ATI Nursing Leadership & Management - Chapter 2: Coordinating Client Care

Comprehensive practice flashcards based on Chapter 2 of ATI Nursing Leadership & Management Edition 9.0, covering client care coordination, legal rights, advocacy, and interprofessional collaboration.

According to the $2001$ IOM Quality Chasm report, what is the definition of patient-centered care?

Providing care that is respectful of and responsive to individual patient preferences, needs, and values, ensuring that patient values guide all clinical decisions.

Which organization identified the $8$ Principles of Person-Centered Care?

The Picker Institute.

What are the first four principles of person-centered care as identified by the Picker Institute?

$1$: Access to reliable healthcare advice; $2$: Treatment delivered by trusted healthcare professionals; $3$: Continuity of care; $4$: Involvement of both family and caregivers.

What does the Patient Self-Determination Act (PSDA) stipulate regarding client rights upon admission?

All clients must be informed of their right to accept or refuse care.

What must a nurse do when a client decides to leave a facility Against Medical Advice (AMA)?

Notify the provider immediately, discuss potential risks with the client, and ask the client to sign an AMA form (documenting if the client refuses to sign).

In the context of the nursing role in advocacy, what is a nurse's responsibility regarding prescriptions?

Nurses are accountable for questioning a prescription if it could harm the client, such as incorrect dosage, drug interactions, or contraindications.

What is the specific responsibility of the provider (MD/NP/PA) in the informed consent process?

Obtaining informed consent by providing a complete description of the treatment, risks, discomfort, options, and consequences of no treatment.

What is the nurse's primary role in the legal process of informed consent?

The nurse witnesses the client signing the form and ensures the client is competent and understood the information.

What must a nurse do if a client states 'I don't understand' or 'I changed my mind' regarding a scheduled procedure?

The nurse must stop, not proceed, and notify the provider immediately.

According to the PSDA, what and when must healthcare facilities ask clients regarding end-of-life care?

All clients must be asked if they have advance directives at the time of admission.

What is the difference between a Living Will and a Durable Power of Attorney for Healthcare?

A Living Will expresses wishes regarding medical treatment (like CPR or ventilation) when incapacitated; a Durable Power of Attorney designates a healthcare surrogate to make decisions for the client.

When is a nurse authorized to initiate a DNR (Do Not Resuscitate) or AND (Allow Natural Death)?

Only when there is a valid written provider's prescription in the medical record.

Under HIPAA, who is allowed access to a client's medical records?

Only healthcare team members directly responsible for the client's care.

What is the informatics term for the system used to coordinate essential aspects of client care?

Clinical Information System (CIS).

What are the three stages of Lewin's Change Theory?

Stage $1$: Unfreezing (identifying the need for change); Stage $2$: Change/Movement (implementing the change); Stage $3$: Refreezing (integrating and stabilizing the change).

Define the 'rational-empirical' behavioral change strategy.

The manager provides factual information to support the change; it is used when resistance to change is minimal.

What are the four stages of team formation?

$1$: Forming, $2$: Storming, $3$: Norming, and $4$: Performing.

In case management, what is a 'negative variance' on a clinical pathway?

When a client progresses slower than expected, such as experiencing a complication or requiring an extended stay beyond the typical parameters.

When does discharge planning begin for a client?

At the time of admission.

What is the difference between a referral and a consultation?

A referral is a formal request for a service to access care (e.g., home health, PT); a consultation is a request for expert advice from a professional (e.g., cardiologist, wound care nurse).

Which communication hand-off tool is most comprehensive for transfers between units or facilities?

I PASS the BATON (Introduction, Patient, Assessment, Situation, Safety/Background, Actions, Timing, Ownership, Next).

What are the birth years for the Baby Boomer generation as defined in the notes?

Born $1942$ to early $1960s$.