ATI Capstone Review
Study online at https://quizlet.com/_h1csl8
1. Two staff members have
called in sick on the med-
ical-surgical unit and no ad-
ditional help is available.
The remaining team mem-
bers consist of an RN, an
LPN and unlicensed assis-
tive personnel (UAP). Which
of the following should be
considered by the nurse
when making client assign-
ments? Select all that apply:
Select one or more:
Identify what tasks are ap-
propriate to delegate for
each specific client.
b.Assess the health status
and complexity of care re-
quired by the client.
c. Evaluate client needs to
determine if assigned nurse
can meet plan of care out-
comes
d. Continually provide su-
pervision, either directly or
indirectly, to the team.
e. Assess and verify the com-
petency of the health care
team.
2. Role of the Community What are the populations at risk within the community?
Health Nurse in Disaster Have there been previous disasters, natural or man-made?
, ATI Capstone Review
Study online at https://quizlet.com/_h1csl8
Management includes risk What size of an area or population is likely to be affected in a
assessments worst-case scenario?
What is the community disaster plan?
What kind of warning systems is in place?
What types of disaster response teams are in place?
What kinds of resource facilities are available in the event of a
disaster?
What types of evacuation measures will be needed?
What types of environmental dangers may be involved?
3. Leadership Styles Laissez-Faire- permissive, nondirective, passive; allows the group
members to determine their own goals & the methods to achieve
them.
Democratic- supportive, participative, transformational; all as-
pects of the process of achieving a goal, from planning & goal
setting to implementing & taking credit for the success of the
project, are shared by the group.
Authoritarian- controlling, directive, autocratic; leader maintains
strong control over all aspects of the group & its activities.
4. Nationally notifiable infec- Chlamydia, Gonorrhea, TB, chancroid, Lyme disease, botulism,
tious diseases diphtheria, Hep A,B,C, HIV, malaria, mumps, pertussis, syphilis,
tetanus
5. Biological weapons of mass Smallpox, Anthrax, Botulism
destruction
6. Conflict Management Compromising- when all parties involved are willing to give up
Strategies something in the resolution of the conflict. Win/lose-win/lose
Cooperating- one party sacrifices something, allowing the other
party to get what it wants . Lose-win
Avoiding- not to acknowledge or try to resolve the conflict. Usually
a lose-lose
, ATI Capstone Review
Study online at https://quizlet.com/_h1csl8
Competing/coercing- when one person makes a quick or unpop-
ular decision at the expense of another. Win-lose
Smoothing- one party attempts to "smooth" another party by
trying to satisfy them. Leaves conflict unresolved. Usually a
lose-lose
Collaborating- both parties work together to achieve a new com-
mon goal. Win-win
7. Interventions for a patient Plan to admin antiviral meds. Provide a diet high in carbs. En-
with Hep B courage to alternate between activity and rest.
8. The providers that have the anesthesiologist, physician assistant, nurse practitioner
legal ability to give tele-
phone medication orders
9. staff performance appraisal A formal system for conducting performance appraisals should
be in place and used consistently. Performance appraisal tools
should reflect the staff member's job description & can be based
on various types of scales or surveys. Data should be collect-
ed over time. Actual observed behavior should be document-
ed/used as evidence of satisfactory or unsatisfactory perfor-
mance. Peers can be a valuable source of data. The performance
appraisal review should be done in a private setting. The employ-
ee should be given the opportunity to provide input into the eval-
uation. Personal goals of the staff member should be discussed
and documented, and avenues for attainment discussed. Staff
members who do not agree with the unit manager's evaluation of
their performance should have the opportunity to make written
comments on the evaluation form and appeal the rating
10. Provider Rx for DNR Unless a DNR prescription is written, the nurse should initiate CPR
when a pt has no pulse or respirations. The written Rx must be
placed in the pt's medical record
, ATI Capstone Review
Study online at https://quizlet.com/_h1csl8
11. Organ donation -Regulated by state and fed laws
-requests for organ donation must be made by specifically
trained personnel
-Nurses are responsible for answering questions re the donation
process & providing emotional support to family
-maintain ventilatory and cardiovascular support for vital organ
retrieval
12. The nurse's responsibility The nurse must ask and document the client's advance directive
regarding advance direc- status upon admission. Ensure the advance directives are current
tives and reflect the client's current decisions. Inform all members
of the health care team of the client's advanced directive and
provide written information regarding advance Directives to all
clients.
13. resuscitation phase of burn -this is the first phase
injury -onset of injury to 24 to 48 hours
-injury is evaluated
-ABC's are maintained
-watch fluids, edema, and blood flow
The nurse should expect the client to have decrease in sodium
levels because sodium is drawn to the edematous burn area
and lost through plasma leakage; decrease in albumin due to
a loss of protein from increased permeability of the vascular
membranes at the burn site; an increase in hematocrit due to loss
of fluid volume; hyperkalemia due to the release of potassium
from destruction of tissue and red blood cells at the burn site.
14. Alterations in speech -tangentiality: speaker does not continue to speak about the main
topic but instead talks about subjects that do not relate to the
main topic
-flight of ideas: talks continuously with sudden, frequent topic
Study online at https://quizlet.com/_h1csl8
1. Two staff members have
called in sick on the med-
ical-surgical unit and no ad-
ditional help is available.
