The charge nurse, who is a member of Generation X, is training a ...

[Redwolflake15]

The charge nurse, who is a member of Generation X, is training a new nurse, who happens to belong to the Millennial generation. Which aspects of the two nurses' work ethics may be in conflict?
 
  Select all that apply.
  A) Self-directed versus need for feedback
  B) Loyal to profession versus rush of new challenges and opportunities
  C) Workaholic versus need for work-life balance
  D) Respect authority versus questioning authority
  E) Prefer personal form of communication versus personal cell phones

Question 2

The nurse is documenting care in the medical record. The nurse provides narrative documentation only for abnormal assessment findings. Which type of charting is the nurse using based on this example?
 
  A) Computerized documentation
  B) Charting by exception (CBE)
  C) SOAP charting
  D) Focus charting

[cegalasso]

Answer to Question 1

Answer: A, B

Workplace ethics for Generation X include: seek challenges; are self-directed; are comfortable with technology; expect instant access to information; desire employment where they can create balance in work and personal life; prefer managers to be mentors and coaches; have limited motivation to stay with the same employer but are loyal to their profession; desire more control over their own schedule; pragmatic focus on outcomes rather than process. The Millennial generation's work ethics include: being social, confident, optimistic, talented, well-educated, collaborative, open-minded, and achievement-oriented; having expectations of daily feedback; high maintenance; having the potential to become the highest-producing workforce in history; thriving on the adrenaline rush of new challenges and new opportunities; having personal cell phones a necessity for daily life and interpersonal communication.

Answer to Question 2

Answer: B

Charting by exception (CBE) is a documentation system in which only abnormal or significant findings or exceptions to norms are recorded. Flow sheets, standards of nursing care, and bedside access to chart forms are all incorporated into CBE. Computerized documentation is a way to manage the volume of information required in a client's chart, and different systems may include a variety of setups and programs. Focus charting is organized into data, action, and response sections, referred to as DAR. SOAP charting is a way to organize data and information in the client's record: S-subjective data; O-objective data; A-assessment; P-plan.

[Redwolflake15]

Excellent

[AISCAMPING]

TYSM