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 C
Explanation
A. Identifying immobility hazards requires clinical judgment and assessment skills that are beyond the scope of nursing assistive personnel.
B. Determining the level of comfort is a subjective assessment that should be done by a nurse to ensure accurate interpretation of the patient’s condition.
C. Changing the patient's position can be safely delegated to nursing assistive personnel, as it is a straightforward task that does not require advanced clinical judgment.
D. Assessing circulation involves evaluating the patient's vital signs and other parameters, which should be performed by a nurse to ensure comprehensive care and assessment.
Correct Answer is C
Explanation
A. Assertiveness training may benefit family communication but is not specifically effective in managing homework stress.
B. Routine preventative health visits are important for overall health but do not directly address homework-related stress.
C. Teaching time-management skills helps children with ADHD better organize their tasks and allocate appropriate time for homework, thus reducing stress and improving academic performance.
D. Speech articulation skills focus on communication and language development, which are not directly related to managing homework stress for children with ADHD.