Role Development Lecture 1 Flashcards

1
Q

A ________ shall perform only those nursing activities for which they has been prepared through basic registered nursing education and those additional skills which are obtained through subsequent nursing education and within the scope of practice as determined by the Board.

A

A: registered nurse (RN)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

A ____________ may perform the following:

  1. Tasks for which they have been trained through the curriculum identified in R4-19-802, and
  2. Tasks learned through in-service or educational training if the task meets the following criteria and they have demonstrated competence performing the task:
    a. The task can be safely performed according to clear, exact, and unchanging directions;
    b. The task poses minimal risk to the patient or resident and the consequences of performing the task improperly are not life threatening or irreversible;
    c. The results of the task are reasonably predictable; and
    d. Assessment, interpretation, or decision-making is not required during the performance or at the completion of the task.
A

A: Nursing Assistant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A _________ shall:

  1. Assign nursing care within their scope of practice to RNs;
  2. Assign nursing care to a LPN within the LPN scope of practice based on the RN’s assessment of the client and the LPN’s ability;
  3. Supervise, monitor, and evaluate the care assigned to a LPN;
  4. Delegate nursing tasks to UAPs.
A

A: registered nurse (RN)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

A __________ shall provide nursing care only under the supervision of a professional nurse or licensed physician.

A

A: licensed practical nurse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

A _______ shall use critical thinking and nursing judgment to analyze client assessment data to:

a. Make independent nursing decisions and formulate nursing diagnoses; and
b. Determine the clinical implications of client signs, symptoms, and changes, as either expected, unexpected, or emergent situations; RULES Updated Sept 2012-Compact. RTF (Page 29 of 58)

A

A: registered nurse (RN)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A ___________ nursing practice is limited to those activities for which they has been prepared through basic practical nursing education in accordance with A.R.S. § 32-1637(1) and those additional skills that are obtained through subsequent nursing education and within the scope of practice as determined by the Board.

A

A: licensed practical nurse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A ________ shall evaluate the impact of nursing care including the:

a. Client’s response to interventions;
b. Need for alternative interventions;
c. Need to communicate and consult with other health team members; and
d. Need to revise the plan of care;

A

A: registered nurse (RN)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Name the 6 major Components of Professional Nursing Practice

A
  1. Standards of Care
  2. Scope of practice
  3. Legal and Ethical Guidelines
  4. Professional boundaries
  5. Life-long learning (CEU’s)
  6. Professional organizations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A _________ provide comprehensive nursing and health care education in which the nurse:

a. Assesses and analyzes educational needs of learners;
b. Plans educational programs based on learning needs and teaching-learning principles;
c. Ensures implementation of an educational plan either directly or by delegating selected aspects of the education to other qualified persons; and
d. Evaluates the education to meet the identified goals;

A

A: registered nurse (RN)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A ________ shall ensure that the:

a. UAP has the education, legal authority, and demonstrated competency to perform the delegated task;
b. Tasks delegated are consistent with the UAP’s job description and can be safely performed according to clear, exact, and unchanging directions;
c. Results of the task are reasonably predictable;
d. Task does not require assessment, interpretation, or independent decision making during its performance or at completion;
e. Selected client and circumstances of the delegation are such that delegation of the task poses minimal risk to the client and the consequences of performing the task improperly are not life-threatening;
f. The nurse provides clear directions and guidelines regarding the delegated task or, for routine tasks on stable clients, verifies that the UAP follows each written facility policy or procedure when performing the delegated task;
g. The nurse provides supervision and feedback to the UAP; and
h. The nurse observes and communicates the outcomes of the delegated task.

A

A: registered nurse (RN)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A _________ shall:

  1. Recognize the limits of their personal knowledge, skills, and abilities;
  2. Comply with laws relevant to their scope of practice;
  3. Inform the registered nurse, licensed practical nurse, or another person authorized to delegate the task about their ability to perform the task before accepting the assignment;
  4. Accept delegation, instruction, and supervision from a professional or practical nurse or another person authorized to delegate a task;
  5. Acknowledge responsibility for personal actions necessary to complete an accepted assigned task;
  6. Follow the plan of care, if available;
  7. Observe, report, and record signs, symptoms, and changes in the patient or resident’s condition in an ongoing and timely manner;
  8. Retain responsibility for the assigned task without delegating it to another person.
A

A: Nursing Assistant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

A ______ shall contribute to the assessment of the health status of clients by:

a. Recognizing client characteristics that may affect the client’s health status.
b. Gathering and recording assessment data.
c. Demonstrating attentiveness by observing, monitoring, and reporting signs, symptoms, and changes in client condition in an ongoing manner to the supervising registered nurse or physician.

A

A: licensed practical nurse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

A _________may not perform any task that requires a judgment based on nursing knowledge, such as the administration of medications.

A

A: Nursing Assistant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

A _____ shall conduct a nursing assessment of a client in which the nurse:
a. Recognizes client characteristics that may affect the client’s health status;
b. Gathers or reviews comprehensive subjective and objective data and detects changes or missing information;
c. Applies nursing knowledge in the integration of the biological, psychological, and social aspects of the client’s condition;
and
d. Demonstrates attentiveness by providing ongoing client surveillance and monitoring;

A

A: registered nurse (RN)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Anyone can file a complaint, however, law ________certain individuals and institutions. Pursuant to 32-1664 (B):

“A licensee, a certificate holder, and a health care institution as defined in §36-401 shall, and any other person may, report to the board any information the licensee, certificate holder, health care institution or individual may have that appears to show that a licensee or certificate holder is, was or may be a threat to the public health or safety.”

