The novice stage in Benner, Tanner, and Chesla's model of clinical judgment occurs during the _____ process
a. education c. nursing
b. clinical d. critical thinking
ANS: a
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The nurse is going to perform light palpation. Which statement regarding light palpation is true?
1. It is a gentle downward movement of the hand in a circular fashion. 2. It is done by using two hands to apply pressure. 3. It is only done by the health care provider. 4. It should cause the client pain.
The nurse is preparing to give an adult client an enema as ordered by the client's physician. The client says, "I don't want to have an enema." What action should the nurse take?
a. Leave immediately without performing the procedure. b. Explain to the client why the procedure is ordered and the consequences of not accepting the procedure. c. Give the enema to the client over his objections. d. Call the nursing supervisor.
Assessment of the individual should occur:
a. at the start of the shift. b. at the end of the shift. c. only when they use the call bell. d. none of the above.
The nurse responds to the call light of a client with chronic obstructive pulmonary disease (COPD) who says, "I can't breathe." The client seems to be having difficulty breathing and is nervous and tremulous. Vital signs are stable, oxygen saturation is 92% on 2 L, and there are clear breath sounds bilaterally. Which intervention would be most appropriate at this time?
a. Administer albuterol nebulizer b. Assist the client in identifying the trigger and ways to avoid it c. Coach the client through controlled breathing exercises d. Continue to monitor oxygen saturation