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.
You might also like to view...
A client, newly diagnosed with diabetes, tells the nurse that he is anxious about going home and has not been able to sleep for days. Which of the following medication interventions might be appropriate for this client?
a. Elavil c. Hypnotic b. Sinequan d. Benadryl
The symptom that the nurse would recognize as being pertinent to a possible diagnosis of systemic lupus erythematosus (SLE) is:
1. "butterfly" rash of the face. 2. protruding abdomen. 3. thinning hair. 4. bloody diarrhea.
The nurse executive suspects that the nurse managers see evidence-based management (EBM) as another management suggestion that will "blow-over" with time
What is the best way for the nurse executive to be assured that EBM strategies are being used in the facility? 1. Require a weekly report on the strategies from each nurse manager. 2. Call staff nurses in and ask them about how the managers are making day-to-day decisions on the unit. 3. Make daily walking rounds with a member of upper management to check on the progress of the EBM initiative. 4. Incorporate EBM into the performance evaluation of the nurse managers.
The nurse is reviewing a urinalysis report. What should the nurse recognize as the normal average pH of urine?
a. 2 b. 4.2 c. 6 d. 7.4