ATI Critical Thinking Guide VATI CAPST NR

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ATI Critical Thinking Guide VATI CAPST NR MASLOWS’S HIERARCHY OF NEEDS There are five levels of Maslow’s Hierarchy of Needs – physiological, safety and security, love and belonging, self-es... teem, and self-actualization. In theory, the highest priority needs are those necessary for survival and make up the foundation of the triangle. While this is usually the case, higher levels of the pyramid may compete with those at the foundation depending on the specific client situation. ASSESSMENT IS ALWAYS FIRST The nursing process is a problem solving process you can use to diagnose and treat the response of clients to actual and potential alterations in health. The nursing process consists of four or five consecutive steps that include assessment/data collection, analysis (when used by RNs), planning, implementation, and evaluation. The first steps of the nursing process take priority over the latter steps – for example: assessment/data collection takes priority over other steps of the nursing process because you must obtain all necessary data and information before being able to make a decision regarding what nursing action is appropriate to take. AIRWAY IS ALWAYS FIRST Assessment of a client's airway, breathing, and circulation, in that order, is the priority in regard to how the initial assessment of a client should be done. This practice is often referred to assessing a client's “ABCs”. Since airway, breathing, and circulation are critical for survival, an alteration in one of these areas could indicate a threat to life or a need for resuscitation. GREATEST RISK TO THE PATIENT IS ALWAYS FIRST The safety and risk reduction priority-setting framework assigns priority to the factor or situation that poses the greatest safety risk to the client. It also assigns priority to the factor or situation that poses the greatest risk to the client's physical and or psychological well-being. When a client is facing several risks, the one that poses the greatest threat to the client as compared to the other risks is the one that is deemed the highest priority. LEAST RESTRICTIVE IS ALWAYS FIRST The least restrictive, least invasive priority-setting framework assigns priority to nursing interventions that are least restrictive and least invasive to the client. The least restrictive priority-setting framework is used when caring for a client who is exhibiting behaviors that could result in harm to either the client or the client's caregivers, or an intervention that will compromise the natural barriers between the client and the environment that is being considered. When selecting an intervention using this framework, however, you must also ensure that the nursing intervention selected will not put the client at risk for harm or injury. EMERGENT IS FIRST. ALTHOUGH IN A URGENT VS. NONURGENT APPROACH WHICH WILL KILL THE PATIENT FIRST. [Show More]

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