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An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the nurse upon initial transition to the obstetrical floor?

A.

Competent

B.

Proficient

C.

Novice

D.

Advanced beginner

Answer and Explanation

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. Cultural values regarding cleanliness vary, so it is inaccurate to assume uniform standards.

B. Judging the patient as placing "little importance" on hygiene due to appearance can lead to biases and does not consider the patient’s routine.

C. Diabetes may necessitate changes in hygiene practices, especially regarding foot care, to prevent complications. Education on optimal hygiene practices is essential for health management in diabetic patients.

D. While personal preferences influence hygiene, they can be adapted with appropriate education and guidance when necessary for health reasons.

Correct Answer is A

Explanation

A. This outcome is specific, measurable, and directly addresses the goal of managing constipation by aiming for a bowel movement.

B. Discontinuing pain medication abruptly may be unrealistic and can cause distress for the patient.

C. Ambulation may help with constipation but does not directly measure or ensure bowel movement.

D. Offering laxatives or stool softeners is an intervention rather than a measurable patient outcome.

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