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Leadership Non-Proctored ATI Remediation
Terms in this set (17)
Managing Client Care: Appropriate Client Assignment for a Float Nurse
1. The float nurse should be assigned to patients she has experience with similar clients types to those patients.
2. The assignment should take into account the level of familiarity the nurse has of the unit she is on.
3. If the nurse feels that her assignment is unsafe she should speak to the charge nurse about her concerns.
Chp 1 pg 8
Managing Client Care: Delegating a Wound Irrigation
1. Wound irrigation is not within the scope of practice for assistive personnel.
2. Wound irrigation is within the scope of practice for licensed practical nurses.
3. Wound irrigation is within the scope of practice for an RN, but changing the prescription related to the frequency is not.
Chp 1 pg 9
Managing Client Care: Rights of Delegation
1. One of the rights of delegation is right task, which tasks are appropriate to delegate which are repetitive, requires little supervision, and is relatively noninvasive.
2. Right circumstance is another right of delegation, the health status and complexity of care of the patient needs to be assessed.
3. The right person, right direction and communication and right supervision and evaluation are the last three remaining of the five rights of delegation.
Chp 1 pg 9
Managing Client Care: Task Assignment for Assistive Personnel
1. Assistive personnel can be assigned ADLs, bathing, grooming, and dressing.
2. Other tasks that can be assigned to an AP include toliliteng, ambulating, feeding (if no swallowing issues), and positioning.
3. Routine tasks, bed making, specimen collection, intake and output and vitals signs for a stable client are tasks that can be assigned to an AP.
Chp 1 pg 9
Coordinating Client Care: Case Manager's Role in Client Discharge
1. The case manager role is to make sure all necessary referrals have been for the transition home.
2. Tasks such as wound assessment and dressing changes before discharge are the responsibility of the discharging nurse.
3. Education regarding home care should be done by the discharging nurse, not the case manager as well.
Chp 2 pg 27
Professional Responsibilities: Reportable Infectious Diseases
1. Chlamydia trachomatis is a disease that a nurse needs to report to state health department.
2. Hepatitis A is another disease that needs to be reported, the main concern with that is food-borne outbreaks.
3. Tuberculosis is another disease that is to be reported, the main concern with this disease this that the patient is properly following their medication regimen.
Chp 3 pg 46
Professional Responsibilities: Nurse Manager's Role with an Employee Who Is Impaired
1. First, the nurse manager needs to remove the nurse from the work environment and arrange for safe transportation home.
2. The nurse manager is responsible for setting up a meeting with the nurse within the next 24 hours.
3. During the meeting, it is the nurse manager's responsibility to lay out the facilities expectations regarding chemically impaired workers.
Chp 3 pg 45
Coordinating Client Care: Indications for Insulin Administration
1. The nurse needs to obtain blood glucose before administrating prescribed insulin.
2. If the blood glucose is too high, more insulin might need to be administered.
3. If the blood glucose is too low, less insulin might need to be administered.
Managing Client Care: Steps of the Policy Revision Process
1. The first step in policy revision is determining best practice guidelines.
2. Another important step is developing a plan for the process of data collection.
3. Determining the effectiveness of the planned intervention is also a step in the process.
Managing Client Care: Priority Steps in the Performance Improvement Process
1. The first step in performance improvement is to determine goals and objectives.
2. The nurse identify areas of support for the policy is a step later in the process.
3. The nurse also needs to set target dates for completion, but that is a later step in the process.
Managing Client Care: Priority Planning Actions
1. The nurse manager's priority should be first to assign client care to staff.
2. Staff breaks need to be coordinated but this is a non-urgent manner.
3. Reviewing short and long term goals is a necessary action but it is not an urgent activity.
Professional Responsibilities: Nurse's Role in Obtaining Informed Consent
1. It is the nurse's responsibility to have the client sign the informed consent document.
2. It is the nurse's role to notify the provider if the client has any more questions regarding the treatment.
3. The nurse must make sure that the client understand the information given to them by the provider and that they are competent to give consent.
Chp 3 pg 37
Managing Client Care: Conflict Resolution
1. To promote open communication to resolve conflict the nurse should try to use "I" statements.
2. If the conflict is escalating it should either be moved to a private location or postponed till later when emotions have dyed down.
3. Smoothing is one example of negotiation where the person tries to satisfy the other party, which is usually a lose-lose solution.
Chp 1 pg 15
Maintaining a Safe Environment: Use of Restraints
1. The nurse should explain the purpose of the restraints and that their use is a temporary thing to reduce negative side effects such as lowered self-esteem.
2. The provider needs to evaluate the client within 1 hour of the application of the restraints.
3. Neurosensory checks need to be done every 2 hours to assess circulation, sensation and mobility to ensure the safety of the restraints.
Chp 4 pg 57
Maintaining a Safe Environment: Identifying Home Safety Hazards
1. Throw rugs and loose carpet are potential tripping hazards for older adults.
2. Electrical cords and extension cords that are not against the wall and behind furniture can be a hazard.
3. Lighting that is inadequate inside or outside the house is a hazard for older adults.
Chp 4 pg 58
Maintaining a Safe Environment: Blood Spill
1. If blood spills bleached should be used to clean it up because it disinfects.
2. Personnel can put the items contained with blood, such as linens, in one single bag.
3. Linens that had blood spilled on them should not be soaked in hot water because that will cause the blood to adhere to the linens.
Maintaining a Safe Environment: Wheelchair Safety
1. Lock the wheels on a wheelchair during transfers or stops.
2. The footplates of the wheelchair need to be moved before the patient is transferred to prevent injury.
3. The nurse should back the wheelchair into an elevator with the rear wheels first to promote safety.
Chp 4 pg 56
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