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ATI Chapter 2: The Interprofessional Team
Terms in this set (44)
spiritual support staff
Provides spiritual care (pastors, rabbis, priests)
example of when to refer - spiritual support staff
A client requests communion, or the family asks for prayer prior to the client undergoing a procedure
Assesses, plans for, and educates regarding nutrition needs. designs special diets, and supervises meal preparation.
example of when to refer - registered dietician
A client has a low albumin level and recently had an unexplained weight loss.
Obtains specimens of body fluids, and performs diagnostic tests
example of when to refer - laboratory technician
A provider needs to see a client's blood count (CBC) results immediately.
Assesses and plans for clients to regain activities of daily living (ADL) skills, especially motor skills of the upper extremities.
example of when to refer - occupational therapist
A client has difficulties using an eating utensil with their dominant hand following a stroke.
Provides, monitors, and evaluates medication. Supervises pharmacy technicians in states that allow this practice
example of when to refer - pharmacist
A client is concerned about a new medication's interactions with any of their other medications.
Assesses and plans for clients to increase musculoskeletal function, especially of the lower extremities, to maintain mobility
example of when to refer - physical therapist
Following hip arthroplasty, a client requires assistance learning to ambulate and regain strength
Assesses, diagnoses, and treats disease and injury. Includes medical doctors (MDs), doctors of osteopathy (DOs), advanced practice nurses (APNs), and physician assistants (PAs). State regulations vary in their requirements for supervision of APNs and PAs by a physician (MDs and DOs).
example of when to refer - provider
A client has a temperature of 39ºC (102.2ºF), is achy and shaking, and reports feeling cold.
Positions clients and performs x-rays and other imaging procedures for providers to review for diagnosis of disorders of various body parts.
example of when to refer - radiologic technologist
A client reports severe pain in their hip after a fall, and the provider prescribes an x-ray of the client's hip.
Evaluates respiratory status and provides respiratory treatments including oxygen therapy, chest physiotherapy, inhalation therapy, and mechanical ventilation.
example of when to refer - respiratory therapist
A client who has respiratory disease is short of breath and requests a nebulizer treatment.
Works with clients and families by coordinating inpatient and community resources to meet psychosocial and environmental needs that are necessary for recovery and discharge.
example of when to refer - social worker
A client who has terminal cancer wishes to go home but is no longer able to perform ADLs. The client's partner needs medical equipment in the home to care for the client.
Evaluates and makes recommendations regarding the impact of disorders or injuries on speech, language, and swallowing. Teaches techniques and exercises to improve function.
example of when to refer - speech-language pathologist
A client is having difficulty swallowing a regular diet after trauma to the head and neck.
educational preparation for RNs
- must meet state board of nursing's requirements for licensure
- requires completion of a diploma program, an associate degree, or a baccalaureate degree in nursing prior to taking a licensure exam (licensed).
roles and responsibilites of an RN
- function legally under state nurse practice acts
- perform assessments; establish nursing diagnoses, goals, and interventions; and conduct ongoing client evaluations
- develop interprofessional plans for client care
- share appropriate information among team members; initiate referrals for client assistance, including health education; and identify community resources.
educational preparation for PNs
- must meet state board of nursing's requirements for licensure
- requires vocational or community college education prior to taking the licensure exam (licensed)
roles and responsibilites of a PN
- work under the supervision of the RN
- collaborate within the nursing process, assist with the plan of care, consult with other team members, and recognize the need for referrals to assist with actual or potential problems
- possess technical knowledge and skills
- participate in the delivery of nursing care, using the nursing process as a framework
assistive personnel (APs)
includes certified nursing assistants (CNAs), certified medical assistants (CMAs), and non-nursing personnel (dialysis technicians, monitor technicians, and phlebotomists)
educational preparation for APs
- must meet the state's formal or informal training requirements
- requirement by most states for training and examination to attain CNA status
roles and responsibilities of APs
- work under the direct supervision of an RN or PN
- position description in the employing facility outlines specific tasks
- tasks can include feeding clients, preparing nutritional supplements, lifting, basic care (grooming, bathing, transferring, toileting, positioning), measuring and recording vital signs, and ambulating clients
Advanced Practice Nurses (APNs)
have a great deal of autonomy; usually have a master's on nursing, edvanced education in pharmacology and physical assessment, and certification in a specialized area of practice; includes CNSs, NPs, CRNAs, and CNMs.
clinical nurse specialist (CNS)
typically specializes in a practice setting or a clinical field
nurse practitioner (NP)
collaborates with one or more providers to deliver nonemergency primary health care in a variety of settings
certified registered nurse anesthetist (CRNA)
administers anesthesia and provides care during procedures under the supervision of an anesthesiologist
certified nurse midwife (CNM)
collaborates with one or more providers to deliver care to maternal-newborn clients and their families
teaches in schools of nursing, staff development departments in health care facilities, or client education departments
provides leadership to nursing departments within a health care facility
conducts research primarily to improve the quality of client care
A nurse is caring for a group of clients on a medical-surgical unit. For which of the following client care needs should the nurse initiate a referral for a social worker? (Select all that apply.)
A. A client who has terminal cancer requests hospice care in the home
B. A client asks about community resources for older adults
C. A client states, "I would like to have my child baptized before surgery."
D. A client requests an electric wheelchair for use after discharge
A, B, D
A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral w/which of the following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist
A client who is postoperative following a knee arthroplasty is concerned about the adverse effects of the medication prescribed for pain management. Which of the following members of the interprofessional care team can assist the client in understanding the medication's effects? (Select all that apply.)
E. Respiratory therapist
A, C, D
A client who had a cerebrovascular accident has persistent problems with dysphagia. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional care team?
A. Social worker
C. Occupational therapist
D. Speech-language pathologist
A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the health care team they will encounter on a medical-surgical unit. When providing examples of the types of tasks CNAs can perform, which of the following activities should the nurse include? (Select all that apply.)
D. Determining pain level
E. Measuring vital signs
A, B, C, E
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