A nurse had 5 years of experience in a community health clinic when she accepted a position in occupational health. Which of the following best explains how the nurse will know what to do in this new setting?
a. On the basis of past experience, she can focus on relevant aspects and adapt protocols as deemed necessary
b. By focusing immediately on critical aspects and determining priorities in the setting
c. By following company procedures and relying on assessment checklists and clinical protocols
d. By using extensive previous experience, the nurse can grasp situations quickly and initiate appropriate action(s)
ANS: C
As a newcomer to the site, although experienced in other areas of nursing, the nurse would probably have sufficient experience to recognize a range of practice issues and function comfortably in such roles as clinician and case manager. But to be competent in the new role, the nurse should follow company procedures and rely on assessment checklists and clinical protocols to provide treatment. To go beyond that (i.e., adapt protocols and immediately recognize what is relevant in these new situations) will require experience in the new role.
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