A

A: mandates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

A ______ shall provide nursing care within their scope of practice in which the nurse:

a. Administers prescribed aspects of care including treatments, therapies, and medications;
b. Clarifies health care provider orders when needed;
c. Implements independent nursing activities consistent with their scope of practice;
d. Institutes preventive measures to protect client, others, and self;
e. Intervenes on behalf of a client when problems are identified;
f. Promotes a safe client environment;
g. Attends to client concerns or requests;
h. Communicates client information to health team members including:
i. Client concerns and special needs;
ii. Client status and progress;
iii. Client response or lack of response to interventions; and
iv. Significant changes in client condition; and
i. Documents the nursing care they have provided;

A

A: registered nurse (RN)

24
Q

4 Common Collaboration Methods within the health care team?

A
  1. Communication
  2. Use of SBAR
  3. Delegation
  4. Leadership
25
Q

A _____________ shall:

  1. Practice within the legal boundaries of nursing within the scope of practice authorized by A.R.S. Title 32, Chapter 15 and 4 A.A.C.19;
  2. Demonstrate honesty and integrity;
  3. Base nursing decisions on nursing knowledge and skills, the needs of clients, and nursing standards;
  4. Accept responsibility for individual nursing actions, decisions, and behavior in the course of nursing practice.
  5. Maintain competence through ongoing learning and application of knowledge in nursing practice.
  6. Protect confidential information unless obligated by law to disclose the information;
  7. Report unprofessional conduct, as defined in A.R.S. § 32-1601(22) and further specified in R4-19-403 and R4-19-814, to the Board;
  8. Respect a client’s rights, concerns, decisions, and dignity;
  9. Maintain professional boundaries; and
  10. Respect a client’s property and the property of others.
A

A: licensed practical nurse

26
Q

What to do when working with an impaired nurse?

A

Go to http://www.azbn.gov/
File a Complaint
They will have to go to a Chemically Addicted Nurses Diversion Option (CANDO)

27
Q

__________ of complaints related to licensees/certificate holders may include employers, coworkers or other healthcare professionals, patient or family members, law enforcement, self-reports, and/or other regulatory agencies.

A

A: Sources

28
Q

A ______ shall contribute to the development and modification of the plan of care by:

a. Planning episodic nursing care for a client whose condition is stable or predictable;
b. Assisting the registered nurse or supervising physician in identification of client needs and goals; and
c. Determining priorities of care together with the supervising registered nurse or physician;

A

A: licensed practical nurse

29
Q

A ________ shall based on assessment and analysis of client data, plan strategies of nursing care and nursing interventions in which the nurse;

a. Identifies client needs and goals;
b. Formulates strategies to meet identified client needs and goals;
c. Modifies defined strategies to be consistent with the client’s overall health care plan; and
d. Prioritizes strategies based on client needs and goals;

A

A: registered nurse (RN)

31
Q

A __________ assigns and delegates nursing activities.

A

A: registered nurse (RN)

33
Q

A _____ shall implement aspects of a client’s care consistent with their scope of practice in a timely and accurate manner including:

a. Following nurse and physician orders and seeking clarification of orders when needed;
b. Administering treatments, medications, and procedures;
c. Attending to client and family concerns or requests;
d. Providing health information to clients as directed by the supervising RN or physician or according to an established educational plan;

A

A: licensed practical nurse

35
Q

3 common parts of Risk Management

A
  1. Participate in risk assessment
  2. Accident/Injury Reduction Plan
  3. Emergency Response and Disaster Management
36
Q

A _________ shall:

  1. Practice within the legal boundaries of nursing within the scope of practice authorized by A.R.S. Title 32, Chapter 15 and 4 A.A.C. 19;
  2. Demonstrate honesty and integrity;
  3. Base nursing decisions on nursing knowledge and skills, the needs of clients, and nursing standards;
  4. Accept responsibility for individual nursing actions, decisions, and behavior in the course of nursing practice;
  5. Maintain competence through ongoing learning and application of knowledge in nursing practice;
  6. Protect confidential information unless obligated by law to disclose the information;
  7. Report unprofessional conduct, as defined in A.R.S. § 32-1601(22) and further specified in R4-19-403 and R4-19-814, to the Board;
  8. Respect a client’s rights, concerns, decisions, and dignity;
  9. Maintain professional boundaries;
  10. Respect a client’s property and the property of others; and
  11. Advocate on behalf of a client to promote the client’s best interest.
A

A: registered nurse (RN)

37
Q

________ may eat PIE

A

A: licensed practical nurse

43
Q

View the State Board of Nursing website

http://www.azbn.gov/

for current information related to what three topics?

A

Scope of practice.
Nurse Practice Act (the law that governs the actions of nurses)​
State Board monthly meeting times/dates

44
Q

Define Nurse Practice Act?

A

A: The law that governs the actions of all nurses scope of practice and protect the public health, safety and welfare; shielding the public from unqualified and unsafe nurses.

45
Q

___________ provides nursing care, treatment, administer medications, and keep patient safe.

A

A: Registered Nurse

46
Q

Doing a non-sterile dressing change that does not require a Dr’s order.
This is an example of what type of nursing action?

A

Independent Actions

47
Q

Sterile procedure orders needed by physician, PA, or nurse practitioner.
This is an example of what type of nursing action?

A

Collaborative Actions

48
Q

We have an obligation and it is required that we report any concern of ________ to our supervisor and the board.

A

A: impairment