RN ATI Capstone Proctored Comprehensive Assessment 2019 A
Management of Care- 8 items
● Advance Directives/Self-Determination/Life Planning - (1)
○ Legal Responsibilities: Documenting Admission Data
■ The PSDA requires asking all clients on admission to a health care facility
whether they have advance directives.
■ Provide written information about advance directives.
■ Document the client’s advance directives status.
■ Ensure that the advance directives reflect the client’s current decisions.
■ Inform all members of the health care team of the client’s advance
directives
● Case Management - (1)
○ Home Safety: Planning Care for a Client Who Has Vision Loss
■ Remove items that could cause the client to trip (throw rugs and loose
carpets).
■ Place electrical cords and extension cords against a wall behind furniture.
■ Monitor gait and balance, and provide aids as needed
● Client Rights - (1)
○ Legal and Ethical Issues: Respecting Client Rights
■ Informed consent and the right to refuse treatment
■ Confidentiality
■ A written plan of care/treatment that includes discharge follow-up, as well
as participation in the care plan and review of that plan
■ Communication with people outside the mental health facility, including
family members, attorneys, and other health care professionals
● Continuity of Care - (1)
○ Pediatric Emergencies: Laboratory Results to Report to the Provider
■ Respiratory emergencies include respiratory insufficiency, respiratory
failure, apnea, respiratory arrest and airway obstruction. Lab tests include
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, ABG’s
■ For life threatening events lab tests and diagnostics include bacterial and
viral blood cultures, urine culture, CBC, blood glucose, electrolytes, ECG,
EEG, pH study, MRI and sleep study
■ Lab tests for poisoning – CBC with diff, ABG, serum iron, serum
acetaminophen, LFTs, blood alcohol and tox screen.
● Ethical Practice - (1)
○ Legal and Ethical Issues: Identifying an Ethical Principle
■ All clients have the right to refuse medications/ treatment
■ Nurses can experience situations where there will be conflict between two
or more courses of action (ethical dilemma). The nurse should respond to
these situations using the bioethical principles
■ Because ethics are philosophical and involve values and morals, there is
frequently no clear-cut, simple resolution to an ethical dilemma
● Performance Improvement (Quality Improvement) - (1)
○ Managing Client Care: Planning an Audit of Quality Control
■ Structure audits evaluate the influence of elements that exist separate from
or outside of the client-staff interaction
■ Retrospective audits occur after the client receives care.
■ Concurrent audits occur while the client is receiving care.
■ Prospective audits predict how future client care will be affected by the
current level of services
● Referrals - (2)
○ Care of Specific Populations: Recommending Appropriate Referrals
■ Make needed referrals for community services and legal options
■ Identify at-risk individuals and assist them to reduce sources of stress,
including possible referral to social services to eliminate financial
difficulties or other sources of stress
This study source was downloaded by 100000856620938 from CourseHero.com on 11-07-2022 16:48:39 GMT -06:00
https://www.coursehero.com/file/160005133/Capstone-Proctored-Comprehensive-A-FRdocx/
Management of Care- 8 items
● Advance Directives/Self-Determination/Life Planning - (1)
○ Legal Responsibilities: Documenting Admission Data
■ The PSDA requires asking all clients on admission to a health care facility
whether they have advance directives.
■ Provide written information about advance directives.
■ Document the client’s advance directives status.
■ Ensure that the advance directives reflect the client’s current decisions.
■ Inform all members of the health care team of the client’s advance
directives
● Case Management - (1)
○ Home Safety: Planning Care for a Client Who Has Vision Loss
■ Remove items that could cause the client to trip (throw rugs and loose
carpets).
■ Place electrical cords and extension cords against a wall behind furniture.
■ Monitor gait and balance, and provide aids as needed
● Client Rights - (1)
○ Legal and Ethical Issues: Respecting Client Rights
■ Informed consent and the right to refuse treatment
■ Confidentiality
■ A written plan of care/treatment that includes discharge follow-up, as well
as participation in the care plan and review of that plan
■ Communication with people outside the mental health facility, including
family members, attorneys, and other health care professionals
● Continuity of Care - (1)
○ Pediatric Emergencies: Laboratory Results to Report to the Provider
■ Respiratory emergencies include respiratory insufficiency, respiratory
failure, apnea, respiratory arrest and airway obstruction. Lab tests include
This study source was downloaded by 100000856620938 from CourseHero.com on 11-07-2022 16:48:39 GMT -06:00
https://www.coursehero.com/file/160005133/Capstone-Proctored-Comprehensive-A-FRdocx/
, ABG’s
■ For life threatening events lab tests and diagnostics include bacterial and
viral blood cultures, urine culture, CBC, blood glucose, electrolytes, ECG,
EEG, pH study, MRI and sleep study
■ Lab tests for poisoning – CBC with diff, ABG, serum iron, serum
acetaminophen, LFTs, blood alcohol and tox screen.
● Ethical Practice - (1)
○ Legal and Ethical Issues: Identifying an Ethical Principle
■ All clients have the right to refuse medications/ treatment
■ Nurses can experience situations where there will be conflict between two
or more courses of action (ethical dilemma). The nurse should respond to
these situations using the bioethical principles
■ Because ethics are philosophical and involve values and morals, there is
frequently no clear-cut, simple resolution to an ethical dilemma
● Performance Improvement (Quality Improvement) - (1)
○ Managing Client Care: Planning an Audit of Quality Control
■ Structure audits evaluate the influence of elements that exist separate from
or outside of the client-staff interaction
■ Retrospective audits occur after the client receives care.
■ Concurrent audits occur while the client is receiving care.
■ Prospective audits predict how future client care will be affected by the
current level of services
● Referrals - (2)
○ Care of Specific Populations: Recommending Appropriate Referrals
■ Make needed referrals for community services and legal options
■ Identify at-risk individuals and assist them to reduce sources of stress,
including possible referral to social services to eliminate financial
difficulties or other sources of stress
This study source was downloaded by 100000856620938 from CourseHero.com on 11-07-2022 16:48:39 GMT -06:00
https://www.coursehero.com/file/160005133/Capstone-Proctored-Comprehensive-A-FRdocx/
