ATI Content Mastery Fundamentals Exam Q & A Verified
100% Correct!!
Advance directives- teaching
Communicates the client wishes regarding end of life care; are written before a client
becomes ill
Nurses role is to provide info about advance directives
Document client's advance directive status
Ensure advance directives reflects clients current decision
Inform all members of the healthcare team of the client's advanced directives
Culture (client who speaks a different language)
Use an interpreter always; try to get someone around same age and gender as client
Delegation to UAP
Stable/chronic clients; post-mortem care; they cannot teach, assessed, or evaluate
Ethical (client need for information about treatment)
Provide client with truthful information so they can make an informed decision about
their own health and well-being
Discharge planning
Determine ability to afford insulin and supplies
Make sure he has transportation to follow up appointments
Informed consent
Nurses role is to witness the client signature and ensure that the provider has obtained
the informed consent responsibly
Greater than 18 years of age or if the mother or father is a teenage parent they have the
right to sign the consent form
Client inquiry about surgery
Consult health care provider/surgeon for procedures/informed consent questions
Telephone prescriptions are
Must write the order down before reading it back to the provider
Identify Improper documentation
Documenting should be factual
Subjective data documentation
Quotes with quotation marks- what the client states to the nurse
Objective data documentation
What the nurses, smells, osculates do not use derogatory words, judgment, or opinions
Intentional tort
Doing harm (The act must be intentional, not merely reckless or careless)
Assault, battery, false imprisonment, invasion of privacy, slander
Interprofessional team member consult
, PT- consulted for mobility issues
OT- assist clients to regain ADL skills
ST- Deals with speech and language disorders
Coordinated client care among healthcare team
Social worker- Coordinates care and community resources
Demonstrating client advocacy
Nurses role is to provide support of the clients health, wellness, safety, and personal
rights, including privacy
Nursing role- client observation
Share appropriate information among team members
Prioritizing client care
Follow ABC's (airway, breathing, circulation)
Unstable are seen before stable clients
Acute clients are seen before chronic clients
Ethical dilemma
Follow autonomy, beneficence, Fidelity, justice, nonmaleficence, and veracity principles
Disposition of valuables
(Admit/transfer/DC)
Personal items include clothing, jewelry, money, credit cards, hearing aides,
eyeglasses, dentures, etc
Discourage the client from keeping valuables at bedside
Document communication with the client related to items left within the room
Valuables should be locked in the facilities safe
Identify negligence
Failure to provide care as defined by a standard
Breach of duty
Foreseeability of harm
Caused harm
Latex allergy
Schedule first on the morning operating list (OR must be free from powdered latex
gloves for at least 3 hours prior to surgery)
Synthetic gloves must be used
Furniture in operating room equipment must be washed down using synthetic gloves
only
Anything containing latex must be removed from the OR
Seizure precautions
Remember to maintain the airway and keep the client safe from harm
Oral airway and oral suction equipment
100% Correct!!
Advance directives- teaching
Communicates the client wishes regarding end of life care; are written before a client
becomes ill
Nurses role is to provide info about advance directives
Document client's advance directive status
Ensure advance directives reflects clients current decision
Inform all members of the healthcare team of the client's advanced directives
Culture (client who speaks a different language)
Use an interpreter always; try to get someone around same age and gender as client
Delegation to UAP
Stable/chronic clients; post-mortem care; they cannot teach, assessed, or evaluate
Ethical (client need for information about treatment)
Provide client with truthful information so they can make an informed decision about
their own health and well-being
Discharge planning
Determine ability to afford insulin and supplies
Make sure he has transportation to follow up appointments
Informed consent
Nurses role is to witness the client signature and ensure that the provider has obtained
the informed consent responsibly
Greater than 18 years of age or if the mother or father is a teenage parent they have the
right to sign the consent form
Client inquiry about surgery
Consult health care provider/surgeon for procedures/informed consent questions
Telephone prescriptions are
Must write the order down before reading it back to the provider
Identify Improper documentation
Documenting should be factual
Subjective data documentation
Quotes with quotation marks- what the client states to the nurse
Objective data documentation
What the nurses, smells, osculates do not use derogatory words, judgment, or opinions
Intentional tort
Doing harm (The act must be intentional, not merely reckless or careless)
Assault, battery, false imprisonment, invasion of privacy, slander
Interprofessional team member consult
, PT- consulted for mobility issues
OT- assist clients to regain ADL skills
ST- Deals with speech and language disorders
Coordinated client care among healthcare team
Social worker- Coordinates care and community resources
Demonstrating client advocacy
Nurses role is to provide support of the clients health, wellness, safety, and personal
rights, including privacy
Nursing role- client observation
Share appropriate information among team members
Prioritizing client care
Follow ABC's (airway, breathing, circulation)
Unstable are seen before stable clients
Acute clients are seen before chronic clients
Ethical dilemma
Follow autonomy, beneficence, Fidelity, justice, nonmaleficence, and veracity principles
Disposition of valuables
(Admit/transfer/DC)
Personal items include clothing, jewelry, money, credit cards, hearing aides,
eyeglasses, dentures, etc
Discourage the client from keeping valuables at bedside
Document communication with the client related to items left within the room
Valuables should be locked in the facilities safe
Identify negligence
Failure to provide care as defined by a standard
Breach of duty
Foreseeability of harm
Caused harm
Latex allergy
Schedule first on the morning operating list (OR must be free from powdered latex
gloves for at least 3 hours prior to surgery)
Synthetic gloves must be used
Furniture in operating room equipment must be washed down using synthetic gloves
only
Anything containing latex must be removed from the OR
Seizure precautions
Remember to maintain the airway and keep the client safe from harm
Oral airway and oral suction equipment
