OBJ:Discuss the development of professional nursing roles.TOP: Planning MSC: Management
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of Care
4i
3. An experienced medical-
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surgical nurse chooses to work in obstetrics. Which level of proficiency is the nurse upon ini
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tial transition to the obstetrical floor?
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a. Novice
b. Proficient
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, Created By: A Solution
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c. Competent
d. Advanced beginner 4i
ANS: A
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A beginning nursing student or any nurse entering a situation in which there is no previous level
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of experience (e.g., an experienced operating room nurse chooses to now practice in home
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health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical situation
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as a whole, is able to assess an entire situation, and can readily transfer knowledge gained from
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multiple previous experiences to a situation. A competent nurse understands the organization and
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specific care required by the type of patients (e.g., surgical, oncology, or orthopedic patients).
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This nurse is a competent practitioner who is able to anticipate nursing care and establish long-
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range goals. A nurse who has had some level of experience with the situation is an advanced be
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ginner. This experience may only be observational in nature, but the nurse is able to identify mea
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ningful aspects or principles of nursing care.
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DIF:Apply (application) 4i
OBJ:Discuss the development of professional nursing roles.TOP: Evaluation MSC: Management
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of Care
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4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more
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fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse
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demonstrating?
a. Licensure
b. Autonomy
c. Certification
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