Nursing Practice Regulations Overview
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Questions and Answers

How does bias impact the care provided to clients?

  • It generally has no effect on client care.
  • It may lead to poorer care due to cultural disagreements. (correct)
  • It encourages a holistic approach to treatment.
  • It enhances communication with the client.

    • What defines a vulnerable population in healthcare?

  • Groups at increased risk for adverse health outcomes and poor access to healthcare. (correct)
  • Any individual with a chronic disease.
  • People who have access to adequate health resources.
  • Individuals with high income seeking premium healthcare.

    • Which of the following is an example of a characteristic of a vulnerable population?

  • Limited social resources. (correct)
  • High educational attainment.
  • Good physical health.
  • Strong social support systems.

    • Which of the following is a boundary guideline for therapeutic relationships?

    <p>Avoid closed-ended questions.</p> Signup and view all the answers

    What does the abbreviation 'TID' stand for in medical dosage instructions?

    <p>Three times a day.</p> Signup and view all the answers

    What is the primary responsibility of nurses regarding client care?

    <p>Providing comprehensive and continuous nursing care</p> Signup and view all the answers

    Which of the following best describes autonomy in nursing practice?

    <p>Making independent decisions and acting upon them</p> Signup and view all the answers

    What is the correct sequence of the Nursing Process?

    <p>Assessment, Diagnosis, Planning, Implementation, Evaluation</p> Signup and view all the answers

    In the Clinical Judgement Model, which step comes immediately after analyzing cues?

    <p>Prioritize hypothesis</p> Signup and view all the answers

    What role does advocacy play in nursing?

    <p>Supporting clients' right to make their own healthcare decisions</p> Signup and view all the answers

    Which healthcare professional primarily focuses on rehabilitating clients with specific needs?

    <p>Therapist</p> Signup and view all the answers

    What is a key expectation of Registered Nurses (RNs) in their scope of practice?

    <p>Administering treatments and modifying care plans</p> Signup and view all the answers

    Which element is NOT part of the Nursing Values and Behaviors?

    <p>Team Sportsmanship</p> Signup and view all the answers

    What is the primary purpose of HIPAA?

    <p>To maintain the confidentiality and privacy of patient medical information</p> Signup and view all the answers

    Which of the following is NOT one of the 5 rights of delegation?

    <p>Right provider</p> Signup and view all the answers

    How can a violation of HIPAA regulations be penalized?

    <p>With fines that can reach up to $1.5 million per year</p> Signup and view all the answers

    What does prioritization of care primarily focus on?

    <p>Determining who needs immediate care first</p> Signup and view all the answers

    Which of the following scenarios requires use of an interpreter in healthcare settings?

    <p>A patient who cannot communicate verbally</p> Signup and view all the answers

    What is the main goal of primary prevention?

    <p>To prevent the onset of disease in healthy individuals</p> Signup and view all the answers

    What should be the priority intervention after a patient experiences a fall?

    <p>Assessing the patient for injuries</p> Signup and view all the answers

    What does cultural competency in healthcare entail?

    <p>Understanding and respecting diverse cultural values and beliefs</p> Signup and view all the answers

    Which of the following factors can influence therapeutic communication?

    <p>Posture and facial expressions</p> Signup and view all the answers

    Which of the following is considered a modifiable risk factor for health?

    <p>Sedentary lifestyle</p> Signup and view all the answers

    What does the 'Right circumstance' refer to in the context of delegation?

    <p>Whether the delegated task is appropriate for the situation</p> Signup and view all the answers

    Which group typically focuses on providing support during end-of-life care?

    <p>Spiritual care providers</p> Signup and view all the answers

    What is an example of tertiary prevention?

    <p>Rehabilitation for heart attack survivors</p> Signup and view all the answers

    Study Notes

    Nursing Practice Regulations

    • Nurse Practice Acts: State laws governing nursing practice, overseen by state boards.
    • Standards of Practice: Guidelines for providing safe, quality care.
    • Code of Ethics: American Nurses Association (ANA) guidelines for acceptable nurse behavior.
    • Nursing Process: Assessment, diagnosis, planning, implementation, evaluation.
    • Clinical Judgement Model: Recognizing and analyzing cues, prioritizing hypotheses, generating solutions, acting, and evaluating outcomes for safer client care.
    • Critical Thinking: Higher-level thinking leading to logical actions, vital for assessing client responses to interventions.
    • Nursing Values & Behaviors: Autonomy, caring, use of the nursing process.
    • Autonomy: Self-governance in choosing and acting on a choice.
    • Advocacy: Supporting client decision-making or protecting clients unable to make decisions.
    • RN Scope of Practice: Assessing clients, administering treatments/medications, educating, modifying care plans based on client responses.
    • Interprofessional Healthcare Team: Includes physicians, NPs, PAs, LPNs, UAPs, pharmacists, therapists, technologists, dieticians/nutritionists, social workers, spiritual care providers, and alternative care providers. Each plays a specific role in patient care.

