An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the nurse upon initial transition to the obstetrical floor?
Competent
Proficient
Novice
Advanced beginner
The Correct Answer is C
A. Competent nurses have typically worked in a specific area for 2-3 years, developing an understanding of patient care specific to that field.
B. Proficient nurses have advanced understanding and experience, allowing them to see care situations as whole parts rather than in separate steps.
C. In a new specialty area, the nurse is considered a novice, as they lack experience and expertise in obstetrics despite previous nursing experience.
D. Advanced beginners have some experience but still need support; however, this would apply only if the nurse had some previous obstetric experience.
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Correct Answer is D
Explanation
A. While hospice care is appropriate for those with terminal illnesses, the criteria are more specifically defined by life expectancy rather than just the diagnosis itself.
B. Although pain management is a significant aspect of hospice care, the criteria for eligibility focus on life expectancy rather than need for pain management alone.
C. Completion of an advance directive is encouraged but not a specific criterion for hospice care; patients can receive hospice services without having an advance directive in place.
D. Hospice care is typically designated for patients who are expected to live less than 6 months, focusing on providing comfort and support in the final stages of life.
Correct Answer is ["A","B","C","D"]
Explanation
A. Asking about travel outside the United States helps identify potential exposure to infections that are more prevalent in certain areas.
B. Assessing handwashing techniques is crucial, as proper hand hygiene is a fundamental way to prevent infections.
C. Understanding the patient's perception of infection risk in their home environment can highlight potential areas for intervention.
D. Knowing the signs and symptoms of infection allows the nurse to evaluate the patient’s awareness and ability to recognize early signs of infection.
E. While mobility can affect overall health, it is not directly related to assessing the risk of infection.
F. Knowing who runs errands may provide context for the patient's support system, but it does not directly assess infection risk.