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Author Question: A novice nurse on a medical-surgical unit is released from the orientation phase of training. The ... (Read 119 times)

sammy

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A novice nurse on a medical-surgical unit is released from the orientation phase of training.
 
  The nurse is able to care for a four- to five-client assignment independently and is assigned a coach on the unit who will help with problem solving, if needed. According to Benner's stages of nursing expertise, this nurse would belong to which stage?
  A) Stage II
  B) Stage V
  C) Stage III
  D) Stage IV

Question 2

The nurse client advocate wants to teach staff nurses how to implement client advocacy in daily practice. Which value, which is basic to client advocacy, should the nurse advocate use to begin the teaching session with the staff nurses?
 
  A) The client is a holistic, autonomous being who has the right to make choices and decisions.
  B) The nurse has the responsibility to ensure the client's spirituality is respected.
  C) The client has the right to refuse care.
  D) The client is a dependent being who has the right to expect the nurse to solve all healthcare needs.



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Benayers

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Answer to Question 1

Answer: A

The new graduate nurse who is fresh out of the orientation phase is considered Stage II. The Stage II nurse is the advanced beginner, who demonstrates marginally acceptable performance. Stage III is the competency stage; the nurse at this stage has 2 or 3 years of experience and demonstrates organizational and planning abilities. Stage IV is a proficiency stage. The nurse has 3 to 5 years of experience and has a holistic understanding of the client, which improves decision making, and focuses on long-term goals. The nurse at Stage V is considered an expert. Performance is fluid, flexible, and highly proficient. The expert nurse no longer requires rules, guidelines, or maxims to connect an understanding of the situation to appropriate action. This individual has highly intuitive and analytic abilities in new situations.

Answer to Question 2

Answer: A

Clients deserve advocates who can help them navigate healthcare bureaucracy and help them access required and needed resources. Values basic to client advocacy include: the client is a holistic, autonomous being who has the right to make choices and decisions; the client has the right to expect a nurse-client relationship that is based on shared respect, trust, collaboration in solving problems related to health and healthcare needs, and consideration of his or her thoughts and feelings; and the nurse has the responsibility to ensure the client has access to healthcare services that meet health needs.





 

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