A community health nurse runs a clinic that provides health ...

[jrubin]

A community health nurse runs a clinic that provides health screening mainly to Mexican American and Filipino American clients.
 
  The nurse wants to have a class on smoking cessation for interested adults of this group. What action should the nurse take to adjust their time orientation?
  A) Begin classes when a group of clients has gathered.
  B) Mail letters ahead of time to make sure clients are informed about the upcoming class.
  C) Make posters and place them in areas of the community frequented by these groups.
  D) Make sure that the classes are held at specific times.

Question 2

A nurse, who has been working in a small rural hospital for 4 years since obtaining a nursing license, participates on an interdisciplinary task force to improve client care.
 
  Which skill level is the nurse demonstrating according to Benner's Stages of Nursing Expertise?
  A) Advanced beginner
  B) Competent
  C) Proficient
  D) Expert

[1_Step_At_ATime]

Answer to Question 1

Answer: A

Cultures with a predominant orientation to the present include the Mexican American, Navajo Native American, Appalachian, Eskimo, and Filipino American cultures. Schedules have to be very flexible in present-oriented societies. Time constraints are not significant for cultures that are oriented to the present, so advertising about specific classes may not be effective. The nurse must be quite flexible, treat the culture's beliefs with respect, and not expect that cultural practices will change to reflect the nurse's needs.

Answer to Question 2

Answer: C

An advanced beginner demonstrates marginally acceptable performance. A competent nurse has 2 or 3 years of experience and demonstrates organizational and planning abilities. A proficient nurse has 3 to 5 years of experience and has holistic understanding of the client, which improves decision making. An expert demonstrates highly skilled intuitive and analytic ability in new situations.