The clinical ladder used in some hospitals allows for recognition of both the clinical and academ-ic growth of the individual nurse. On which of the following is this ladder based?
a. The concept that people will work harder when recognized
b. The concept that nurses respond to harder work
c. The concept of growth in nursing from novice to expert
d. The concept that nurses like to be intel-lectually stimulated
ANS: C
Benner's work in 1984 on the novice-to-expert concept in nursing laid the groundwork for the clinical ladder. The other options are not the basis for the clinical ladder concept.
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A) The patient stops doing wellness-promoting activities B) The patient develops signs and symptoms C) The patient begins exercising D) The patient verbalizes anxiety over the cost of medications
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A) Articulate some of the tangible benefits that Gordon may experience. B) Remind Gordon that most men tend to be similarly afraid of their feelings. C) Present some of the consequences for his marriage if he does not participate in therapy. D) Create a reward system whereby Gordon receives a benefit for each therapy session he attends.
A 48-year-old patient comes to the physician's office complaining of diminished near vision, which the nurse confirms with testing. She should document this finding as:
a. Myopia b. Diplopia c. Presbyopia d. Mydriasis