Podcast
Questions and Answers
A new graduate nurse consistently seeks guidance from senior nurses, attends continuing education, and actively participates in quality improvement projects. Which aspect of professional development is primarily demonstrated by these actions?
A new graduate nurse consistently seeks guidance from senior nurses, attends continuing education, and actively participates in quality improvement projects. Which aspect of professional development is primarily demonstrated by these actions?
- Upholding the ethical standards of the nursing profession.
- Maintaining personal wellness to prevent burnout.
- Committing to lifelong learning and competency. (correct)
- Advocating for policy changes within the healthcare system.
A registered nurse delegates a complex wound care procedure to a practical nurse without verifying the practical nurse's competency in performing the procedure. If the patient experiences complications due to improper wound care, who ultimately holds accountability for the negative outcome?
A registered nurse delegates a complex wound care procedure to a practical nurse without verifying the practical nurse's competency in performing the procedure. If the patient experiences complications due to improper wound care, who ultimately holds accountability for the negative outcome?
- The charge nurse overseeing the unit.
- The registered nurse who delegated the task. (correct)
- The practical nurse who performed the procedure.
- The hospital administrator responsible for staffing.
During a team meeting, a nurse proposes a new approach to patient education based on recent research findings. The nurse anticipates resistance from some team members who are accustomed to the traditional method. Which initial action would best demonstrate leadership in this situation?
During a team meeting, a nurse proposes a new approach to patient education based on recent research findings. The nurse anticipates resistance from some team members who are accustomed to the traditional method. Which initial action would best demonstrate leadership in this situation?
- Dismissing concerns, implementing the new method immediately to showcase its benefits.
- Presenting the evidence clearly, addressing concerns, and involving the team in a trial period. (correct)
- Deferring to the most senior team member's opinion to avoid conflict.
- Forming a coalition with supportive colleagues to pressure others into acceptance.
A hospital is implementing a new electronic health record (EHR) system. A nurse openly voices resistance, citing concerns about the system's complexity and potential impact on patient care. What is the most constructive approach for the nurse to address these concerns while functioning within the organization?
A hospital is implementing a new electronic health record (EHR) system. A nurse openly voices resistance, citing concerns about the system's complexity and potential impact on patient care. What is the most constructive approach for the nurse to address these concerns while functioning within the organization?
A practical nurse (PN) in a state with a limited scope of practice observes a change in a patient's condition that requires immediate intervention. According to the guidelines, the PN must be supervised by a RN. What is their most appropriate initial action?
A practical nurse (PN) in a state with a limited scope of practice observes a change in a patient's condition that requires immediate intervention. According to the guidelines, the PN must be supervised by a RN. What is their most appropriate initial action?
A nurse discovers that they made a medication error that could potentially harm the patient. According to standards of professional conduct, what is the nurse's priority action?
A nurse discovers that they made a medication error that could potentially harm the patient. According to standards of professional conduct, what is the nurse's priority action?
Several nurses on a unit have observed that a particular physician consistently dismisses their concerns regarding patient status changes. To best advocate for their patients, the nurses should:
Several nurses on a unit have observed that a particular physician consistently dismisses their concerns regarding patient status changes. To best advocate for their patients, the nurses should:
A nurse manager is implementing a new staffing model on their unit. To foster a collaborative and supportive environment during this change, which leadership style would be most effective?
A nurse manager is implementing a new staffing model on their unit. To foster a collaborative and supportive environment during this change, which leadership style would be most effective?
A nurse is explaining a complex treatment plan to a client. Which communication approach would most effectively build client confidence and trust?
A nurse is explaining a complex treatment plan to a client. Which communication approach would most effectively build client confidence and trust?
Which action by a nurse best demonstrates professional responsibility and advocacy in client care?
Which action by a nurse best demonstrates professional responsibility and advocacy in client care?
State boards of nursing are primarily responsible for which aspect of nursing practice?