The remaining team mem-
bers consist of an RN, an
LPN and unlicensed assis-
tive personnel (UAP). Which
of the following should be
considered by the nurse
when making client assign-
ments? Select all that apply:
Select one or more:
Identify what tasks are ap-
propriate to delegate for
each specific client.
b.Assess the health status
and complexity of care re-
quired by the client.
c. Evaluate client needs to
determine if assigned nurse
can meet plan of care out-
comes
d. Continually provide su-
pervision, either directly or
indirectly, to the team.
e. Assess and verify the com-
petency of the health care
team.
2. Role of the Community What are the populations at risk within the community?
Health Nurse in Disaster Have there been previous disasters, natural or man-made?
, ATI Capstone Review
Study online at https://quizlet.com/_h1csl8
Management includes risk What size of an area or population is likely to be affected in a
assessments worst-case scenario?
What is the community disaster plan?
What kind of warning systems is in place?
What types of disaster response teams are in place?
What kinds of resource facilities are available in the event of a
disaster?
What types of evacuation measures will be needed?
What types of environmental dangers may be involved?
3. Leadership Styles Laissez-Faire- permissive, nondirective, passive; allows the group
members to determine their own goals & the methods to achieve
them.
Democratic- supportive, participative, transformational; all as-
pects of the process of achieving a goal, from planning & goal
setting to implementing & taking credit for the success of the
project, are shared by the group.
Authoritarian- controlling, directive, autocratic; leader maintains
strong control over all aspects of the group & its activities.
4. Nationally notifiable infec- Chlamydia, Gonorrhea, TB, chancroid, Lyme disease, botulism,
tious diseases diphtheria, Hep A,B,C, HIV, malaria, mumps, pertussis, syphilis,
tetanus
5. Biological weapons of mass Smallpox, Anthrax, Botulism
destruction
6. Conflict Management Compromising- when all parties involved are willing to give up
Strategies something in the resolution of the conflict. Win/lose-win/lose
Cooperating- one party sacrifices something, allowing the other
party to get what it wants . Lose-win
Avoiding- not to acknowledge or try to resolve the conflict. Usually
a lose-lose
, ATI Capstone Review
Study online at https://quizlet.com/_h1csl8
Competing/coercing- when one person makes a quick or unpop-
ular decision at the expense of another. Win-lose
Smoothing- one party attempts to "smooth" another party by
trying to satisfy them. Leaves conflict unresolved. Usually a
lose-lose
Collaborating- both parties work together to achieve a new com-
mon goal. Win-win
7. Interventions for a patient Plan to admin antiviral meds. Provide a diet high in carbs. En-
with Hep B courage to alternate between activity and rest.
8. The providers that have the anesthesiologist, physician assistant, nurse practitioner
legal ability to give tele-
phone medication orders
9. staff performance appraisal A formal system for conducting performance appraisals should
be in place and used consistently. Performance appraisal tools
should reflect the staff member's job description & can be based
on various types of scales or surveys. Data should be collect-
ed over time. Actual observed behavior should be document-
ed/used as evidence of satisfactory or unsatisfactory perfor-
mance. Peers can be a valuable source of data. The performance
appraisal review should be done in a private setting. The employ-
ee should be given the opportunity to provide input into the eval-
uation. Personal goals of the staff member should be discussed
and documented, and avenues for attainment discussed. Staff
members who do not agree with the unit manager's evaluation of
their performance should have the opportunity to make written
comments on the evaluation form and appeal the rating
10. Provider Rx for DNR Unless a DNR prescription is written, the nurse should initiate CPR
when a pt has no pulse or respirations. The written Rx must be
placed in the pt's medical record
, ATI Capstone Review
Study online at https://quizlet.com/_h1csl8
11. Organ donation -Regulated by state and fed laws
-requests for organ donation must be made by specifically
trained personnel
-Nurses are responsible for answering questions re the donation
process & providing emotional support to family
-maintain ventilatory and cardiovascular support for vital organ
retrieval
12. The nurse's responsibility The nurse must ask and document the client's advance directive
regarding advance direc- status upon admission. Ensure the advance directives are current
tives and reflect the client's current decisions. Inform all members
of the health care team of the client's advanced directive and
provide written information regarding advance Directives to all
clients.
13. resuscitation phase of burn -this is the first phase
injury -onset of injury to 24 to 48 hours
-injury is evaluated
-ABC's are maintained
-watch fluids, edema, and blood flow
The nurse should expect the client to have decrease in sodium
levels because sodium is drawn to the edematous burn area
and lost through plasma leakage; decrease in albumin due to
a loss of protein from increased permeability of the vascular
membranes at the burn site; an increase in hematocrit due to loss
of fluid volume; hyperkalemia due to the release of potassium
from destruction of tissue and red blood cells at the burn site.
14. Alterations in speech -tangentiality: speaker does not continue to speak about the main
topic but instead talks about subjects that do not relate to the
main topic
-flight of ideas: talks continuously with sudden, frequent topic
