FUNDAMENTALS ATI PRACTICE EXAM 1
REMEDIATION
Management of Care
Assignment, Delegation and Supervision
Delegation and Supervision: Tasks for Assistive Personnel
(RM FUND 9.0 Ch 6) - answer-Delegate factors
--education, training, and experience
--knowledge and skills to perform that task
--level of critical thinking the task
--demonstration of competence
--the facility's policies and procedures
--licensing legislation
-EXAMPLES OF TASKT ATH MAY BE DELEGATED TO APS
--ADLs (bathing, grooming, dressing toileting, ambulating, feeding (without swallowing
precautions), positioning)
--Routine tasks (bed making, specimens collection, intake and output, vital signs (for
stable clients)
Management of Care
Client Rights -
Ethical Responsibilities: Resolution Process for Ethical Dilemmas (RM FUND 9.0 Ch 3)
- answer-ethical dilemmas are problems that involve more than one choice and stem
from differences in the values and beliefs of the decision makers. these are common in
health care, and nurses must apply ethical theory and decision making to ethical
problems.
When making ethical decisions
-identify whether the issue is indeed an ethical dilemma
-gather as much relevant information as possible about the dilemma
-reflect on your own values as they relate to dilemma
-state the ethical dilemma, including all surrounding issues and the individuals it
involves
-list and analyze all possible options for resolving the dilemma, and review the
implications of each option
-select the option that is in concert with the ethical principle that applies to this situation,
the decision maker's values and beliefs, and the profession's values for client care.
justify selecting the one option in light of the relevant variables
, -apply the decision to the dilemma and evaluate outcomes
Ethical principles
-autonomy
-beneficence
-fidelity
-justice
-nonmaleficence
-veracity
-other (advance, responsibility, accountability, confidentiality)
Management of Care
Concepts of Management:
Legal Responsibilities: Continuity of Care (RM FUND 9.0 Ch 4) - answer-use formal
chain of command to verbalize concerns (related to current legal scope of practice, job
description, and area of competence)
-refuse to practice beyond the legal scope of practice
-nurses need to make sure the patients know and understand their rights and the nurse
should also try to protect these rights
-provide safe, proficient care consistent with standards of care
Management of Care
Continuity of Care -
Admissions, Transfers, and Discharge: Initiating Discharge Planning (RM FUND 9.0 Ch
9) - answer***should start planning as soon as the patient is admitted**
-assess whether the client will be able to return to his previous residence
-determine whether the client needs or has someone to assist him at home
-asses the residence to see if the client needs adaptations or specific equipment
-make a referral to social worker to arrange for community services
-communicate health status and needs to community service provides
-the provider documents that the client may be discharged----however, a client who is
legally competent has the right leave the facility at any time. The nurse notifies the
client's provider, has the client sign the proper forms if possible and provides discharge
teaching
-involve the client and family as much as possible in the discharge planning
Management of Care
Ethical Practice -
Ethical Responsibilities: The Principle of Veracity (RM FUND 9.0 Ch 3) - answer-
VERACITY** = a commitment to tell the truth
-considered an ethical principle for client care
-ethical principles for individuals, groups of individuals, and societies are standards of
what is right and wrong with regard to important social values and norms.
REMEDIATION
Management of Care
Assignment, Delegation and Supervision
Delegation and Supervision: Tasks for Assistive Personnel
(RM FUND 9.0 Ch 6) - answer-Delegate factors
--education, training, and experience
--knowledge and skills to perform that task
--level of critical thinking the task
--demonstration of competence
--the facility's policies and procedures
--licensing legislation
-EXAMPLES OF TASKT ATH MAY BE DELEGATED TO APS
--ADLs (bathing, grooming, dressing toileting, ambulating, feeding (without swallowing
precautions), positioning)
--Routine tasks (bed making, specimens collection, intake and output, vital signs (for
stable clients)
Management of Care
Client Rights -
Ethical Responsibilities: Resolution Process for Ethical Dilemmas (RM FUND 9.0 Ch 3)
- answer-ethical dilemmas are problems that involve more than one choice and stem
from differences in the values and beliefs of the decision makers. these are common in
health care, and nurses must apply ethical theory and decision making to ethical
problems.
When making ethical decisions
-identify whether the issue is indeed an ethical dilemma
-gather as much relevant information as possible about the dilemma
-reflect on your own values as they relate to dilemma
-state the ethical dilemma, including all surrounding issues and the individuals it
involves
-list and analyze all possible options for resolving the dilemma, and review the
implications of each option
-select the option that is in concert with the ethical principle that applies to this situation,
the decision maker's values and beliefs, and the profession's values for client care.
justify selecting the one option in light of the relevant variables
, -apply the decision to the dilemma and evaluate outcomes
Ethical principles
-autonomy
-beneficence
-fidelity
-justice
-nonmaleficence
-veracity
-other (advance, responsibility, accountability, confidentiality)
Management of Care
Concepts of Management:
Legal Responsibilities: Continuity of Care (RM FUND 9.0 Ch 4) - answer-use formal
chain of command to verbalize concerns (related to current legal scope of practice, job
description, and area of competence)
-refuse to practice beyond the legal scope of practice
-nurses need to make sure the patients know and understand their rights and the nurse
should also try to protect these rights
-provide safe, proficient care consistent with standards of care
Management of Care
Continuity of Care -
Admissions, Transfers, and Discharge: Initiating Discharge Planning (RM FUND 9.0 Ch
9) - answer***should start planning as soon as the patient is admitted**
-assess whether the client will be able to return to his previous residence
-determine whether the client needs or has someone to assist him at home
-asses the residence to see if the client needs adaptations or specific equipment
-make a referral to social worker to arrange for community services
-communicate health status and needs to community service provides
-the provider documents that the client may be discharged----however, a client who is
legally competent has the right leave the facility at any time. The nurse notifies the
client's provider, has the client sign the proper forms if possible and provides discharge
teaching
-involve the client and family as much as possible in the discharge planning
Management of Care
Ethical Practice -
Ethical Responsibilities: The Principle of Veracity (RM FUND 9.0 Ch 3) - answer-
VERACITY** = a commitment to tell the truth
-considered an ethical principle for client care
-ethical principles for individuals, groups of individuals, and societies are standards of
what is right and wrong with regard to important social values and norms.