State boards of nursing are primarily responsible for which aspect of nursing practice?
A nurse is unsure whether a specific nursing intervention falls within their scope of practice. Using the six-step decision-making model, what is the MOST critical initial step?
A nurse is unsure whether a specific nursing intervention falls within their scope of practice. Using the six-step decision-making model, what is the MOST critical initial step?
What is a primary benefit for a nurse who joins a professional nursing organization?
What is a primary benefit for a nurse who joins a professional nursing organization?
How does specialty certification in nursing primarily contribute to improved client outcomes?
How does specialty certification in nursing primarily contribute to improved client outcomes?
Which scenario exemplifies 'conduct unbecoming of a nurse' and potential professional misconduct?
Which scenario exemplifies 'conduct unbecoming of a nurse' and potential professional misconduct?
A nurse is asked by a colleague to perform a task outside of their competency. According to the principles of professionalism and ethical practice, what should the nurse do FIRST?
A nurse is asked by a colleague to perform a task outside of their competency. According to the principles of professionalism and ethical practice, what should the nurse do FIRST?
What is the MOST significant reason for a nurse to engage in self-reflection as a professional behavior?
What is the MOST significant reason for a nurse to engage in self-reflection as a professional behavior?
Which of the following is an example of impairment in nursing practice, considered a form of unprofessional behavior?
Which of the following is an example of impairment in nursing practice, considered a form of unprofessional behavior?
In the six-step decision-making model, after reviewing the Nurse Practice Act, what is the typical NEXT step a nurse should take when facing an ethical or scope of practice dilemma?
In the six-step decision-making model, after reviewing the Nurse Practice Act, what is the typical NEXT step a nurse should take when facing an ethical or scope of practice dilemma?
Which of the following actions best demonstrates respect for a client's autonomy and dignity in nursing practice?
Which of the following actions best demonstrates respect for a client's autonomy and dignity in nursing practice?
A nurse consistently arrives late to work and misses important team meetings. This behavior is BEST described as:
A nurse consistently arrives late to work and misses important team meetings. This behavior is BEST described as:
What is a key distinction between incompetence and impairment as categories of unprofessional behavior in nursing?
What is a key distinction between incompetence and impairment as categories of unprofessional behavior in nursing?
Which action by a nurse demonstrates a commitment to lifelong learning and professional growth?
Which action by a nurse demonstrates a commitment to lifelong learning and professional growth?
A nurse is observed taking excessive amounts of PRN medication from the medication cart. Which type of unprofessional behavior does this exemplify?
A nurse is observed taking excessive amounts of PRN medication from the medication cart. Which type of unprofessional behavior does this exemplify?
What is the primary responsibility of the Boards of Nursing (BONs) according to the NCSBN?
What is the primary responsibility of the Boards of Nursing (BONs) according to the NCSBN?
A nurse discloses unnecessary personal information to a client and frequently hugs the client. Which type of boundary violation is this considered?
A nurse discloses unnecessary personal information to a client and frequently hugs the client. Which type of boundary violation is this considered?
A nurse, while off duty, is arrested for driving under the influence. Why might the BON investigate this conduct?
A nurse, while off duty, is arrested for driving under the influence. Why might the BON investigate this conduct?
A nurse is asked to perform a task outside their scope of practice, according to their organization's policies, but they agree to do it anyway. What unprofessional behavior is the nurse demonstrating?
A nurse is asked to perform a task outside their scope of practice, according to their organization's policies, but they agree to do it anyway. What unprofessional behavior is the nurse demonstrating?
A nurse consistently ignores alarms on the cardiac monitor while charting. What unprofessional behavior does this demonstrate?
A nurse consistently ignores alarms on the cardiac monitor while charting. What unprofessional behavior does this demonstrate?
A nurse is caring for a postoperative patient. Which action would be considered a HIPAA violation?
A nurse is caring for a postoperative patient. Which action would be considered a HIPAA violation?
