Davis Advantage - Chapter 1 - Practice
A nurse who is able to identify and achieve objectives is demonstrating which aspect of
Benner's model?
Advanced beginner
Competence
Proficient
Expert - ANS - Proficient
\After a year as a medical-surgical nurse in an acute care facility, Bryan tells his mom that he's
more passionate about preventive care than he is about health restoration. To which care
location should Kathy direct him?
Ambulatory care
Home care
Community health
Extended care facility
Hospitals - ANS - Community health
CORRECT. In the community health setting, nurses care for at risk populations to prevent
disease. Ambulatory care, also known as outpatient care, treats common ailments and refers
more complex care. Home care is for homebound clients who cannot get to ambulatory care
locations for treatment. Extended care facilities, including rehabilitation, convalescent care, and
hospitals are for acutely ill clients.
\As a new grad on the acute care floor, Madge worked diligently to obtain patient information
and supplies in preparation for the healthcare provider's rounds. Which image was the new
nurse demonstrating?
Angel of mercy
Handmaiden
Battle-ax
Naughty nurse
Military image - ANS - Handmaiden
CORRECT. In this scenario, Madge was working as the handmaiden, a role in which the nurse
works "under" physicians, directed by the physicians' patient care objectives. The angel of
mercy is serene and content, often depicted with an angelic appearance. The battle-ax image,
coined by Charles Dickens in 1844, depicts nurses as corrupt, harsh, and frequently intoxicated.
The naughty nurse image stems from the early 20th century, when burlesque shows and the
media portrayed a sexy image of the profession. The military image demonstrated nursing
support at the battlefield.
, \At the time of Bryan's graduation with his BSN degree, Kathy decides to enroll in an RN to BSN
program to obtain her degree. What new opportunities will be available for Kathy with this
additional education? Select all that apply.
Applying for graduate school
Providing community care
Becoming a charge nurse
Working as a nurse practitioner
Performing research - ANS - Applying for graduate school
Providing community care
Performing research
With a BSN degree, a nurse is eligible to apply for graduate school and work within the
community and is prepared to conduct research. A diploma or ADN nurse can become a charge
nurse. To become a nurse practitioner, additional education is needed beyond a master's
degree.
\Bryan decides to advance his practice and begins applying to nurse practitioner education
programs. During an interview, he is asked which factors are most influential in changing the
face of healthcare. Which of the following answers is correct?
"When the economy is poor, the healthcare industry thrives."
"The population growth rate for older adults is decreasing, requiring fewer healthcare services."
"Consumers are becoming more educated and demanding more choices."
"Men are migrating away from nursing because the salary is not stable."
"Collective bargaining is creating lower wages for the bedside nurse." - ANS - "Consumers are
becoming more educated and demanding more choices."
CORRECT. Thanks to the Internet and accessibility to information, consumers are becoming
more educated and demanding more choices. When the economy is growing, so does
healthcare because more people are insured and seek medical attention more quickly. The
population growth rate of older adults is at record numbers, causing more strain on the
healthcare industry because seniors are its greatest consumers. More men are moving toward
nursing as a career option, and collective bargaining (unions) works to strengthen benefits for
nurses.
\Bryan finds himself feeling unprepared and frustrated in his new grad role. He tells his mom, "I
do fine when I've done something before, but every day there seems to be a new skill that I
haven't performed yet." His mom reassures him that things will get easier as he becomes
exposed to more experiences. Which stage of Benner's model is Bryan demonstrating?
Novice
Advanced beginner
Competence
Proficient
Expert - ANS - Advanced beginner
