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VIRTUAL ATI COMPREHENSIVE PREDICTOR EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (224)
A nurse is responsible for providing clear directions when a task is initially
delegated and for periodic reassessment and evaluation of the outcome of the
task.
RNs must delegate tasks so that they can complete higher level
tasks. RNs may delegate to other RNs, PNs or APs.
PNs may delegate to other PNs or APs.
Predictability of outcome: Is this routine, or is this new, is there potential for
complications
Delegation for effective task management.
Potential for harm: Is the client stable? Risks? Aspiration, Bleeding
Complexity of Care: Does the delegatee have the license to perform the task, and
the training?
Need for problem solving: Does this require the nursing process? Assessment skills
or judgment
Level of client interaction: Is there psychosocial support needed?
Monitoring findings
Reinforcing client teaching
Tracheostomy Care
Suctioning
TO PN NG tube
patency Enteral
Feedings Insert
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Catheter
Administering Meds
ADLs Bathing, Grooming, Dressing,
Toliet Ambulating
Feeding
Positioning
Routine tasks
TO AP
Bed making
Specimen Collection, I and Os
Vitals For stable clients
Planning
Concepts of management—Strategies to Organizing:
identify solutions to community health Controlling:
problems
Directing:
Staffing:
Planning: What needs to be done, and who is going to do it
Organizing: Lines of authority, communications, and where decisions are made
Directing: Influences and motivates people to perform
Controlling: The evaluation of performance and unit goals to ensure outcomes are met
Staffing: Adequate staffing, and staffing mix
Hold formal positions of authority and power, Possess clinical expertise, Network
Characteristics of managers: with members of the team, Coach subordinates, Make decisions for the organization:
Resources, Budget, Hiring, and Firing
Conflict Management between health care
workers
The ability of the client to make personal decisions, even when those decisions might
Autonomy:
not be in the client's own best interest
Beneficence: Care that is in the best interest of the client
Fidelity: Keeping one's promise to the client about care that was offered
Fair treatment in matters related to physical and psychosocial care and use of
Justice:
resources
Nonmaleficence: The nurse's obligation to avoid causing harm to the client
Veracity: The nurse's duty to tell the truth
Medication errors, Procedure/treatment errors, Equipment related injuries/errors,
Examples when an incident report should
Needlestick injuries, Client falls, Visitor/Volunteer injuries, Threat made to client or
be filed:
staff, Loss of property.
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Emergent:
Establishing Priorities---Facility Protocols: Urgent
Triage evaluation of peds Nonurgent:
Expectant:
Emergent: Highest priority, life threatening injuries but also have high survival rate once stable
Urgent: Second highest priority can wait 40-60 mins for treatment
Nonurgent: Minor injuries that are not life threatening and do not need immediate attention
Expectant: Lowest priority, expected to die, Comfort care, but not restorative care
Determining Priority Care for a group of
clients
Life before limb
Acute before Chronic
Prioritizing Care for multiple home care
Actual problems before potential
clients
problems Listen carefully to clients and
don't assume
Trends vs Transient findings Complications vs expected findings
Prioritizing Care for post op clients Airway, Breathing, Circulation, Disability, Examination/Exposure
Physiological, Safety and Security, Love and Belonging, Self-esteem, Self-
Maslow's Hierarchy
Actualization
Learn the clients' preferred method of communications and make accommodations.
Avoid covering your mouth
Sit and face the client
Speak slowly and clearly
Encourage the use of hearing devices
Try lowering vocal pitch before increasing volume
Do not shout
Use brief sentences with simple words
Minimize background noise
Ask for a sign language interpreter if necessary
Speaking to a client who has a hearing
Write down what clients do not understand
Impairment
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