Exam #2: Nursing Licensure (under legal issues in notes)

Question 1

Individual Licensure

Answer 1

laws similar from state to state
licensed for one particular state
many licensure laws do not require mandatory CEUs
laws developed by State Boards, then passed as state legislation that regulate individual licensure

Question 2

Nurse Licensure Compact

Answer 2

multi-state licensure–NCSBN

Benefits:

• -reduces barriers to interstate practice
• -improves tracking of disciplinary actions
• -cost-effective and simple
• -unduplicated listing

Question 3

Nurse Practice Acts

Answer 3

each state’s practice act varies slightly

selected content:

• -definition of nursing
• -requirements/exemption of licensure
• -disciplinary actions
• -responsibilities of board

Question 4

Definiton and Scope of Practice

Answer 4

defintion determines legal responsibilities and scope of practice
definition of practice intentionally broad
differentiates practice of RN and LPN

Question 5

Board of Nursing

Answer 5

appointed by governor
5-19 members

purpose:

• -est. rules and regulations for minimum standards of practice
• -issue licenses to those qualified
• -impart disciplinary actions
• -approve educational programs

Question 6

Requirements for licensure

Answer 6

successful completion of RN program
successful completion of NCLEX-RN
in good standing w/ state board
pay required fees

Question 7

Renewal of Licensure

Answer 7

renewal fee every 2 years
some states require CEUs
concern over level of competence

Question 8

Reciprocity

Answer 8

licensure by endorsement
national standardized exam (NCLEX)
must meet state requirements
undisciplined license
exception: nurse licensure compact states

Question 9

Licensure No-No’s

Answer 9

practicing impaired
substance use/abuse
incompetence/negligence
felony or misdemeanor charge
unprofessional/immoral acts
physical impairment

Question 10

Discipline of licensure

Answer 10

CENSURE: public reprimand (“slap on wrist”)

PROBATION: place terms and conditions on licensee’s license

SUSPENSION: cease practice for up to 3 years

REVOCATION: immediately loses license and may no longer practice nursing
–most restrictive

Question 11

Obtaining a license

Answer 11

application form completed in 7th semester at MU
fingerprint check: federal and state
Alternate state licensure other than MO
register for NCLEX-RN