You are the charge nurse on the 3 PM to 11 PM shift. The nurses on this shift range from novice to competent
What response would be expected in the beginner stage of clinical competence development when the nurse is assigned a patient on beta-blockers and scheduled for a stress test?
a. Knows to hold a beta-blocker on a patient scheduled for a stress test because this happened earlier in the week on another patient
b. Must be told to hold the beta-blocker for a patient scheduled for a stress test
c. Understands the rationale for holding the beta-blocker prior to a stress test
d. Holds all medications when the patient is NPO
ANS: A
The advanced beginner repeats behavior learned from an earlier similar situation but may not un-derstand the rationale. The other options are appropriate for a nurse at a different level of expe-rience.
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