NSG 130 exam #1 UPDATED ACTUAL Questions and CORRECT
Answers
Different roles of a nurse -caregiver
-advocate
-educator
-communicator
-manager
-leader
-career development
Caregiver -assisting the patient holistically in a culturally competent manner
-caring for a variety of clients in different settings
-recognizing needs and individualized care
-requires autonomy and accountability
Autonomy -using clinical judgement to make decisions based on client presentation and
within the scope of practice
-respecting clients right to make own decision
Accountability -recognizes strengths and weaknesses
-is a life long learner
advocate -articulates and protects client wishes and needs
-expresses to various individuals
-develops a culture of advocacy
Educator -promotes and maintains health by teaching health-promoting behaviors
-primarily does this for clients and families
Communicator -communicating with others is essential
-is active in collaboration
-completes accurate documentation
Manager and leader -utilizes teams and teamwork as well as resources
Career development -is a lifelong learner
-advancing education
Patricia Benner's Model for skills acquisition describes a five-stage progression from Novice to Expert, where individuals
develop proficiency through experience rather than just theoretical knowledge.
the five stages:
-Novice
-Advanced Beginner
-Competent
-Proficient
-Expert
, Novice -Relies on explicit rules, guidelines, and test book information
-Has no background experience and finds it difficult to discern relevant from
irrelevant aspects of a situation
-Needs comprehensive instructions to perform tasks effectively
Advanced beginner -begins to demonstrate marginally acceptable performance by recognizing
recurring components in similar situations
-focuses on the present moment and needs help interpreting clinical data due to
limited firsthand experience
-starts to feel responsible for patient care and needs ongoing coaching to
understand situation holistically
Competent -develops analytical and conscious planning skills, deciding which aspects of a
situation are important
-has improved clinical foresight and can recognize the limits of formal knowledge
-begins to see the patient as a whole human being rather than a collection of
symptoms
-typically has 2-3 years of experience
Proficient -perceives the situation as a whole, rather than in isolated parts, allowing for a
holistic understanding of the total picture
-uses experience to recognize typical events and modify plans as needed,
understanding how the situation unfolds over time
-decision-making becomes less labored as the nurse can identify the most
important aspects of the situation
Expert -possesses a deep, intuitive understanding of patient care
-can quickly assess complex situations, make nuanced decisions with confidence,
and act fluidly
-their actions are automatic and intuitive, built upon years of profound experience
Scope of practice describes the services that a qualified health professional is deemed competent
to perform, and permitted to undertake - in keeping with the terms of their
professional license
-this is established by the Nurse Practice Act of each state
-enforced by the state boards of nursing
-about "what" you can do
Standards of Practice defines the level of quality and proficiency expected in how that practice
should be performed, based on professional guidelines
-about "how well" you can do a task
Advanced Practice degree -a master's or doctoral degree that an RN earns for advanced education and
clinical training
-grants a broader scope of practice like diagnosing, treating, and prescribing
medications
Answers
Different roles of a nurse -caregiver
-advocate
-educator
-communicator
-manager
-leader
-career development
Caregiver -assisting the patient holistically in a culturally competent manner
-caring for a variety of clients in different settings
-recognizing needs and individualized care
-requires autonomy and accountability
Autonomy -using clinical judgement to make decisions based on client presentation and
within the scope of practice
-respecting clients right to make own decision
Accountability -recognizes strengths and weaknesses
-is a life long learner
advocate -articulates and protects client wishes and needs
-expresses to various individuals
-develops a culture of advocacy
Educator -promotes and maintains health by teaching health-promoting behaviors
-primarily does this for clients and families
Communicator -communicating with others is essential
-is active in collaboration
-completes accurate documentation
Manager and leader -utilizes teams and teamwork as well as resources
Career development -is a lifelong learner
-advancing education
Patricia Benner's Model for skills acquisition describes a five-stage progression from Novice to Expert, where individuals
develop proficiency through experience rather than just theoretical knowledge.
the five stages:
-Novice
-Advanced Beginner
-Competent
-Proficient
-Expert
, Novice -Relies on explicit rules, guidelines, and test book information
-Has no background experience and finds it difficult to discern relevant from
irrelevant aspects of a situation
-Needs comprehensive instructions to perform tasks effectively
Advanced beginner -begins to demonstrate marginally acceptable performance by recognizing
recurring components in similar situations
-focuses on the present moment and needs help interpreting clinical data due to
limited firsthand experience
-starts to feel responsible for patient care and needs ongoing coaching to
understand situation holistically
Competent -develops analytical and conscious planning skills, deciding which aspects of a
situation are important
-has improved clinical foresight and can recognize the limits of formal knowledge
-begins to see the patient as a whole human being rather than a collection of
symptoms
-typically has 2-3 years of experience
Proficient -perceives the situation as a whole, rather than in isolated parts, allowing for a
holistic understanding of the total picture
-uses experience to recognize typical events and modify plans as needed,
understanding how the situation unfolds over time
-decision-making becomes less labored as the nurse can identify the most
important aspects of the situation
Expert -possesses a deep, intuitive understanding of patient care
-can quickly assess complex situations, make nuanced decisions with confidence,
and act fluidly
-their actions are automatic and intuitive, built upon years of profound experience
Scope of practice describes the services that a qualified health professional is deemed competent
to perform, and permitted to undertake - in keeping with the terms of their
professional license
-this is established by the Nurse Practice Act of each state
-enforced by the state boards of nursing
-about "what" you can do
Standards of Practice defines the level of quality and proficiency expected in how that practice
should be performed, based on professional guidelines
-about "how well" you can do a task
Advanced Practice degree -a master's or doctoral degree that an RN earns for advanced education and
clinical training
-grants a broader scope of practice like diagnosing, treating, and prescribing
medications