    HIPAA

    • Health Insurance Portability & Accountability Act (HIPAA): Ensures confidentiality & privacy of patient medical information in healthcare agencies and for employees.
    • HIPAA Violations: Penalties include civil penalties ($50,000 per violation, up to $1.5 million per violation category per year) and criminal penalties (up to 1 year in prison).
    • Limiting HIPAA Violations: Educate, supervise, enforce HIPAA regulations.

    Prioritization and Delegation

    • Prioritization: Assessing and responding to clients' needs based on urgency and severity of needs.
    • ABCs: Airway, Breathing, Circulation (priority in triage).
    • Maslow's Hierarchy of Needs: Physiological (water, food), Safety & Security, Social, Esteem, Self-Actualization.
    • Five Rights of Delegation: Right task, right circumstance, right person, right direction/communication, right supervision/evaluation.
    • UAP Tasks: Defined activities like bathing, grooming, vital signs, specimen collection, assisting with ADLs.
    • Non-Delegable Tasks: Tasks requiring nursing judgment (e.g., assessment for fall risks, interpreting a client's response to treatment).

    Therapeutic Communication

    • Interpreter Use: Employ trained interpreters for clients with limited English proficiency.
    • Environment: Quiet, distraction-free settings for client education.
    • Open-Ended Questions: Questions requiring more than a "yes" or "no" answer (e.g., "Tell me about the pain you are experiencing?").
    • Client Education: Assess existing knowledge, address client preferences, and clearly explain treatment plans.
    • Therapeutic Communication Qualities: Empathy, respect, genuineness, concreteness, confrontation.
    • Nonverbal Factors: Posture, gestures, and facial expressions influence communication.

    Safety and Risk Reduction (Hospital)

    • Two-Factor Authentication: Verifying patient identity using name and date of birth.
    • Restraints: Used cautiously for self-harm or harm to others (wrist/ankle restraints).
    • Needle Stick Protocol: Report injuries, wash with soap and water, and inform the charge nurse.
    • Alert Bands: Unique patient identifiers to prevent errors with similar names.
    • Seizure Precautions: Padded rails, suction, oxygen.
    • Fall Risk Determination: Level of consciousness, history of falls, mobility.
    • Fall Prevention (Home/Hospital): Assess potential hazards, use safety checklists and assessments, use non-slip socks, lower the bed, move near the nursing station, use 2 side rails.
    • Modifiable Risk Factors: Smoking, weight, exercise, diet.
    • Non-modifiable Risk Factors: Genetics, age, family history, sex.
    • Fire Safety: Know the location and operation of fire extinguishers.

    Levels of Prevention

    • Primary Prevention: Actions directed at healthy individuals (e.g., vaccinations).
    • Secondary Prevention: Early detection and diagnosis (e.g., screenings, mammograms).
    • Tertiary Prevention: Maximizing recovery (e.g., rehabilitation, support groups).

    Cultural Awareness

    • Understanding Cultural Needs: Ask about patient values, beliefs, and preferences to understand needs appropriately.
    • Cultural Competency: Providing care that respects patients' values, beliefs, needs, and preferences. Incorporate culture into patient care and empower decision making.
    • Bias and Vulnerable Populations: Bias can affect care; vulnerable populations (e.g., low-income, certain ethnic groups) have increased risk.

    Dosage Calculations & Abbreviations

    • Dosage Calculation: (Requires specific questions to provide relevant instructions).
    • Abbreviations: PO (by mouth), TID (three times a day,), BID (twice a day), ODT (orally disintegrating tablet), AC (before meals), c/o (complaint of), d/c (discharge or discontinue), PC (after meals), QH (every hour), QID (four times a day), etc.

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    Description

    Explore the essential components of Nursing Practice Regulations, including Nurse Practice Acts, Standards of Practice, and the Nursing Process. This quiz will assess your understanding of the legal and ethical guidelines that govern nursing, as well as critical thinking and clinical judgment in patient care. Test your knowledge on the foundational principles that ensure safe and effective nursing practices.

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