Chapter 09 Care and Safety Standards, Competence, and Nurse Accountability

Chapter 09  Care and Safety Standards, Competence, and Nurse Accountability

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A new graduate has been working as an RN for 6 months and is no longer working with a preceptor. However, she still frequently checks with an experienced nurse to validate that she is following the rules and the policies she is still learning. The new graduate in this scenario exhibits the actions of what theoretical level of skill?
a.
Expert
b.
Competent
c.
Proficient
d.
Novice

ANS: D
In general, a novice is rule driven, is a concrete thinker, and believes and trusts whomever has authority or whatever direction is perceived to have come from someone in authority. Benner (1984) suggests that with experience and practice, nurses advance through the different levels of nursing knowledge—novice, competent, proficient, and expert.

DIF: Cognitive Level: Analysis REF: Page 133
OBJ: Compare the theoretical classifications of nursing skill.
TOP: Classification of Nursing Skill
MSC: NCLEX: Safe, Effective Care Environment: Management of Care

2. An RN has been working on a cardiac unit for 1 year and has settled comfortably into an efficient, safe, and organized routine for each shift. However, whenever an urgent issue arises, the nurse feels uncomfortable. It is most likely that this nurse is functioning at which skill level?
a.
Novice
b.
Proficient
c.
Competent
d.
Expert

ANS: C
A competent nurse has some experience and has developed safe organizational skills to get through the day’s tasks efficiently. Flexibility within the nursing role is difficult to manage at this point, and when deviations from the schedule occur, the nurse generally has a feeling of unease.

DIF: Cognitive Level: Analysis REF: Page 133
OBJ: Compare the theoretical classifications of nursing skill.
TOP: Classification of Nursing Skill
MSC: NCLEX: Safe, Effective Care Environment: Management of Care

3. Which action would indicate that the RN is practicing at the proficient level?
a.
Asks another nurse to be present while a Foley catheter is inserted
b.
Becomes frazzled when two patients are unexpectedly admitted at the same time
c.
Thinks critically about situations and is able to anticipate patient needs
d.
Assumes the role of charge nurse while managing a tough patient assignment

ANS: C
A proficient nurse is experienced and has a beginning ability to recognize patterns and think critically. This allows her to think critically about situations and anticipate the needs of her patients. Novice nurses may ask the help of other more experienced nurses. Competent nurses have developed skills and are routine driven, often struggling with flexibility. Expert nurses are skilled critical thinkers and handle challenges with ease.

DIF: Cognitive Level: Application REF: Page 133
OBJ: Compare the theoretical classifications of nursing skill.
TOP: Classification of Nursing Skill
MSC: NCLEX: Safe, Effective Care Environment: Management of Care

4. An RN has been practicing for 12 years in pediatrics. Peers often seek out this nurse to help them with complex problems. This experienced nurse is assigned the patients with the highest acuity, and the nurse accepts these assignments with confidence. This nurse is likely practicing at which skill level?
a.
Novice
b.
Competent
c.
Proficient
d.
Expert

ANS: D
An expert nurse has had a great deal of experience and is flexible and adaptable, responding to change with ease. According to Benner (1984), the expert nurse is a skilled critical thinker who has gained experience and skills through practice.

DIF: Cognitive Level: Analysis REF: Page 133
OBJ: Compare the theoretical classifications of nursing skill.
TOP: Classification of Nursing Skill
MSC: NCLEX: Safe, Effective Care Environment: Management of Care