leadership practice ATI remediation questions and answers graded A+

leadership practice ATI remediation questions and answers graded A+ Managing Client Care: Planning Shift Assignments (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 1) 1. client factors include: condition of client and level of care needed, isolation precautions, procedures requiring significant time commitment (dressing changes) 2. health care factors include: knowledge/experience of team members, familiarity of staff member to unit, staffing mix 3. If nurse feels that they received unsafe assignment, tell charge nurse and negotiate new assignment. go up chain of command if nothing happens. Coordinating Client Care: Advantages of Using a Critical Pathway (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 2) 1. critical pathways are care plans or "maps" that tell the steps of patient care protocols and the expected progression of patient 2. supports the implementation of certain protocols on the unit 3. helps reduce the cost and length of stay in hospital Ergonomic Principles: Change in Status of Client Who Is Postoperative (Active Learning Template - System Disorder, RM FUND 9.0 Ch 14) positioning clients: -semi-fowlers:prevents aspiration, promotes lung expansion -Fowlers: good for dependent drainage after abdominal surgery -prone: promotes drainage from mouth after surgery -Trendelenburg: facilitates postural drainage and venous return Nasogastric Intubation and Enteral Feedings: Evaluating Plan of Care (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch 54) -check placement of tube prior to feeding (check pH of gastric contents) -intermittent feeding: fill syringe or bag high enough for formula to empty gradually with gravity -continuous drip feeding: program pump; check gastric residual every 4-8 hour Coordinating Client Care: Interdisciplinary Care Following Total Hip Arthroplasty (Active Learning Template - Therapeutic Procedure, RM Leadership 7.0 Chp. 2) -put foam wedge in between legs to prevent dislocation -avoid hip adduction -keep leg slightly abducted Coordinating Client Care: Implementing Change (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 2) -oftentimes there is hierarchical influence on decision making; that is, the people at the top hold more power behavioral change strategies: -rational empirical: manager provides factual info to support the change. used when resistance to change is minimal -normative-reeducative: the manager focuses on interpersonal relationships to promote change -power-coerciveL the manager uses rewards to promote change. used when individuals are highly resistant to change. Managing Client Care: Ordering the Steps of the Conflict Process (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 1) 1. latent conflict 2. perceived conflict 3. felt conflict 4. manifest conflict 5. conflict aftermath Managing Client Care: Resolving Staff Conflicts (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 1) -open communication between staff is crucial with resolving conflicts -use "I" statements so you don't accuse anyone -move conflict to private location or postpone discussion until later time -identify problem, discuss possible solutions, evaluate solutions Managing Client Care: Responding to the Concerns of an Assistive Personnel (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 1) -use assertive communication -explain the delegation process to AP so they know why they were assigned what -be empathetic to understand their point of view Facility Protocols: Determining Clients to Discharge in Event of Community Disaster (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 5) -First, discharge ambulatory patients requiring minimal care -next, make arrangements for continuation of care for clients who still require assistance, such as at a tertiary care facility -DON'T discharge patients who are unstable or require continuing nursing care and assessment unless that are in imminent danger Maintaining a Safe Environment: Care of a Client Receiving Radiation Implant Therapy (Active Learning Template - Therapeutic Procedure, RM Leadership 7.0 Chp. 4) -limit visits to 30 minutes at a time -visitors should maintain distance of 6 feet away from patient -nurse should not turn back to patient because apron is not on back Maintaining a Safe Environment: Precautions for a Client Who Has Suspected Tuberculosis (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 4) -tuberculosis is airborne! -other airborne: measles, varicella -examples of other precautions: droplet: pneumonia, pertussis contact: MRSA, VRE, RSV Facility Protocols: Priority Action for Medication Error (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 5) -go over 5 P's to prevent medication error in first place -ensure patients safety -file an incident report (within 24 hours) Facility Protocols: Teaching About Incident Reports (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 5) -considered confidential, so not put in patient's medical record -file as soon as possible (within 24 hours) -include an objective description of incident, actions to safeguard patient, as well as assessment and treatment of any injuries sustained -given to risk management department Maintaining a Safe Environment: Preventing Injury from Heat Therapy (Active Learning Template - Nursing Skill, RM Leadership 7.0 Chp. 4 -clients who are immobile may not be able to remove the heat source if it gets too hot, leading to burn injury -use minor temp changes and short-term applications for best results -avoid the use of heat over metal devices (i.e. pacemakers) -do not use heat if pt has bleeding, or within 24 hours of a traumatic injury -kinds of heat therapy: towel, hot pack, aquathermia pad, blankets Facility Protocols: Mass Casualty Triage (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 5) -those are are not expected to survive are treated last -differ normal principles of triage -casualties are separated related to their potential for survival, and treatment is allocated accordingly. -"do the greatest good for the greatest number of people" Maintaining a Safe Environment: Use of Restraints for a Client Who Has Dementia (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 4) -assess skin integrity frequently -offer ROM for restrained extremities -2 fingers should be able to fit between pt. and restraints -try less invasive alternatives first