A nurse wants to become more involved in nursing on a national level.
Which of the following organizations should the nurse join?

The correct answer is Choice B.

Choice A rationale: Advanced beginners are newly graduated nurses who rely on limited experience and follow guidelines strictly. They cannot yet mentor others effectively because they lack the necessary comprehensive knowledge and practical skills for precepting new staff members.

Choice B rationale: Proficient nurses have a deep understanding of clinical situations through experience. They can recognize patterns, predict outcomes, and provide effective mentorship as preceptors. They are skilled at guiding new staff members and improving their clinical performance.

Choice C rationale: Expert nurses possess an intuitive grasp of clinical situations and make decisions rapidly. While they are highly skilled, the role of preceptor is generally better suited to proficient nurses who are adept at breaking down complex tasks for new learners.

Choice D rationale: Competent nurses have a few years of practice and can plan and manage patient care efficiently. However, they are not yet at the stage where they can fluidly adapt to varying situations or mentor new staff as effectively as proficient nurses.

Choice A rationale:

Economic stability is one of the key factors of the social determinants of health (SDOH) that significantly impacts an individual's well-being. In this case, the client reporting unemployment indicates a lack of economic stability. Economic stability encompasses factors such as employment, income, and financial resources, and it can affect access to healthcare, nutrition, housing, and other social determinants of health. The client's unemployment is a challenge to their overall health.

Choice B rationale:

Neighborhood environment is another SDOH factor, which includes aspects like the quality of housing, safety, and access to parks and recreational areas. While neighborhood environment can impact health, the client's unemployment directly relates to economic stability and its challenges, making choice A the more appropriate answer.

Choice C rationale:

Education is a crucial SDOH factor, as it can influence employment opportunities, income, and health literacy. However, in this specific scenario, the client's primary concern is their unemployment. While education is a related factor, choice A (economic stability) is more directly applicable to the client's situation.

Choice D rationale:

Social and community context includes factors like social support, social norms, and community engagement. While this factor is important for overall health, the client's immediate challenge is economic stability due to unemployment. Social and community context may play a role in addressing unemployment, but it is not the factor that is currently challenging the client the most.