Assessment 2019 B Focused Review
Management Of Care
Case Management - (1)
Cardiovascular Disorders: Teaching About Management of Tetralogy of Fallot (Active Learning
Template - System Disorder, RM NCC RN 11.0 Chp 20 Cardiovascular Disorders)
1. this is a ventricular septal defect, a hole between the ventricles, and many levels of
obstruction from the right ventricle to the lungs (pulmonary stenosis) are the most
important. Also the aorta which is the major artery from the heart to the body lies directly
over the ventricular septal defect, and the right ventricle develops thickened muscle.
2. occurs during fetal growth, when the baby’s heart is developing. While factors such as poor
maternal nutrition, viral illness or genetic disorders may increase the risk of this condition, in
the majority of cases the case is unknown
3. after surgery the baby will require continuing care, routine check-ups to make sure that
the procedure was successful and to monitor for any new problems
Collaboration with Interdisciplinary Team - (1)
Neurocognitive Disorders: Priority Finding to Report for a Client Who Has Alzheimer's Disease
(Active Learning Template - Medication, RM MH RN 11.0 Chp 17 Neurocognitive Disorders)
1. Provide for a well-lit environment, minimizing contrasts and shadows
2. provide a room with a low level of visual and auditory stimuli
3. use caution when administering medications PRN for agitation and anxiety
Continuity of Care - (1)
Coordinating Client Care: Information to Include in Change-of-Shift Report (Active Learning
Template - Basic Concept, RM Leadership 8.0 Chp 2 Coordinating Client Care)
1. performed with the nurse who is assuming responsibility for the clients care
2. describes the current health status of the client
3. informs the next shift of pertinent client care information
4.provides the oncoming nurse the opportunity to ask questions and clarify the plan of care
5. should be given in a private are to protect client confidentiality
6. assessment data integral to changes in client status
7. recommendations for changes in the plan of care
8. clarification of prescriptions
Establishing Priorities - (2)
, Crisis Management: Crisis Intervention for Partner Violence (Active Learning Template - Basic
Concept, RM MH RN 11.0 Chp 29 Crisis Management)
1. primary care: collaborate with client to identify potential problems; instruct on
coping mechanisms; and assist in lifestyle changes
2. secondary care: collaborate with client to identify intervention while in an acute crisis
that promote safety
3. tertiary care: collaborate with client to provide support during recovery from a severe
crisis that include outpatient clinics, rehabilitation centers, crisis stabilization centers, short-
term residential services, and workshops
Cystic Fibrosis: Client Who Requires Priority Assessment (Active Learning Template - System
Disorder, RM NCC RN 11.0 Chp 19 Cystic Fibrosis)
1. stasis of mucus increases the risk for respiratory infections
2. early manifestations: wheezing, rhonchi, dry, nonproductive cough
3. increased involvement: dyspnea, paroxysmal cough, obstructive emphysema and
atelectasis on chest x-ray
4. advanced involvement: cyanosis, barrel-shaped chest, clubbing of fingers and toes,
multiple episodes of bronchitis or bronchopneumonia
Informed Consent - (1)
Legal Responsibilities: Responding to a Client Who Has Questions About Surgery (Active Learning
Template - Basic Concept, RM Fund 10.0 Chp 4 Legal Responsibilities)
1. for an invasive procedure or surgery, the client must provide written consent
2. provider must give the client the purpose of the procedure, a complete description of the
procedure, a description of the professionals who will perform and participate in the
procedure, a description of the potential harm, pain, or discomfort that might occur, options
for other treatments, the option to refuse treatment and the consequences of doing so
3. notify the provider if the client has more questions or appears not to understand any of
the information the provider is then responsible for giving clarification
4. document question the client has, notification of the provider, reinforcement of teaching
and use of an interpreter
Legal Rights and Responsibilities - (1)
Infection Control: Infectious Diseases to Report (Active Learning Template - Basic Concept, RM
Fund 10.0 Chp 11 Infection Control)
1. chlamydia
2. Lyme disease
Management Of Care
Case Management - (1)
Cardiovascular Disorders: Teaching About Management of Tetralogy of Fallot (Active Learning
Template - System Disorder, RM NCC RN 11.0 Chp 20 Cardiovascular Disorders)
1. this is a ventricular septal defect, a hole between the ventricles, and many levels of
obstruction from the right ventricle to the lungs (pulmonary stenosis) are the most
important. Also the aorta which is the major artery from the heart to the body lies directly
over the ventricular septal defect, and the right ventricle develops thickened muscle.
