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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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View Related questions

Correct Answer is B

Explanation

A. A patient with hypercapnia requires monitoring, but wearing an oxygen mask indicates some level of intervention is in place.

B. A patient with a chest tube should never ambulate with the chest tube unclamped, as this can lead to a collapsed lung and respiratory distress; thus, this patient should be prioritized.

C. While a patient with thick secretions may need suctioning, this is not as critical as ensuring the safety of a patient with an unclamped chest tube.

D. A patient with a new tracheostomy requires monitoring, but the presence of the obturator indicates readiness for emergencies; this does not take priority over the safety of the patient with the chest tube.

Correct Answer is B

Explanation

A. Childhood obesity may indicate dietary and lifestyle issues but does not directly reflect sociocultural factors affecting developmental problems.

B. Prolonged poverty can significantly impact a child's development by limiting access to resources such as nutrition, education, and healthcare, thus signaling a potential developmental issue.

C. Family relocation can cause stress and adjustment challenges but is not as directly associated with long-term developmental problems as prolonged poverty.

D. Loss of stamina may be a physical issue but does not necessarily correlate with sociocultural factors that would indicate developmental concerns.

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