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Chapter 25 Occupational Health Nursing
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Chapter 25 Occupational Health Nursing
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Chapter 25 Occupational Health NursingOrigin: Chapter 25- Occupational Health Nursing, 1
1. The occupational and environmental health nurse faces many different practice issues every day
and can function comfortably in roles as a clinician, coordinator, and case manager following
company procedures, using assessment checklists and clinical protocols to provide treatment. At
which American Association of Occupational Health Nurses (AAOHN) competency level in
occupational and environmental health nursing is this nurse functioning?
A) Advanced beginner
B) Competent C) Proficient D) Expert
Ans: B
Feedback:
Benner identified five stages of competency in clinical nursing practice: novice, advanced beginner,
competent, proficient, and expert. Within each stage are levels of achievement that are expressed in
measurable behavioral objectives. AAOHN has cross-referenced and stated behavioral objectives for
the OHN in three of these stages: competent, proficient, and expert. The competent nurse is one
who is confident and a
master, with an ability to cope with specific situations. There is less of a need to rely on the judgment
of peers and other professionals. The proficient nurse is one with the ability to perceive client
situations on the basis of past experiences, with a focus on relevant aspects of the situation. The
nurse is able to predict expected events in certain situations and recognize that protocols must be
altered at times to meet the needs of the client. The expert nurse is one who has extensive
experience with a broad knowledge base that enables the nurse to grasp a situation quickly and
initiate action. The nurse has a sense of salience grounded in practice guiding actions and priorities.
Page 1
, Origin: Chapter 25- Occupational Health Nursing, 2
2. The occupational and environmental health nurse provides leadership in developing occupational
safety and health policy within the organization and function in an upper management role. The
nurse has served as a consultant to both business and government and has designed and conducted
significant research. At which American Association of Occupational Health Nurses (AAOHN)
competency level in occupational and environmental health nursing is this nurse functioning?
A) Advanced beginner
B) Competent C) Proficient D) Expert
Ans: D
Feedback:
Benner identified five stages of competency in clinical nursing practice: novice, advanced beginner,
competent, proficient, and expert. Within each stage are levels of achievement that are expressed in
measurable behavioral objectives. AAOHN has cross-referenced and stated behavioral objectives for
the OHN in three of these stages: competent, proficient, and expert. The competent nurse is one who
is confident and a
master, with an ability to cope with specific situations. There is less of a need to rely on the judgment
of peers and other professionals. The proficient nurse is one with the ability to perceive client
situations on the basis of past experiences, with a focus on relevant aspects of the situation. The
nurse is able to predict expected events in certain situations and recognize that protocols must be
altered at times to meet the needs of the client. The expert nurse is one who has extensive
experience with a broad knowledge base that enables the nurse to grasp a situation quickly and
initiate action. The nurse has a sense of salience grounded in practice guiding actions and priorities.
Page 2
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