What common factor increases the risk of nurses behaving unprofessionally on social media?
What common factor increases the risk of nurses behaving unprofessionally on social media?
Which action best demonstrates a novice nurse's understanding of their limitations?
Which action best demonstrates a novice nurse's understanding of their limitations?
A newly licensed nurse is overwhelmed by the complexity of a patient's care plan. Which action indicates the nurse is in the 'novice' stage of skill acquisition?
A newly licensed nurse is overwhelmed by the complexity of a patient's care plan. Which action indicates the nurse is in the 'novice' stage of skill acquisition?
A nurse in the 'advanced beginner' stage would most likely approach patient care by:
A nurse in the 'advanced beginner' stage would most likely approach patient care by:
Which of the following best encapsulates the meaning of professionalism in nursing?
Which of the following best encapsulates the meaning of professionalism in nursing?
Why might a nurse face disciplinary action for conduct seemingly unrelated to direct patient care?
Why might a nurse face disciplinary action for conduct seemingly unrelated to direct patient care?
A nurse observes a colleague falsifying medication administration records. What is the most appropriate initial action for the nurse to take?
A nurse observes a colleague falsifying medication administration records. What is the most appropriate initial action for the nurse to take?
Standards of nursing care are primarily designed to:
Standards of nursing care are primarily designed to:
The nursing process is described as the 'common thread' in nursing because it:
The nursing process is described as the 'common thread' in nursing because it:
A nurse consistently arrives late to work, disrupting the workflow of the unit. Which type of unprofessional behavior is this?
A nurse consistently arrives late to work, disrupting the workflow of the unit. Which type of unprofessional behavior is this?
Within the nursing process for a Practical Nurse (PN), data collection primarily involves:
Within the nursing process for a Practical Nurse (PN), data collection primarily involves:
A nurse is transitioning from working in the ICU to working in a community health clinic. According to the stages of skill acquisition, this nurse would be considered to be at which stage?
A nurse is transitioning from working in the ICU to working in a community health clinic. According to the stages of skill acquisition, this nurse would be considered to be at which stage?
The Nurse Practice Act (NPA) is established by:
The Nurse Practice Act (NPA) is established by:
A nurse's duty to self-regulate primarily refers to:
A nurse's duty to self-regulate primarily refers to:
Why does society generally hold nurses to a higher standard of conduct compared to some other professions?
Why does society generally hold nurses to a higher standard of conduct compared to some other professions?
How might a nurse's professional appearance and demeanor impact client care?
How might a nurse's professional appearance and demeanor impact client care?
Consider a scenario where a nurse uses a certified medical translator for a client who speaks a different language. This action is primarily an example of:
Consider a scenario where a nurse uses a certified medical translator for a client who speaks a different language. This action is primarily an example of:
In the U.S. healthcare system, nurses are identified as the:
In the U.S. healthcare system, nurses are identified as the:
Modern healthcare environments require nurses to possess a range of skills. Which combination of skills is most critical for contemporary nursing practice?
Modern healthcare environments require nurses to possess a range of skills. Which combination of skills is most critical for contemporary nursing practice?
Which of the following best describes the hierarchical regulation of nursing practice, starting from the broadest level?
Which of the following best describes the hierarchical regulation of nursing practice, starting from the broadest level?
If a nurse unintentionally violates the standards outlined in the Nurse Practice Act (NPA), what is a potential consequence?
If a nurse unintentionally violates the standards outlined in the Nurse Practice Act (NPA), what is a potential consequence?
Organizational policies and procedures in healthcare settings primarily serve to:
Organizational policies and procedures in healthcare settings primarily serve to:
Which set of qualities is most commonly associated with the public perception of nurses?
Which set of qualities is most commonly associated with the public perception of nurses?
Why is a self-pledge of professional commitment considered valuable for nurses?
Why is a self-pledge of professional commitment considered valuable for nurses?
