ATI Priority Setting Frameworks Qs for Intro Final

Maslow's Hierarchy of Needs

(level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization

When using the nursing process priority setting framework, the nurse should always remember to do which of the following first?

Assess the client

A nurse is caring for a client who is postoperative and whose airway is patent and respirations are 20 breaths per minute. Which of the following assessments should the nurse conduct in relation to the client's circulatory status? (Select all that apply)

Blood pressureUrinary outputAmount of intravenous fluids received (incorrect answer)Skin turgorPulse

Which of the following can be used to help to determine the priority risk of a client who has multiple risks? (Select all that apply.)

Maslow's Hierarchy of Needs (correct)Client's perception of priority risk Determining the complication that poses the highest risk (correct)Assessment of airway, breathing, and circulation needs (correct)Number of licensed and unlicensed nurses on RN's team

A nurse is caring for a client who is confused and disoriented. The client has been getting out of the wheelchair when in her room and going into the bathroom without assistance. Which of the following interventions would be the least restrictive but most effective to use with this client?

Wheelchair alarm

Interventions that are least invasive are desirable because of which of the following? (Select all that apply.)

The number of organisms introduced into the body is reduced. (correct)The risk of developing antibiotic resistant microbes is increased.The incidence of hospital acquired infections will be increased.The client's immune system may be compromised due to the stress of the illness.(correct)The use of equipment that penetrates the body's natural barriers increases the client's risk for infection (correct)

A nurse is performing triage at a mass casualty event and is selecting a tag for a client who is severely injured and has no potential for survival. Which of the following tags should the nurse apply to the client?

Class IV

Which of the following statements explain why the needs of a client with a chronic illness are usually of lower priority than clients with an acute need?

Chronically ill clients have had the opportunity to physically adjust to their illness.

Which of the following priority setting frameworks is being applied by a nurse who has decided to hang a client's intravenous antibiotic within 30 minutes of the time specified instead of giving another client their PRN pain medication?

Urgent vs. nonurgent

An unstable client may be defined as one who fits which of the following descriptions?

A client whose newly placed tracheostomy is producing a large amount of secretions.