Chapter 3: Nursing Assistant Key Terms and Laws Quiz
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Questions and Answers

What was a significant trend during the 1980s in nursing?

  • Home care increased (correct)
  • Training was not required by law
  • Laws were strictly enforced
  • Team nursing was common

What was a common practice in nursing prior to the 1980s?

  • Laws were strictly enforced
  • Home care increased
  • Training was not required by law (correct)
  • Primary nursing was common

What does a nursing assistant need to know to protect patients and residents from harm?

  • The legal limits (correct)
  • The person's condition
  • The history of primary nursing
  • The amount of supervision needed

What shaped the work of nursing assistants according to the provided text?

<p>Job descriptions (B)</p> Signup and view all the answers

What is the purpose of the Omnibus Budget Reconciliation Act of 1987 (OBRA)?

<p>To improve the quality of life of nursing center residents (C)</p> Signup and view all the answers

What does the nurse practice act of each state do?

<p>Define the roles of registered nurses and licensed practical nurses/licensed vocational nurses (D)</p> Signup and view all the answers

What was common prior to the 1980s in terms of nursing team structure?

<p>Team nursing (B)</p> Signup and view all the answers

What is the purpose of a nursing assistant registry?

<p>To keep track of persons who have successfully completed the state’s approved nursing assistant training and competency evaluation program (NATCEP) (A)</p> Signup and view all the answers

What are the minimum training requirements set by OBRA for nursing assistants?

<p>At least 75 hours of supervised practical training (B)</p> Signup and view all the answers

What happens if a nursing assistant practices beyond the legal limits of their role?

<p>They could be practicing nursing without a license (A)</p> Signup and view all the answers

Flashcards

Nursing Assistants' Role in 1980s

Nursing assistants took on more tasks previously done by registered nurses to lessen their workloads.

OBRA of 1987's Impact on Nursing

OBRA set standards for nursing assistant training/certification and supervision to improve elder care in nursing homes

Nursing Assistant Knowledge

Nursing assistants need knowledge of patient safety, infection control, basic care, recognizing patient changes, and communication.

Nursing Assistant Supervision

Nursing assistants work under the guidance of registered nurses, following set instructions and procedures.

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OBRA Training

OBRA mandated a minimum 75-hour training for nursing assistants on topics like fundamental skills, patient rights, infection control, communication, and safety.

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Nursing Assistant Scope of Practice

Nursing assistants should adhere to the tasks defined in their scope of practice; exceeding this may lead to disciplinary actions.

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Nurse Practice Acts

State laws that define the tasks allowed for nurses (licensed RNs), differentiating them from nursing assistants.

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Pre-1980s Nursing Teams

Nursing teams were primarily composed of registered nurses and licensed practical nurses with fewer nursing assistants.

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Nursing Assistant Registries

These registries track the certification and licensing status of nursing assistants.

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Exceeding Scope of Practice

Performing tasks beyond a nursing assistant's legal scope may result in penalties or sanctions.

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Study Notes

Nursing in the 1980s

  • A significant trend in nursing during the 1980s was the increased use of nursing assistants to perform tasks traditionally done by registered nurses. This shift aimed to reduce the workload of registered nurses.

Nursing Practice Prior to the 1980s

  • Before the 1980s, nursing teams often operated with registered nurses performing a wide range of tasks. This practice created a highly independent nursing workforce.

Nursing Assistant Knowledge for Patient Protection

  • Nursing assistants must understand patient safety standards and infection control protocols to prevent harm. This includes knowledge of:
    • Hand hygiene
    • Isolation precautions
    • Basic patient care skills
    • Recognizing and reporting changes in patient condition
    • Communication with nurses and other healthcare providers

Nursing Assistant Work Structure

  • Nursing assistants work under the direction of registered nurses, following specific instructions and protocols.

Omnibus Budget Reconciliation Act of 1987 (OBRA)

  • The OBRA aims to improve the quality of care for nursing home residents by setting standards for nursing assistant training and certification, and ensuring proper supervision.

Nursing Practice Acts

  • Each state's nurse practice act defines the legal scope of practice for nurses. This includes defining specific tasks that only licensed registered nurses can perform.

Nursing Teams Prior to the 1980s

  • Before the 1980s, nursing teams were structured with registered nurses and licensed practical nurses performing the majority of tasks. Nursing assistants were less prominent.

Nursing Assistant Registries

  • Nursing assistant registries serve as centralized databases that track the certification and licensure status of nursing assistants.

OBRA Training Requirements for Nursing Assistants

  • The OBRA mandated a minimum of 75 hours of training for nursing assistants, covering subjects like:
    • Basic nursing skills
    • Patient rights
    • Infection control
    • Communication
    • Safety procedures

Nursing Assistant Scope of Practice

  • Nursing assistants who perform tasks outside their legal scope of practice face potential disciplinary action including fines, suspension, or revocation of their certification. This can include:
    • Making independent medical decisions
    • Administering medications
    • Providing complex nursing care

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Description

Test your knowledge on key terms, abbreviations, history, trends, laws, and training requirements for nursing assistants. This quiz covers the important information from Lesson 3.1 of 'The Nursing Assistant' Chapter 3.

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