NUR 308 - Exam 1 Study Questions and Correct Answers
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Course
NUR 308
Institution
NUR 308
What is Benner's Model? it is a model of how nurses acquire clinical skills and judgements
includes 5 skill levels/stages
What are the stages of Brenner's Model? Stage 1: Novice Stage 2: Advanced beginner Stage 3: Competence Stage 4: Proficient Stage 5: Expert
Stage 1: Novice Nursing student; li...
NUR 308 - Exam 1 Study Questions and
Correct Answers
What is Benner's Model? ✅it is a model of how nurses acquire clinical skills and
judgements
includes 5 skill levels/stages
What are the stages of Brenner's Model? ✅Stage 1: Novice
Stage 2: Advanced beginner
Stage 3: Competence
Stage 4: Proficient
Stage 5: Expert
Stage 1: Novice ✅Nursing student; little to no clinical experience, is task oriented and
focused on learning rules and following steps sequentially... tunnel vision, low focus on
patient and more on administration
Stage 2: Advanced beginner ✅New graduate; broader focus than novice (situation at
hand and application of facts)... can distinguish normal from abnormal, but not its
significance... beginning to attach meanings (early signs of blood loss) to findings
(symptoms like low BP)
Stage 3: Competence ✅2-3 years of nursing practice; gained experience and can
handle their nursing duties independently while providing compassionate care... can
connect connect findings to their meanings and further investigate (sees low BP and
increased HR, realizes this is early signs... then goes on to conduct more tests)
Stage 4: Proficient ✅3+ years of nursing practice; quickly takes in all aspects of a
situation and gives meaning to the cluster assessment of data... sees the "big picture"
and can coordinate services and forecast needs... far more flexible and fluent in their
role as well as adaptable (can vary approach by patient)
Stage 5: Expert ✅Sees what needs to be achieved and how to do it; trusts and uses
their intuition with a deep understanding, often recognizing a problem in the absence of
its hallmark signs and symptoms... highly competent skills and are often consulted when
others need advice or assistance
What models of care are used to provide nursing care? ✅case method, functional
nursing, team nursing, primary nursing, and differentiated practice
, Case Method model ✅also called total care; one-to-one care... one nurse provides all
aspects of care for one patient during a single shift
Functional Nursing model ✅requires a clear understanding of scope of practice; care is
compartmentalized, with each task assigned to a staff member with the appropriate
knowledge and skills
e.g. RN in charge and performs complex treatments, LPN/LVN may distribute meds,
nursing assistant may give bed baths and make beds
Team Nursing model ✅efficient and cost-effective while avoiding fragmentation; a
licensed nurse is paired with an unlicensed assistive personnel (UAP)... that team is
then assigned to a group of clients
Primary Nursing model ✅one nurse manages care for a group of clients; a primary
nurse assesses the client and develops a plan of care and provide that care while at
work... when not associates take over their duties and implement their plan
Differentiated Practice model ✅a variation of primary care; recognizes that education
and experience lead to differences in the care delivered by nurses → each unit
identifies the type of expertise and nursing competencies needed by clients and assigns
the best nurse for the job
Levels of healthcare services ✅primary, secondary, tertiary
primary: focus on preventing injuries/illness and promotes health
secondary: injury or illness has occurred → diagnostic centers inpatient, ER/urgent care
tertiary: long-term care (either a facility, at home, or in an outpatient setting, like rehab)
What is the difference between Medicare and Medicaid? ✅Medicare is a group of
federal insurance plans (Part A-D) for those who are ≥65 (with a few exceptions)
Medicaid is insurance for the low income
Both are public/government funded (NOT private)
What is important to know about how Medicare and some private insurance plans
function as a nurse? ✅diseases are categorized and given set time frames for stay,
recovery, treatment, etc... this may not reflect actual health needs
What is the nursing process? ✅ADPPIE:
-Assessment
-Diagnosis
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