A patient has arrived at the intensive care unit with a head injury. On admission, the patient is talking and is a little drowsy, but oriented
Two hours later, the nurse discovers that the patient is talking at a rapid pace and keeps repeating his words. Which of the following examples best de-picts Benner's stages and appropriate critical thinking processes in this situation? a. Advanced beginner—thinks that the patient is trying to be funny.
b. Competent—thinks that the patient is experiencing effects from cerebral edema.
c. Novice—thinks that the patient is stressed and has had a surge of adrenalin.
d. Proficient—thinks that the patient is waking up from a coma.
B
The competent nurse uses the information about head injury, change in mental status from talking and drowsy but oriented to talking at a rapid pace, and the potential for the patient to deteriorate to discern that the patient is experiencing cerebral edema or increased intracranial pressure. Advanced beginner, novice, and proficient levels are inaccurate critical thinking findings.
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