An experienced seasoned nurse uses her knowledge of patient medical conditions and intuition to identify patient problems. She is often the resource for other nurses on the unit. What stage of proficiency has this nurse achieved?
a. Novice
b. Advanced beginner
c. Competent
d. Expert
D
The nurse who has reached the expert stage of proficiency has a deep understanding of the clinical situation based on knowledge and experience. The nurse often senses a potential problem in the absence of classic signs and symptoms. The novice nurse is inexperienced and relies on rules and processes. The advanced beginner focuses on aspects of a situation and is unable to see the comprehensive perspective. A nurse functioning at the competent level is able to prioritize to meet the patient needs but does not fully grasp the total situation.
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When the nurse performs the initial assessment of an adolescent with depression, what is the most important question to ask?
a. "What is making you depressed?" b. "Have you ever thought about suicide?" c. "What could we do to make you happy?" d. "Would you like your friends to visit?"
The nurse is totaling the amount of fluid that a client has ingested for breakfast: 4 ounces juice; 8 ounces coffee; 2 ounces milk. How many milliliters of fluid should the nurse document for the client?
1. 70 2. 210 3. 340 4. 420
During an assessment of the cranial nerves, the nurse asks the client to "Stick out your tongue.". When the client complies, the nurse observes that the tongue deviates markedly to the right side
The nurse documents that the client is exhibiting: 1. An abnormal hypoglossal nerve response. 2. Findings consistent with first cranial nerve damage. 3. A sluggish oculomotor response. 4. Pronounced absence of the Homans' sign.
A nurse whose teenage patient is showing signs of alcohol abuse reviews which of the following first to help the patient?
A. Universal level of prevention B. Selective level of prevention C. Indicated level of prevention D. None of the above