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NURS105 > Chapter 3 > Flashcards

Chapter 3 Flashcards

The Nursing Assistant

1
Q

certification

A

official recognition by a state that you met requirements

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2
Q

delegate

A

authorize / direct staff to perform task

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3
Q

delegation

A

process of nurse directing / allowing staff to perform task not usually performed

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4
Q

endorsement

A

reciprocity; state recognizes certificate / license issued by another state

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5
Q

job decription

A

doc describing agency expectations of you

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6
Q

how can you give safe care ?

A
  • know own limits
  • what you can / cannot do
  • know role limits
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7
Q

nurse practice act

A

defines the different nursing levels and the scope of practice for each

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8
Q

who enforces the nurse practice act ?

A

the state’s board of nursing (BON)

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9
Q

what can the BON do ?

A

deny, revoke, suspend a nursing license
- mishandling of drugs
- convicted of abuse / neglect
- incompetent behavior

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10
Q

omnibus budget reconciliation act of 1987 (OBRA)

A

sets minimum requirement of nursing assistant training and evaluation in all 50 states

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11
Q

what does OBRA require to be eligible to take NATCEP ?

A
  • ≥ 75 hours of instruction
  • ≥ 16 hours of physical training
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12
Q

nursing assistant training and competency evaluation program

A

(NATCEP) written (multiple-choice) and evaluation test taken after training program

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13
Q

how many chances does OBRA allow to take the NATCEP ?

A

3

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14
Q

what is included in the nursing assistant registry ?

A
  • full name (maiden / married included )
  • identifying info
  • date test was NATCEP passed
  • any mishandling / abuse
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15
Q

reasons for discipline ?

A
  • violating professional boundaries
  • leaving / abandoning person
  • failing to report / protect
  • neglect / abuse
  • false / incorrect entry
  • mishandling drugs
  • making false / misleading statements to BON / during investigation
  • accepting tasks not trained to perform
    etc.
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16
Q

OBRA doesn’t allow persons convicted of abuse / neglect to work where ?

A

long-term care agencies

17
Q

how long of not working as a nursing assistant until OBRA can take away your license ?

A

24 months

18
Q

what can states require to ensure you’re competent after not working for a while?

A
  • require competency evaluation
  • retrain and give a new competency evaluation
19
Q

what outcomes will happen when being evaluated for endorsement in another state ?

A
  • granted / denied certification
  • have to take NATCEP test (written / skills / both)
20
Q

roles / responsibilities of nursing assistants ?

A
  • report observations to nurses
  • review care plan w/ nurse
  • ask nurse for guidance when not understanding
  • perform only tasks state / job description allow
21
Q

before performing a nursing task what should you make sure of ?

A
  • state allows you to do task
  • task is in job description
  • have education / training to do task
  • nurse is available to answer your questions
22
Q

advanced practice registered nurse (APRN) can delegate ?

A
  • RNs
  • LPNs / LVNs
  • nursing assistants
23
Q

registered nurses (RN) can delegate ?

A
  • LPNs / LVNs
  • nursing assistants
24
Q

LPNs / LVNs can delegate ?

A

nursing assistants if state’s nurse practice act allows

25
Q

nursing assistants can delegate ?

A

no one; you can ask for help, but not for them to do your work

26
Q

how can delegated tasks be made safe ?

A
  • know person’s needs
  • know person’s condition
  • predict if outcome of task is predictable or not
  • know how much supervision will be needed
  • if task is in delegating nurse’s practice
  • task is within abilities
  • in the job description
  • task doesn’t involve judgement / critical thinking for nursing assistant
27
Q

delegation is a process requiring what skills ?

A
  • good assessment of person’s needs
  • communication
  • guidance / assistance
  • follow up / feedback
28
Q

delegation should have clear / complete directions about ?

A
  • how to perform / complete task
  • observations to record / report
  • when to report
  • priorities of task
  • person concerns to report at once
  • what to do if person’s condition change
29
Q

when would the nurse take action during implementation of a delegated task ?

A
  • didn’t complete task efficiently
  • task did not meet expectations
  • change in person’s condition
30
Q

the 5 rights delegation ?

A
  • the right task; within your abilities / job description
  • the right circumstances; had experience / understand how to do
  • the right person; comfortable doing task / concerns
  • the right direction / communication; clear objectives
  • the right supervision; nurse available for any questions / problems
31
Q

you have the right to refuse a delegation when ?

A
  • beyond your abilities / training
  • not in job description
  • could cause harm / isn’t ethical / legal
  • person’s condition changed
  • directions not complete / clear
    always think of safety of the person

NURS105 (43 decks)

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