ATI RN Comprehensive Practice B Remediation

 Advance Directives/Self-Determination/Life Planning

o Professional Responsibilities: Evaluating Client Understanding of Advance

Directives

 Inform the client that he/she can designate a health care surrogate to make

informed decisions for a them for when they become incompetent or

unable to.

 Educate the client that the surrogate should be someone who is familiar

with the client’s wishes.

 Educate the client that a durable power of attorney is an adjunct to a living

will and it is a more effective way of ensuring that the client’s decisions

about health care are honored.

 Advocacy

o Professional Responsibilities: Teaching About Advocacy

 The nurse plays the role of the informer, supporter, and mediator, for the

client.

 It is the nurse’s responsibility to advocate for resources or services that

meet the client’s health care needs.

 Nurses acts as advocates for communities and populations through efforts

to change the health care systems and improve quality of life.

 Assignment, Delegation and Supervision

o Managing Client Care: Planning Tasks to Delegate to an Assistive Personnel

 The assistive personnel can be delegated tasks that are related to ADLs

such as bathing, grooming, feeding the patient, and etc.

 The assistive personnel can be delegated to obtain vital signs for a patient

that is in stable condition.

 The assistive personnel can be delegated to obtain the patient’s intake and

output.

o Managing Client Care: Priority Step in the Time Management Process

 A list of tasks that needs to be completed should be made for effective

time management.

 Complete one client care task before beginning the next, starting with the

highest priority task.

 Reprioritize remaining tasks based on continual reassessment of client

care needs.

 Case Management

o Cystic Fibrosis: Evaluating the Need for a Chest Compression Vest

 A chest compression vest is needed to provide adequate amount of mucus

production.

 A chest compression vest is combined with the use of nebulization

therapy.

 A chest compression vest helps loosen and thin the mucus in the lungs.

 Concepts of Management

o Coordinating Client Care: Priority Action to Implement Staffing Changes

 Before a nurse manager can implement staffing changes, the nurse

manager needs to assess the situation to see what is causing the unit to be

understaffed.

 The nurse manager needs to start putting a plan together on what changes

will be made, when it will start, and how it is going to get done.

 The nurse manager should also ask the staff for their feedback on the ideas

of the staffing changes to better improve the plan.

o Practice Settings and Nursing Roles in the Community: Evaluating

Understanding of Hospice Care

 Hospice care is implemented for a client who is not expected to live longer

than 6 months.

 The focus of hospice care is to enhance quality of life and supporting the

client toward a peaceful and dignified death.

 Hospice care can be delivered in a variety of settings