2. occurs during fetal growth, when the baby’s heart is developing. While factors such as poor
maternal nutrition, viral illness or genetic disorders may increase the risk of this condition, in
the majority of cases the case is unknown
3. after surgery the baby will require continuing care, routine check-ups to make sure that
the procedure was successful and to monitor for any new problems
Collaboration with Interdisciplinary Team - (1)
Neurocognitive Disorders: Priority Finding to Report for a Client Who Has Alzheimer's Disease
(Active Learning Template - Medication, RM MH RN 11.0 Chp 17 Neurocognitive Disorders)
1. Provide for a well-lit environment, minimizing contrasts and shadows
2. provide a room with a low level of visual and auditory stimuli
3. use caution when administering medications PRN for agitation and anxiety
Continuity of Care - (1)
Coordinating Client Care: Information to Include in Change-of-Shift Report (Active Learning
Template - Basic Concept, RM Leadership 8.0 Chp 2 Coordinating Client Care)
1. performed with the nurse who is assuming responsibility for the clients care
2. describes the current health status of the client
3. informs the next shift of pertinent client care information
4.provides the oncoming nurse the opportunity to ask questions and clarify the plan of care
5. should be given in a private are to protect client confidentiality
6. assessment data integral to changes in client status
7. recommendations for changes in the plan of care
8. clarification of prescriptions
Establishing Priorities - (2)
, Crisis Management: Crisis Intervention for Partner Violence (Active Learning Template - Basic
Concept, RM MH RN 11.0 Chp 29 Crisis Management)
1. primary care: collaborate with client to identify potential problems; instruct on
coping mechanisms; and assist in lifestyle changes
2. secondary care: collaborate with client to identify intervention while in an acute crisis
that promote safety
3. tertiary care: collaborate with client to provide support during recovery from a severe
crisis that include outpatient clinics, rehabilitation centers, crisis stabilization centers, short-
term residential services, and workshops
Cystic Fibrosis: Client Who Requires Priority Assessment (Active Learning Template - System
Disorder, RM NCC RN 11.0 Chp 19 Cystic Fibrosis)
1. stasis of mucus increases the risk for respiratory infections
2. early manifestations: wheezing, rhonchi, dry, nonproductive cough
3. increased involvement: dyspnea, paroxysmal cough, obstructive emphysema and
atelectasis on chest x-ray
4. advanced involvement: cyanosis, barrel-shaped chest, clubbing of fingers and toes,
multiple episodes of bronchitis or bronchopneumonia
Informed Consent - (1)
Legal Responsibilities: Responding to a Client Who Has Questions About Surgery (Active Learning
Template - Basic Concept, RM Fund 10.0 Chp 4 Legal Responsibilities)
1. for an invasive procedure or surgery, the client must provide written consent
2. provider must give the client the purpose of the procedure, a complete description of the
procedure, a description of the professionals who will perform and participate in the
procedure, a description of the potential harm, pain, or discomfort that might occur, options
for other treatments, the option to refuse treatment and the consequences of doing so
3. notify the provider if the client has more questions or appears not to understand any of
the information the provider is then responsible for giving clarification
4. document question the client has, notification of the provider, reinforcement of teaching
and use of an interpreter
Legal Rights and Responsibilities - (1)
Infection Control: Infectious Diseases to Report (Active Learning Template - Basic Concept, RM
Fund 10.0 Chp 11 Infection Control)
1. chlamydia
2. Lyme disease
