A 5-year-old with a twin brother is admitted to the PICU after cardiac surgery. Hospital policy does not allow individuals younger than 12 years of age to visit the PICU
The nurse recognizes the needs of the patient and his brother and suggests that the mother bring her son to visit his brother briefly in the afternoon when the unit is usually quiet. This illustrates which of Brenner's stages of nursing proficiency?
a.
Advanced beginner
b.
Competent practitioner
c.
Proficient practitioner
d.
Expert practitioner
ANS: D
A
Nurses at the advanced beginner stage base their decisions on theory and principles but may have difficulty viewing many nursing actions as equally important.
B
Nurses at the competent practitioner stage will examine the needs of everyone, as well as other exigencies involved, before making a decision.
C
Although nurses at the proficient practitioner stage see patient situations holistically, easily recognize the priorities of care, and allow rules to be bent, they may not suggest bending rules for the desired patient outcome.
D
Nurses at the expert practitioner stage have expertise that allows them to select actions based on the entire patient's complete situation, including the needs of family members.
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