The occupational and environmental health nurse faces many ...

[genevieve1028]

The occupational and environmental health nurse faces many different practice issues every day and can function comfortably in roles as a clinician, coordinator, and case manager following company procedures,
 
  using assessment checklists and clinical protocols to provide treatment. At which American Association of Occupational Health Nurses (AAOHN) competency level in occupational and environmental health nursing is this nurse functioning?
  A) Advanced beginner
  B) Competent
  C) Proficient
  D) Expert

Question 2

The nurse cares for a client whose husband of 50 years died a year ago. A behavior that indicates the client has reached the reorganization phase of grief is when she:
 
  A) Joins a book club to get out of the house and meet new people
  B) Expresses no emotions regarding the loss of her husband
  C) Begins crying on a daily basis
  D) Experiences panic attacks regularly

[tennis14576]

Answer to Question 1

Ans: B
Feedback:
Benner identified five stages of competency in clinical nursing practice: novice, advanced beginner, competent, proficient, and expert. Within each stage are levels of achievement that are expressed in measurable behavioral objectives. AAOHN has cross-referenced and stated behavioral objectives for the OHN in three of these stages: competent, proficient, and expert. The competent nurse is one who is confident and a master, with an ability to cope with specific situations. There is less of a need to rely on the judgment of peers and other professionals. The proficient nurse is one with the ability to perceive client situations on the basis of past experiences, with a focus on relevant aspects of the situation. The nurse is able to predict expected events in certain situations and recognize that protocols must be altered at times to meet the needs of the client. The expert nurse is one who has extensive experience with a broad knowledge base that enables the nurse to grasp a situation quickly and initiate action. The nurse has a sense of salience grounded in practice guiding actions and priorities.

Answer to Question 2

Ans: A
Feedback:
In the reorganization or resolution phase of grief, coping strategies and positive outlooks emerge, such as joining a book club. A final resolution phase leads to acceptance of the loss. The widow or widower may return to prior levels of functioning. In the numb shock phase of grief, the widow or widower cannot believe the spouse's death occurred. This phase is marked by shock, emotional dullness, and restless behavior that may include stupor and withdrawal. One wants to protect oneself from the feeling of loss. In the emotional turmoil or depression phase of grief, alarm or panic-type reactions occur. Emotional expression may include crying, low mood, sleep disturbance, and anorexia. Anger, guilt, or longing for the deceased may take place. The widow or widower may also become preoccupied with the meaning of the loss.