The chief nursing officer understands that clinical incompetence is best prevented by a(n):
a. Flexible protocol for evaluating competency skills.
b. Standardized clinical skills checklist.
c. Administration of personality tests and competency assessments at point of hire.
d. Formalized competency program with established standards for practice.
ANS: D
The competency program with established standards of practice outlines what the nurse must do to achieve desired competencies in her current position. Competency assessment and goal-setting should help the nurse identify how to excel and which competencies the nurse wants to achieve in the future.
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a. "I'd quit if I were you. The doctor really knows what he is talking about." b. "Would you like some information about the different ways a person can quit smoking?" c. "Stopping your dependence on cigarettes can be very difficult. I understand how you feel." d. "Why are you confused? Didn't the doctor give you the information about the smoking cessation program we offer?
A gerontologic nurse practitioner frequently cares for patients with heart disease and is aware that it is the leading cause of death in the aged. This is due in part to which of the following?
A) Heart muscle and arteries lose their elasticity. B) Systolic blood pressure decreases. C) Resting heart rate decreases with age. D) The aged are less likely to adopt a healthy lifestyle.
A client is brought to the emergency department suspected of overdosing on imipramine (Tofranil). Which is the nurse's priority assessment?
A. Cardiac function B. Liver function C. Renal function D. Neurological function