Levels of Proficiency

Question 1

A model of the socialization process in nursing.

Answer 1

BENNER’S STAGES OF NURSING EXPERTISE

Question 2

A process by which people learn:
a. to become members of groups and society
b. social rules defining relationships into which they will enter

Answer 2

Socialization

Question 3

Involves learning to _______, _______, and _______ the world in a manner similar to other persons occupying the same role as oneself.

Answer 3

behave / feel / see

Question 4

This model was based on Dreyfus’ Model of Skill Acquisition.

Answer 4

5 LEVELS OF PROFICIENCY

Question 5

● No background experience.
● Performance is limited, inflexible, and governed by context free rules and regulations rather than experience.

Answer 5

STAGE 1: NOVICE

Question 6

TRUE OR FALSE:
Benner has suggested that nurses at higher levels of skill in one area of practice could be classified at the novice level if placed in an familiar situation or area.

Answer 6

FALSE
Nurses of higher skill level will be considered novices if placed in an UNFAMILAIR situation or area

Question 7

Student nurses or nurses who did not pursue clinical work after graduating.

Answer 7

STAGE 1: NOVICE

Question 8

● Acceptable performance.
● Guided by rules.
● Oriented by task completion.
● Has enough experience to grasp aspects of the situation.

Answer 8

STAGE 2: ADVANCED BEGINNER

Question 9

TRUE OR FALSE:
An Advance Beginner develops when the person can demonstrate marginally acceptable performance having coped with enough real situations to note or to have pointed out by a mentor, the recurring meaningful components of the situation.

Answer 9

TRUE

Question 10

TRUE OR FALSE:
Nurses at the Advanced Beginner stage view clinical situations in terms of patient needs and responses

Answer 10

FALSE
Advanced Beginner nurse view clinical situations as a TEST OF THEIR ABILITIES and DEMANDS OF THE SITUATION

Question 11

Advanced Beginners have difficulty grasping the current patient situation in terms of the __________.

Answer 11

larger perspectives

Question 12

Fresh graduates

Answer 12

STAGE 2: ADVANCED BEGINNER

Question 13

● Demonstrates organizational and planning abilities.
● Begins to recognize patterns and determines which elements of the situation warrant attention and which can be ignored.
● Devises new rules and reasoning procedures for a plan while applying learned rules for action.
● Coordinates multiple complex care demands.

Answer 13

STAGE 3: COMPETENT

Question 14

TRUE OR FALSE:
Competent nurses has increased level of efficiency but focus is on
time management and organization of the task.

Answer 14

TRUE

Question 15

TRUE OR FALSE
Competent nurses will never display hyper responsibility

Answer 15

FALSE
Competent nurses MAY DISPLAY HYPER RESPONSIBILITY

Question 16

★ Nurses at this stage may have systematic work habits (time management and organization of tasks – e.g. finishing duty hours).
★ They may exhibit an ever-present and critical view of the self.
★ Handles around 10 patients.

Answer 16

STAGE 3: COMPETENT

Question 17

★ A sense of mastery is required through planning and predictability.
★ Crucial in formation of the everyday ethical comportment of nurses.
★ Active teaching and learning are important to transition to a proficient stage.

Answer 17

STAGE 3: COMPETENT

Question 18

Has 2 or 3 years experience

Answer 18

STAGE 3: COMPETENT

Question 19

● New ability to see changing relevance in a situation including recognition and implementation of skilled responses to the situation as it evolves.
● Demonstrates increased confidence.
● With much involvement with the patient and family.

Answer 19

STAGE 4: PROFICIENT

Question 20

TRUE OR FALSE:
Proficient nurses have a decent understanding of the client which
improves decision making.

Answer 20

FALSE
They have a HOLISTIC UNDERSTANDING of the client

Question 21

Focuses on long term goals.

Answer 21

STAGE 4: PROFICIENT

Question 22

★ Nurses at this stage have the ability to communicate confidently with the patient AND the patient’s relatives.
★ Recognizes salient aspects and has an intuitive grasp of the situation.

Answer 22

STAGE 4: PROFICIENT

Question 23

Has 3-5 years of experience

Answer 23

STAGE 4: PROFICIENT

Question 24

● No longer relies on analytical principles (rule, guideline, maxim) to connect his or her understanding of the situation to an appropriate action.
● Fluid, flexible, and highly proficient performance.
● With highly skilled intuitive and analytic ability in new situations.

Answer 24

STAGE 5: EXPERT

Question 25

Ability for pattern recognition on the basis of deep experiential background.

Answer 25

STAGE 5: EXPERT

Question 26

TRUE OR FALSE:
Expert nurses are inclined to take a certain action because “it felt
right.”

Answer 26

TRUE

Question 27

Key aspects of Expert Nurses:
1. a ________ and ________ practice
2. embodied ________
3. seeing the ________
4. seeing the ________

Answer 27

(1) clinical grasp / resource based
(2) know-how
(3) big picture
(4) unexpected

Question 28

★ Nurses at this stage already have high-end skills. However, it is important to remember that there is no end to learning.
★ The utmost importance of nurses at this stage is to meet the patient’s actual concerns and needs, even if it means planning and negotiating for a change in the plan of care.

Answer 28

STAGE 5: EXPERT

Question 29

Have no less than 5 years of experience

Answer 29

STAGE 5: EXPERT