ATI RN Comprehensive Predictor Study Guide
2022 Exam Prep
, ATI RN Comprehensive Predictor Study Guide
❖ Management of Care – (9)
➢ Advance Directives/Self-Determination/Life Planning – (1)
▪ Professional Responsibilities: Client Teaching About Do-Not-Resuscitate
Orders(Active Learning Template – Basic Concept, RM Leadership 7.0
Chp. 3)
• Unless a do not resuscitate (DNR) or allow natural death (AND)
prescription is written, the nurse should initiate CPR when a client has no
pulse or respirations. The written prescription for a DNR or AND must be
placed in the client’s medicalrecord. The provider consults the client and
the family prior to administering a DNR or AND.
➢ Client Rights – (1)
▪ Coordinating Client Care: Appropriate Action When a Client Leaves Against
MedicalAdvice (Active Learning Template – Basic Concept, RM Leadership
7.0 Chp. 2)
• A client who leaves a facility without a prescription for discharge from
the provider is considered leaving against medical advice (AMA). A
client who is legally competent has the legal right to leave the facility at
any time. The nurse should immediately notify the provider. If the client
is at risk for harm, it is imperative that the nurse explain the risk
involved in leaving the facility. The individual should sign a form
relinquishing responsibility for any complicationsthat arise from
discontinuing prescribed care. The nurse should document all
communication, as well as the specific advice that was provided for the
client. Anurse who tries to prevent the client from leaving the facility
can face legal charges of assault, battery, and false imprisonment.
➢ Collaboration with Interdisciplinary Team – (1)
▪ Coordinating Client Care: Information to Report to Occupational Therapist
(ActiveLearning Template – Basic Concept, RM Leadership 7.0 Chp. 2)
• Patient’s condition and current status; any medications the patient is on;
patient’stolerance level for pain; any assistive devices the patient uses
, ➢ Confidentiality/Information Security – (1)
▪ Professional Responsibilities: Protecting Confidential Client Information
(ActiveLearning Template – Basic Concept, RM Leadership 7.0 Chp. 3)
• It is essential for nurses to be aware of the rights of clients in regard to
privacy and confidentiality. Facility policies and procedures are
established in order to ensure compliance with HIPAA regulations. It is
essential that nurses know andadhere to the policies and procedures.
HIPAA regulations also provide for penalties in the event of
noncompliance with the regulations.
➢ Continuity of Care – (1)
▪ Information Technology: Preparing a Change-of-Shift Report (Active
LearningTemplate – Basic Concept, RM FUND 9.0 Ch 5)
• Nurses give this report at the conclusion of each shift to the
nurse assuming responsibility for the clients. Formats include face to
face, audiotaping, or presentation during walking rounds in each
client’s room (unless the client has aroommate or visitors are
present). An effective report should: include significant objective
information about the client’s health problems; proceed in a logical
sequence; include no gossip or personal opinion; relate recent
changes in medications, treatments, procedures, and the discharge
plan
➢ Legal Rights and Responsibilities – (1)
▪ Professional Responsibilities: Understanding Regulations for Nursing
Scope of Practice (Active Learning Template – Basic Concept, RM
Leadership 7.0 Chp. 3)
• Standards of care guide, define, and direct the level of care that should be
given by practicing nurses. They also are used in malpractice lawsuits to
determine if that level was maintained. Nurses should refuse to practice
beyond the legal scopeof practice and/or outside of their areas of
competence regardless of reason (staffing shortage, lack of appropriate
personnel). Nurses should use the formal chain of command to verbalize
2022 Exam Prep
, ATI RN Comprehensive Predictor Study Guide
❖ Management of Care – (9)
➢ Advance Directives/Self-Determination/Life Planning – (1)
▪ Professional Responsibilities: Client Teaching About Do-Not-Resuscitate
Orders(Active Learning Template – Basic Concept, RM Leadership 7.0
Chp. 3)
• Unless a do not resuscitate (DNR) or allow natural death (AND)
prescription is written, the nurse should initiate CPR when a client has no
pulse or respirations. The written prescription for a DNR or AND must be
placed in the client’s medicalrecord. The provider consults the client and
the family prior to administering a DNR or AND.
➢ Client Rights – (1)
▪ Coordinating Client Care: Appropriate Action When a Client Leaves Against
MedicalAdvice (Active Learning Template – Basic Concept, RM Leadership
7.0 Chp. 2)
• A client who leaves a facility without a prescription for discharge from
the provider is considered leaving against medical advice (AMA). A
client who is legally competent has the legal right to leave the facility at
any time. The nurse should immediately notify the provider. If the client
is at risk for harm, it is imperative that the nurse explain the risk
involved in leaving the facility. The individual should sign a form
relinquishing responsibility for any complicationsthat arise from
discontinuing prescribed care. The nurse should document all
communication, as well as the specific advice that was provided for the
client. Anurse who tries to prevent the client from leaving the facility
can face legal charges of assault, battery, and false imprisonment.
➢ Collaboration with Interdisciplinary Team – (1)
▪ Coordinating Client Care: Information to Report to Occupational Therapist
(ActiveLearning Template – Basic Concept, RM Leadership 7.0 Chp. 2)
• Patient’s condition and current status; any medications the patient is on;
patient’stolerance level for pain; any assistive devices the patient uses
, ➢ Confidentiality/Information Security – (1)
▪ Professional Responsibilities: Protecting Confidential Client Information
(ActiveLearning Template – Basic Concept, RM Leadership 7.0 Chp. 3)
• It is essential for nurses to be aware of the rights of clients in regard to
privacy and confidentiality. Facility policies and procedures are
established in order to ensure compliance with HIPAA regulations. It is
essential that nurses know andadhere to the policies and procedures.
HIPAA regulations also provide for penalties in the event of
noncompliance with the regulations.
➢ Continuity of Care – (1)
▪ Information Technology: Preparing a Change-of-Shift Report (Active
LearningTemplate – Basic Concept, RM FUND 9.0 Ch 5)
• Nurses give this report at the conclusion of each shift to the
nurse assuming responsibility for the clients. Formats include face to
face, audiotaping, or presentation during walking rounds in each
client’s room (unless the client has aroommate or visitors are
present). An effective report should: include significant objective
information about the client’s health problems; proceed in a logical
sequence; include no gossip or personal opinion; relate recent
changes in medications, treatments, procedures, and the discharge
plan
➢ Legal Rights and Responsibilities – (1)
▪ Professional Responsibilities: Understanding Regulations for Nursing
Scope of Practice (Active Learning Template – Basic Concept, RM
Leadership 7.0 Chp. 3)
• Standards of care guide, define, and direct the level of care that should be
given by practicing nurses. They also are used in malpractice lawsuits to
determine if that level was maintained. Nurses should refuse to practice
beyond the legal scopeof practice and/or outside of their areas of
competence regardless of reason (staffing shortage, lack of appropriate
personnel). Nurses should use the formal chain of command to verbalize
