2. ATI: 11.Priority Setting

Question 1

priority setting

Answer 1

ability to use nursing judgement when making decisions about the rank order in which nursing actions should be taken

Question 2

priority-based clinical judgements

Answer 2

• Which client should I see first?
• Which interventions should I provide now and which can be done later?
• What can or should be delegated to other personnel so I have time to perform tasks that their scope of practice does not allow them to do?
• Are there legal consequences if I postpone or do not complete a task?

Question 3

sources of data establish priorities

Answer 3

• shift report
• communications with staff and other members of the interdisciplinary team
• review of documents
• client assessment data
• concerns verbalized by client or client’s representative

Question 4

priority setting frameworks

Answer 4

• Maslow’s Hierarchy of Needs
• self-actulization
• self-esteem
• love and belonging
• safety and security
• physiological

Question 5

nursing process

Answer 5

• assessment/data collection
• analysis
• planning
• implementation
• evaluation

Question 6

ABC’s

Answer 6

1. airway
2. breathing
3. circulation

Question 7

safety and risk reduction

Answer 7

• risk assessment
• safety risk to client
• greatest risk to client
• significance of risk compared to other risks

Question 8

tools to help set priorities

Answer 8

• develop a schedule that outlines the care that the client will need
• determine what interventions must be done
• immediately
• according to a specified time
• before the end of the shift
• delegate tasks to assistive personnel when time is compromised
• use a priority setting framework to help make client care decisions

Question 9

time management skills

Answer 9

• estimate time needed for various activities
• group activities together
• mentally visualize procedure when obtaining needed equipment
• document client care as it is given
• enlist the aid of other staff when needed
• complete more difficult tasks early on
• say “no” when asked for help if time is already compromised
• avoid socializing with other students/staff when not on break

Question 10

advanced priority setting

Answer 10

• know the job description of various levels of nurses
• use the five rights of delegation
• assign tasks/clients to proper level of nurse
• thoroughly assess clients at the beginning of the shift
• use assertive communication skills
• use critical thinking when making clinical judgements
• reprioritize on an ongoing basis