Professional Nursing Topics (Week 1)------REARDON

Question 1

Primary purpose of licensure is…..

Answer 1

Protection of the public

Question 2

First computerized NCLEX exam (YEAR)

Answer 2

1994

Question 3

Nurse Practice Act

Answer 3

Statue in each state and territory that regulate the practice of nursing

Question 4

STATE BOARD OF NURSING

Answer 4

Appointed board within each state charged with responsibility to administer the nurse practice act of that state.

Question 5

Organization whose membership consists of the board of nursing of each state or territory

Answer 5

National Council of State Board of Nursing

(NCSBN)

Question 6

COMPONENTS OF MODEL NURSE PRACTICE ACT

Answer 6

• Definition of professional nursing
• definition of advanced practice
• Requirements / procedures for entry into practice
• Requirements for renewal of license
  
  • every two years
  • 30 CE credits
• Designation of regulatory board to administer the Nurse practice act
  
  • Govenor appoints who will sit on the BON
  • BON then implements the NPA
• Guidelines for delegation
  
  • not in the PA NPA

Question 7

Duties of the Board of Nursing

(2)

Answer 7

1. Grants / Renews nursing licenses
2. disciplinary actions against nurses as needed
   
   1. ^REPRIMANDS
   2. ^RESTRICTIONS
   3. ^SUSPENSIONS
   4. ^{REVOCATION OF LICENSE}

Question 8

SUNSET LEGISLATION

Answer 8

Statues that provide for recovation of laws if not reviewed and renewed within a specified time.

• Intended to ensure that legislation is current and reflects the need of the public
• sunset activities allow NPA to be updated and revised

Question 9

(2)

Purpose of the NCLEX-RN Examination

(NCLEX)

Answer 9

• Safeguard the public from unsafe practitioners
• assist state BON in determining candidates’ capabilities for performing “entry level” RN positions

Question 10

Characteristics of the NCLEX-RN Examination

Answer 10

• Computerized “PASS / FAIL” examination
• Taken at candidates convienence
• must be completed in 6hr or less
• Official results–6 weeks, Unofficial results–<48 hrs
• New passing standard is considered every three years

Question 11

NCLEX RN-Examination does NOT end until….

(2)

Answer 11

1. Stability of the PASS / FAIL result is certain (95%)
2. Time runs out

Question 12

NCLEX RN-Examination determines if a candidate PASSES/FAILS according to three (3) rules:

Answer 12

1. 95% confidence Interval rule
2. Maximum-length examination rule
   
   1. if candidate is close to the passing standard, the computer will continue to give questions until maximum number of questions (265 questions) is reached
3. Run out of time rule
   
   1. candidate runs out of time-and 95% confidence has not yet been determined. If the candidate has not answered the minimum number of questions= FAILURE

Question 13

GOAL OF Computer

Adaptive Testing

Answer 13

determine competency based on the difficulty

of questions answered correctly rather than

on the number of questions answered correctly

Question 14

NCLEX RN EXAM

Minimum # of questions:____

Maximum # of questions:____

Answer 14

• 75 questions
• 265 questions

Question 15

Hierarchical model for cognitive domain

that classifies learning into levels of

complexity and specificity

Answer 15

BLOOMS TAXONOMY

Question 16

The mobility of nurses and the growing area of telehealth have resulted in the development of a new licensing model called the __.

Answer 16

mutual recognition

Question 17

Uniform testing for entry into professional nursing practice is accomplished through the __.

Answer 17

NCLEX-RN® examination

Question 18

Which of the following is an area of clinical specialist nursing for which the American Nurses Credentialing Center (ANCC) offers a certifying examination? (Select all that apply.)

• Home Health
• Pediatrics
• Adult Psychiatric and mental health
• Adult Health
• Informatics

Answer 18

• PEDIATRICS
• ADULT PSYCH AND MENTAL HEALTH
• ADULT HEALTH

Question 19

What characteristic applies to the process of licensure? (Select all that apply.)

• is granted by governmental legislation
• recognizes excellence in performance
• awarded by non-governmental agency
• administered by state associated boards
• establishes minimal level of practice

Answer 19

• Administered by state-associated boards

^{<span>Licensure establishes minimal levels of practice, whereas certification recognizes excellence in practice and is granted and governed by legislation and administered through the state board of nursing. Certification recognizes excellence in practice and is awarded by nongovernmental agencies.</span>}

• Establishes minimal levels of practice

Licensure establishes minimal levels of practice, whereas certification recognizes excellence in practice and is granted and governed by legislation and administered through the state board of nursing. Certification recognizes excellence in practice and is awarded by nongovernmental agencies.

