RN Community Health

Posted: August 25th, 2021

NCLEX-RN® Client Needs Category Content Area (Sub-Scale) Individual Score
Physiological Integrity Basic Care and Comfort  
Pharmacological and Parenteral Therapies  
Reduction of Risk Potential  
Physiological Adaptation  
Safe and Effective Care Environment Management of Care  
Safety and Infection Control  
Health Promotion and Maintenance Health Promotion and Maintenance  
Psychosocial Integrity Psychosocial Integrity  

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ATI Assessment RN Community Health       

ATI Level Level 3

For individual sub-scale scores below 70%, create three Critical Point Statements and identify the reference and page number that correlates with the statement (Title of Book/ page #). Critical Point Statements and reference must be handwritten.

Content Area Three Critical Points Reference/ Page #
Basic Care and Comfort 1. Immobility/mobility and body use: Usually, patients are bedridden rather than using ambulatory systems. Close attention should be given the movement of a patient, given that one has been in a long period of immobility. First, the patient should be assessed by focusing their motor skills, such as strength, that usually begins with tests along the bed that progresses to the ambulation. Notably, patients are at risk of venous insufficiency when they are bedridden since there is a likelihood of the blood flowing in the extremities becoming static. Subsequently, there is a need to provide support through teaching and providing care for the patient to stabilize. The use of assistive devices could enhance the process. 2. Non-pharmacological comfort interventions: The interventions could be applied through various measures that include massage, imagery, and reposition, among other interventions. It aids in combating patients’ pain by assessing their pain levels and providing pain therapy. Consideration should be given to the fact that pain is subjective, depending on the patient’s condition. Sometimes, the main objective may not be to alleviate aches, but ensuring that the patient is comfortable. In this case, consideration should be given on supportive measures such as massage or temperature-controlled treatment especially for patients suffering from inflammation. 3. Nutrition and the oral hydration: Hydration and nutrition should be accompanied by the patients in this state since most of the bedridden patients are generally not functioning. In this case, nutrition needs for every patient should be given consideration, mainly through patient monitoring and teaching them accordingly. Further, attention should be given to the patients eating and drinking habits to ensure that they can get the required nutritional level. Basic Care and Confort Study Guide:  https://uniontestprep.com/nclex-pn-exam/study-guide/basic-care-and-comfort/pages/1  
Physiological Adaptation 1. Skin Changes: the skin of a pregnant woman undergoes various changes that include mechanical stretching of her skin over the breasts and abdomen 2. Gastrointestinal system changes: It is exhibited through nausea and occasional vomiting,especially during early pregnancy. The woman also experiences heartburn during late pregnancy. 3. Cardiovascular changes: These changes occur to ensure that the cardiovascular system adapts enough to ensure that there is enough blood flow to support the development of the placenta. Alexander, D., K., (2006). Physiological Adaptations to Pregnancy, pg. 1-5
Management of Care 1. Comprehensive system: The care management system should be able to collaborate and integrate information across all sources, capable of stratifying patient risk, manage patients via proper coordination, and organizing their intake effectively. 2. All-Inclusive: The care system should not be restricted at one point or on a particular channel of information but cut across varying sets of data sources. 3. Consist Analytics on its basis: The care management system should encompass analytics as its main components to ensure that it analyses information about patients besides figuring out the patterns and trends in the care service. Straheli, R. (2017). The Three Must-Have Qualities of a Care Management System. Retrieved on November, 15th 2019 from https://www.healthcatalyst.com/three-must-haves-of-an-effective-care-management-system  
Reduction of Risk Potential 1. Patients Vital Signs: the vital signs exhibited by a patient are a critical assessment tool that can be adopted when monitoring drastic changes in their physiologic functioning. 2. Diagnostic Tests: it is a significant risk reduction measure since it allows identifying some underlying issues that can be addressed to salvage or improve a patient’s condition. 3. Laboratory values: Values obtained from a laboratory are fundamental; hence,they should be accurately read. Besides, compare the costs against normal ranges besides ensuring that the information is keenly collected based on appropriate techniques. Union Test Prop:  How to Prepare for Reduction of Risk Potential. Retrieved on November, 15th 2019 fromhttps://uniontestprep.com/nclex-rn-exam/study-guide/reduction-of-risk-potential/pages/1  
Psychosocial Integrity 1. Abuse and Neglect: the covers the responsibility of a nurse to assess conditions of abuse and neglecting of a patient, especially under conditions that require attendance.  2. Behavioral Interventions: It covers the responsibility of a nurse to implement behavioral intervention measures. The nurse is expected to assess the appearance of a client, their psychomotor behavior and moods, as well as compare with the normal or reality. 3. Coping mechanisms: Covers the coping approaches that a nurse should use when promoting a patient’s wellness. This includes the need to assess the patient’s support system, adaptation ability, and available resources. Nursing Explorer. Psychological Integrity. Retrieved on November, 15th 2019 from https://www.nursingexplorer.com/nclex/psychosocial-integrity  

To receive full credit, 100%, submit the following in the ATI dropbox:

☐RemediationTemplate     ☐ Copy of Content Mastery Series Exam Results☐ Copy of Focused Review

☐ Copy of ATI Transcript with completion of two Practice Quizzes and one Final Quiz in the Learning System.    Click or tap to enter a date.

☐ Copy of ATI Transcript with completion of the four Nurse Logic modules.   Click or tap to enter a date.

*Remediation must be completed 1 week after your ATI assessment. **It is recommended to meet with your instructor to review your success plan.

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