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Questions and Answers
What role does the Board of Nursing play in relation to nursing licenses?
Which organization defines the scope of practice for nurses in each state?
What consequence may occur if a nurse does not adhere to the Nurse Practice Act?
Nursing students are held to the same standards as professional nurses with respect to what?
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Which of the following statements about the American Nurses Association (ANA) is true?
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How should nursing students address situations beyond their competency?
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What can a violation of nursing standards of practice lead to for a nursing graduate?
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What do the standards for nursing care primarily promote?
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What is the primary commitment stated in the Nightingale pledge for nurses?
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Which entity defines protocols as 'a precise and detailed written plan for a regimen of therapy'?
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What is a consequence for nurses if they fail to adhere to agency policies and protocols?
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What is a primary goal of The Joint Commission?
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Which of the following is NOT one of The Joint Commission’s National Patient Safety Goals?
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What is required of nurses in relation to the state Nurse Practice Act?
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What does a safety culture in a healthcare agency encourage?
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Which of the following actions reflects the implementation of National Patient Safety Goals in practice?
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What should nurses and nursing students always review before providing client care?
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Which group has enacted federal regulations influencing nursing practice?
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What is one of the measures taken when hypoglycemia occurs in a patient?
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In case of a medication error, what type of report should a nurse create?
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What aspect of nursing does the Nurse Practice Act primarily govern?
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What is the primary source of funding for Medicare?
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Which group of individuals primarily benefits from Medicaid?
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What key feature does the Affordable Care Act introduce for private insurance?
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What must health care organizations comply with to receive Medicare and Medicaid reimbursement?
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How does Medicare determine reimbursement rates for healthcare services?
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What is a significant consequence for healthcare organizations with high rates of healthcare-associated infections (HAI)?
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What income range qualifies individuals for subsidies under the Affordable Care Act in 2023 for a family of four?
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Why might emergency room visits increase among individuals with high healthcare costs?
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Which agency establishes regulations to protect client safety in hospitals that receive Medicare and Medicaid funding?
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What is a characteristic of private health insurance programs in relation to regulations?
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What is the primary mission of the American Nurses Association (ANA)?
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Which document establishes the ethical framework for nursing practice?
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What area does the Nursing: Scope and Standards of Practice primarily define?
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Which of the following is NOT a component of the nursing process?
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How many Standards of Professional Performance does the ANA describe?
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What is a primary purpose of the ANA standards?
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Which standard relates to the nurse's commitment to social equity?
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What is meant by the 'how' of nursing practice?
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Which statement accurately describes the responsibilities of nurses regarding professional practice?
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What describes the 'why' of nursing practice?
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Which ANA standard promotes the use of evidence-based practices?
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What defines the 'who' of nursing practice?
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In which area does the ANA’s Standard of Professional Performance of Leadership apply?
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Study Notes
Licensure, Regulations & Standards in Nursing
- Standards for nursing care are established by various organizations, including state Nurse Practice Acts, the American Nurses Association (ANA), and federal regulators.
- The Nurse Practice Act (NPA) defines nursing practice scope and enforces regulations; violations may lead to revocation of nursing licensure by the state Board of Nursing.
- Each state has its own specific Nurse Practice Act and regulations that nursing students must understand during clinical courses.
- Nursing students are legally accountable for their care quality and must report situations beyond their competency to faculty or authorities.
American Nurses Association (ANA)
- The ANA was founded in 1896 and represents nurses across all 50 states, focusing on better health care for the public.
- Mission includes fostering high standards in nursing practice, promoting ethical work environments, and advocating on health care issues.
- The ANA publishes essential resources such as The Code of Ethics for Nurses and Nursing: Scope and Standards of Practice, defining the framework for professional nursing.
ANA Standards of Practice
- There are 18 standards that registered nurses are expected to perform competently, shaped by the nursing process: assessment, diagnosis, outcomes identification, planning, implementation, and evaluation.
- Standards of Professional Performance cover ethics, advocacy, communication, collaboration, leadership, education, scholarly inquiry, quality of practice, professional evaluation, resource stewardship, and environmental health.
- Registered nurses are accountable to themselves, peers, health care consumers, and society for their professional behaviors.
Employer Policies and Procedures
- Nurses adhere to agency-specific policies, procedures, and protocols in addition to state and ANA standards.
- Failure to follow these standards, e.g., neglecting daily skin assessments, can result in legal liability.
- Agencies develop detailed protocols for various situations, such as hypoglycemia, which must be followed regardless of nursing school training.
Federal Regulations Influencing Nursing Practice
- Nursing practice is also influenced by federal regulations from agencies like The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS).
The Joint Commission (TJC)
- TJC accredits over 20,000 health care organizations, focusing on continuous improvement and quality care delivery.
- Sets National Patient Safety Goals to enhance safety in healthcare settings, including correctly identifying patients and preventing mistakes in surgery.
- Emphasizes establishing a safety culture that empowers nursing staff to report concerns and improve patient safety.
Health Care Funding and Regulations
- Health care operates as a business and relies on funding from private insurance and government programs, requiring compliance with regulations.
- The Affordable Care Act (ACA) aims to reduce healthcare costs and improve insurance coverage accessibility, significantly reducing the number of uninsured individuals.
- Medicare provides federally funded care for individuals over 65 and those with disabilities, while Medicaid covers low-income populations through a mix of state and federal funding.
Centers for Medicare & Medicaid Services (CMS)
- CMS establishes and enforces regulations for hospitals receiving Medicare and Medicaid funding, ensuring patient safety and quality care.
- Hospitals must adhere to regulations that govern medication administration and other clinical practices to receive full reimbursement.
- Quality standards are enforced, with organizations facing decreased reimbursement for poor patient outcomes, motivating adherence to optimal care practices.
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Description
Test your knowledge on the standards and regulations that govern nursing practice. This quiz covers key aspects of the Nurse Practice Act, the role of the American Nurses Association, and other regulatory bodies. Ensure you understand the important guidelines for providing safe and competent nursing care.