Question 20

What is the primary purpose of nursing licensure?

1. Recognizing the knowledge and skills of the professional nurse
2. Identifying all persons who have graduated from a school of nursing
3. Providing the public with protection against poorly trained nurses
4. Raising nursing to the level of a profession

Answer 20

Providing the public with protection against poorly trained nurses

When it became evident that nursing programs varied greatly in their entry criteria and academic requirements, it became necessary to address the resulting confusion and so licensure was adapted as a means of protecting the public. Then, as now, the primary purpose of licensure was protection of the public. It is true the licensure acknowledges the skills and academic expertise of those who have successfully graduated from a school of nursing, but those are not the primary purpose of the license. Licensure is not the only criteria for attaining professional status.

Question 21

A nursing student is telling peers about a scheduled appointment with a primary care provider. The student says, “One of the office staff come to take my blood pressure and said, “I will be your nurse today.” “I noticed the name tag said nursing technician.” Which of the following is the best response the student should make when explaining the implications of the nurse practice acts related to the technician’s statement?

• The RN title is defined and protected by the definition of nursing practice.
• • The RN title is defined and protected by the purpose of the nurse practice act.
• • The title RN is defined and protected by licensure requirements
• • The RN title is defined and protected by the nurse’s scope of practice.
    *

Answer 21

The RN title is defined and protected by the purpose of the nurse practice act

_{<em><span>The first purpose of a Nurse Practice Act is to protect the health and safety of the public, and the second purpose is to protect the title of RN. The legal title RN is reserved for those meeting the requirements to practice nursing. Only those licensed may use the designation of RN. Licensure requirements describe qualifications and procedures necessary for initial entry into nursing practice. The definition of nursing is of utmost importance because it delineates the scope of practice for nurses within the state, that is, each act outlines the activities nurses may legally perform within the jurisdiction.</span></em>}

Question 22

Which event was an initial factor in the mutual recognition model of nursing regulation?

• The growing presence of nurse-managed telehealth services
• The legal need to ensure nurses due process under the law
• The need to clarify the responsibilities and rights of professional nurses
• The introduction of the associate degree nursing program

Answer 22

The growing presence of nurse-managed telehealth services

Through this model, individual state boards formed the NLC, a collection or compact of states that recognize a nurse’s right to practice in all involved states as long as they are licensed in at least one of the compact states. This form of regulation was motivated by the increased mobility of nurses, the telehealth movement, and the necessity of caring for patients across long

Question 23

Where can a registered nurse (RN) find the most reliable guidelines regarding the appropriate delegation of activities or tasks to unlicensed nursing personnel?

• The American Nurses Associate (ANA)
• The American Nurses Credentialing Center (ANCC)
• That state’s nurse practice act
• The National Council of State Boards of Nursing (NCSBN)

Answer 23

That state’s nurse practice act

Guidelines for delegation have been developed by many nursing organizations, including the ANA and NCSBN. Although the professional organizations’ guidelines are helpful, it is the nurse practice acts of individual states that establish the legal definitions of appropriate delegation practices. Because regulations differ among states, each nurse must identify and understand the regulations for the state in which he or she

Question 24

Although requirements governing the practice of advance practice nursing may vary significantly, what is required by all states?A master’s degree in nursing

• A supervisory relationship with a physician
• 10 years of practice in the specialty area
• Certification in the specialty area
• All states require evidence of certification in the specialty area.

Answer 24

Certification in the specialty area

All states require evidence of certification in the specialty area. A master’s degree is not required in all states. Requirements concerning supervisory and collaborative practices vary, as do requirements for years of practice in the specialty.

Question 25

AMERICAN NURSES ASSOCIATION

(ANA)

Answer 25

Professional organization that represents all registered nurses

Question 26

Independent agency of the ANA that conducts certification exams and certifies advanced practice nurses

Answer 26

American Nurses Credentialing Center

(ANCC)

Question 27

Appointed board within each state charged with responsibility to administer the nurse practice act of that state.

Answer 27

State Board of Nursing

Question 28

Sunset Legislation

Answer 28

Statues that provide for revocation of laws if not reviewed and renewed within a specified time