ATI Comprehensive Medical Surgical Proctored Exam Blueprint

 ATI Comprehensive Medical Surgical Proctored Exam Blueprint

Foundations

Health Screening       1

Aspects of health and wellness

◯ Physical – able to perform activities of daily living

Emotional – adapts to stress; expresses and identifies emotions Social – interacts successfully with others

Intellectual – effectively learns and disseminates information Spiritual – adopts a belief that provides meaning to life Occupational – balances occupational activities with leisure time

Environmental – creates measures to improve standards of living and quality of life

●    A client’s state of health and wellness is constantly changing and adapting to a continually fluctuating external and internal environment.

The external environment

Social – crime versus safety, poverty versus prosperity, and peace versus social unrest

Physical – access to health care, sanitation, availability of clean water, and geographic isolation

The internal environment includes cumulative life experiences, cultural and spiritual beliefs, age, developmental stage, gender, and other support systems.

●    The level of health and wellness is unique to each individual and relative to the individual’s usual state of functioning.

◯ For example: A person with rheumatoid arthritis who has a strong support system and positive outlook may consider

himself healthy while functioning at an optimal level with minimal pain.

●    Variables

Modifiable – may be changed, such as smoking, nutrition, health education and awareness, sexual practices, and exercise

Nonmodifiable – cannot be changed, such as gender, age, developmental level, and genetic traits

●    Desired outcomes are to obtain and maintain optimal state of wellness and function.

◯ Can be achieved through health education and positive action (smoking cessation, weight loss,

seeking health care)

●  The health/wellness/illness continuum is an assessment tool that is used to measure the level of wellness to premature death.

It may be useful as an assessment guide or tool to set goals and find ways to improve the client’s state of health or to have the client return to a previous state of health, which may include an illness within optimal wellness. The health care professional can assist the client to see at what point he is at on the continuum and seek ways to move toward optimal wellness.

At the center of the continuum is the client’s normal state of health. Level of health/illness is assessed in comparison to the norm for a client.

The range of health to illness runs from optimal wellness to severe illness.

The degree of wellness is relative to the usual state of wellness for a client and is achieved through awareness, education, and personal growth.

Evaluate the health needs of a client and create strategies to meet those needs.

●    Health/wellness assessment Physical assessment, Evaluating health perceptions , ID’ing risks to health/wellness, ID’ingaccess to health care

Mass Casualty Triage           1

This is a military form of triage that is implemented with a focus of achieving the greatest good for the greatest number of people.

◯◯ Classifications

■■ Emergent or Class I – identified with a red tag indicating an immediate threat to life

■■ Urgent or Class II – identified with a yellow tag indicating major injuries that require