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According to Benner, an expert nurse goes through five levels of proficiency. Identify them. - Correct Answer-a. Novice b. Advanced Beginner c. Competent d. Proficient e. Expert Novice - Correct Answer-Beginning nursing student or any nurse entering a situation in which there is no previous experience. The learner learns via a specific set of rules and procedures, which are usually stepwise and linear. Advanced beginner - Correct Answer-A nurse who has had some level of experience with the situation. This experience may only be observational in nature, but the nurse is able to identify meaningful aspects or principals of nursing care. Competent - Correct Answer-A nurse who has been in the same clinical position for 2 to 3 years. This nurse understands the organization and specific care required by the type of patients. He or she is a competent practitioner who is able to anticipate nursing care
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According to Benner, an expert nurse goes through five levels of proficiency. Identify them. - Correct Answer-a. Novice b. Advanced Beginner c. Competent d. Proficient e. Expert Novice - Correct Answer-Beginning nursing student or any nurse entering a situation in which there is no previous experience. The learner learns via a specific set of rules and procedures, which are usually stepwise and linear. Advanced beginner - Correct Answer-A nurse who has had some level of experience with the situation. This experience may only be observational in nature, but the nurse is able to identify meaningful aspects or principals of nursing care. Competent - Correct Answer-A nurse who has been in the same clinical position for 2 to 3 years. This nurse understands the organization and specific care required by the type of patients. He or she is a competent practitioner who is able to anticipate nursing care and establish long-range goals. In this phase the nurse has usually had experience with all types of psychomotor skills required by this specific group of patients. Proficient - Correct Answer-A nurse with more than 2 to 3 years experience in the same clinical position. This nurse perceives a patient's clinical situation as a whole, is able to assess an entire situation, and can readily transfer knowledge gained from multiple previous experiences to a situation. This nurse focuses on managing care as opposed to managing and performing skills. Expert - Correct Answer-A nurse with diverse experience who has an intuitive grasp of an existing or potential clinical problem. This nurse is able to zero in on the problem and focus on multiple dimensions of the situation. He or she is skilled at identifying both patient-centered problems and problems related to the health care system or perhaps the needs of the novice nurse. What are the ANA Standards of Practice? - Correct Answer-a. Assessment b. Diagnosis c. Outcomes Identification d. Planning e. Implementation f. Evaluation
Assessment - Correct Answer-The registered nurse collects comprehensive data pertinent to the patient's health and/or the situation. Diagnosis - Correct Answer-The registered nurse analyzes the assessment data to determine the diagnosis or issues. Outcomes Identification - Correct Answer-The registered nurse identifies expected outcomes for a plan individualized to the patient or the situation. Implementation - Correct Answer-a. Coordination of care: The registered nurse coordinates care delivery. b. Health Teaching and Health Promotion: The registered nurse uses strategies to promote health and a safe environment. c. Consultation: The graduate level-prepared specialty nurse of advanced practice registered nurse provides consultation to influence the identified plan, enhance the abilities of others, and effect change. d. Prescriptive Authority and Treatment: The advanced practice registered nurse uses prescriptive authority, procedures, referrals, treatment, and therapies in accordance with state and federal laws and regulations. Evaluation - Correct Answer-The registered nurse evaluates progress toward attainment of outcomes. Define nursing (according to the American Nursing Association [ANA]). - Correct Answer-is the protection, promotion, and optimization of health and abilities; prevention of illness and injury; alleviation of suffering through the diagnosis and treatment of human response; and advocacy in the care of individuals, families, communities, and populations. Identify the ANA Standards of Professional Performance. - Correct Answer-a. Ethics b. Education c. Evidence-Based Practice and Research d. Quality of Practice e. Communication f. Leadership g. Collaboration h. Professional Practice Evaluation i. Resources j. Environmental Health Ethics - Correct Answer-The registered nurse practices ethically Education - Correct Answer-The registered nurse attains knowledge and competency that reflects current nursing practice.
Advanced Practice Registered Nurse (APRN) - Correct Answer-Four core roles. There are four core roles : Certified Nurse Specialist (CNS) Certified Nurse Practitioner (CNP) Certified Nurse Midwife (CNM) Certified RN Anesthetist (CRNA) Clinical Nurse Specialist (CNS) - Correct Answer-Expert clinician in a specialized area of practice. Nurse Practitioner - Correct Answer-Detects and manages self-limiting acute and chronic stable medical conditions. Certified Nurse-Midwife (CNM) - Correct Answer-Involves independent care for women in normal pregnancy, labor, and delivery and care of newborns. Certified Registered Nurse Anesthetist (CRNA) - Correct Answer-Provides surgical anesthesia. Nurse Educator - Correct Answer-Works primarily in schools of nursing and staff development. Nursing Administrator - Correct Answer-Manages patient care and the delivery of specific nursing services within a health care agency. Nurse Researcher - Correct Answer-Investigates problems to improve nursing care and to expand the scope of nursing practice. How did Florence Nightingale see the role of the nurse in the early 1800s? - Correct Answer-She saw the role of nursing as being in charge of a patient's health based on the knowledge of how to put the body in such a state as to be free of disease or to recover from disease. Clara Barton - Correct Answer-Founder of the American Red Cross Lillian Walk and Mary Brewster - Correct Answer-Opened the Henry Street Settlement, focusing on the health needs of the poor. Mary Adelaide Nutting - Correct Answer-Instrumental in moving nursing education into universities. Mary Mahoney - Correct Answer-First professionally trained African-American nurse. What are the external forces that have affected nursing practice in the twenty-first century? - Correct Answer-a. Nurses' self-care
b. Affordable care act (ACA) and rising health care costs c. Demographic changes of the population d. Human rights e. Increasing numbers of medically underserved Explain compassion fatigue: - Correct Answer-a term used to describe burnout and secondary traumatic stress, which impact the health and wellness of nurses and the quality of care provided to patients. Identify the competencies of the QSEN initiative. - Correct Answer-a. Teamwork and Collaboration b. Evidence-Based Practice c. Quality Improvement d. Safety e. Informatics Teamwork and Collaboration - Correct Answer-Function effectively within nursing and interprofessional teams, fostering open communication, mutual respect, and shared decision making to achieve quality patient care. Examples: Recognize the contributions of other heath team members and patient's family members. Discuss effective strategies for communicating and resolving conflict. Participate in designing methods to support effective teamwork. Evidence-Based Practice - Correct Answer-Integrate the best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care. Examples: Demonstrate knowledge of basic scientific methods. Appreciate strengths and weaknesses of scientific bases for practice. Appreciate the importance of regularly reading relevant journals. Quality Improvement - Correct Answer-Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of heath care systems. Examples: Use tools such as flow charts and diagrams to make process of care explicit. Appreciate how unwanted variation in outcomes affects care. Identify gaps between local and best practices. Safety - Correct Answer-Minimize risk of harm to patients and providers through both system effectiveness and individual performance. Examples: Examine human factors and basic safety design principles and commonly used unsafe practices. Value own role in preventing errors. Informatics - Correct Answer-Use information and technology to communicate, manage knowledge, mitigate error, and support decision making. Examples: Navigate an electronic health record. Protect confidentiality of protected health information in electronic health records.