What does the Benner Novice to Expert Model take into account? Select all that apply

A.While continuous monitoring is part of post-fall protocol, the nurse has already performed an initial assessment before moving the patient. The next priority step in the legal and clinical sequence of events is to alert the medical team of the incident. Assessment is a prerequisite, but it does not fulfill the duty of reporting.

B.Doing nothing is a violation of professional standards and clinical safety protocols, even if no visible injury is present. Some injuries, such as internal hemorrhaging or hairline fractures, may not be immediately apparent upon initial inspection. All falls must be treated as significant events to ensure patient safety and to analyze systemic failures.

C.Completing an incident report is a necessary administrative task that documents the event for quality improvement purposes. However, the patient's immediate clinical safety requires communication with the healthcare provider first. The incident report is an internal document and is not a substitute for the clinical communication required to update the medical plan.

D.Notifying the health care provider is the immediate priority after ensuring the patient is safe and back in bed. The provider must be informed to evaluate the need for diagnostic imaging, such as X-rays or CT scans, and to update orders. This step ensures that any latent injuries are diagnosed and that the fall is officially documented.

A.Creating a daily "brain" sheet and prioritizing tasks based on patient acuity and time-sensitive interventions is the gold standard for nursing efficiency. This strategy allows the nurse to organize the shift into manageable segments while ensuring that high-priority needs are met. Planning reduces the cognitive load and prevents the omission of critical care components.

B.Multitasking often leads to a decrease in cognitive performance and an increase in clinical errors due to divided attention. In nursing, performing multiple complex tasks at once—such as calculating dosages while talking on the phone—compromises patient safety. True efficiency comes from focused task completion and intentional transitions rather than simultaneous execution of unrelated tasks.

C.Ignoring changes in client status is a dangerous practice that can lead to adverse patient outcomes and legal liability. A nurse must be flexible and prepared to reprioritize their entire schedule if a patient's condition deteriorates. Effective time management involves constant reassessment and the ability to adapt to the unpredictable nature of the clinical environment.

D.Leaving documentation until the end of the shift often results in inaccurate or "canned" charting because specific details are forgotten. It also leads to stay-over time, which contributes to burnout and fatigue. Real-time or "point-of-care" documentation is the preferred strategy to ensure data integrity and to keep the multidisciplinary team updated.