What is the primary distinction between a code of conduct and a code of ethics in a professional setting?
What is the primary distinction between a code of conduct and a code of ethics in a professional setting?
An advanced beginner nurse is so focused on administering medication within the correct time frame that they may miss or forget other important client information. What does this indicate?
An advanced beginner nurse is so focused on administering medication within the correct time frame that they may miss or forget other important client information. What does this indicate?
The American Nurses Association (ANA) Code of Ethics is applicable to whom?
The American Nurses Association (ANA) Code of Ethics is applicable to whom?
According to Provision 1 of the ANA Code of Ethics, what is a fundamental aspect of healthcare?
According to Provision 1 of the ANA Code of Ethics, what is a fundamental aspect of healthcare?
A nurse in the 'competent' stage is most likely to demonstrate which behavior?
A nurse in the 'competent' stage is most likely to demonstrate which behavior?
A proficient nurse is different from a competent nurse because the proficient nurse:
A proficient nurse is different from a competent nurse because the proficient nurse:
A nurse is caring for a client from a different cultural background. To uphold Provision 1 of the ANA Code of Ethics, what should be the nurse's priority?
A nurse is caring for a client from a different cultural background. To uphold Provision 1 of the ANA Code of Ethics, what should be the nurse's priority?
In the context of Provision 1, what does 'informed decision' primarily entail for a client?
In the context of Provision 1, what does 'informed decision' primarily entail for a client?
Which of the following actions best exemplifies a nurse at the 'expert' stage?
Which of the following actions best exemplifies a nurse at the 'expert' stage?
What is the primary difference between professional commitment and professional identity in nursing?
What is the primary difference between professional commitment and professional identity in nursing?
What is the significance of 'civility' as emphasized in Provision 1 of the ANA Code of Ethics?
What is the significance of 'civility' as emphasized in Provision 1 of the ANA Code of Ethics?
According to Provision 2 of the ANA Code of Ethics, who is included in the definition of 'client'?
According to Provision 2 of the ANA Code of Ethics, who is included in the definition of 'client'?
A nurse demonstrates a strong professional commitment by:
A nurse demonstrates a strong professional commitment by:
What is the nurse's role in client care planning as described in Provision 2?
What is the nurse's role in client care planning as described in Provision 2?
How does a student nurse's professional identity typically develop during their education?
How does a student nurse's professional identity typically develop during their education?
A nurse's personal values conflict with a client's healthcare decisions. According to Provision 2, what is the nurse's ethical responsibility?
A nurse's personal values conflict with a client's healthcare decisions. According to Provision 2, what is the nurse's ethical responsibility?
Why is professional commitment important for nursing students during their clinical experiences?
Why is professional commitment important for nursing students during their clinical experiences?
A nursing student is hesitant to practice a new skill on a patient without direct supervision, even after demonstrating competence in the simulation lab. What does this indicate?
A nursing student is hesitant to practice a new skill on a patient without direct supervision, even after demonstrating competence in the simulation lab. What does this indicate?
What does Provision 2 emphasize regarding therapeutic relationships and professional boundaries?
What does Provision 2 emphasize regarding therapeutic relationships and professional boundaries?
During a particularly stressful shift, a nurse reflects on the values that drew them to nursing and reaffirms their dedication to providing compassionate care. Which concept does this scenario exemplify?
During a particularly stressful shift, a nurse reflects on the values that drew them to nursing and reaffirms their dedication to providing compassionate care. Which concept does this scenario exemplify?
According to Provision 3, what is a nurse's responsibility regarding client privacy and confidentiality?
According to Provision 3, what is a nurse's responsibility regarding client privacy and confidentiality?
Which action demonstrates that an 'advanced beginner' nurse is developing into a 'competent' nurse?
Which action demonstrates that an 'advanced beginner' nurse is developing into a 'competent' nurse?
In the context of research, what client right does Provision 3 of the ANA Code of Ethics safeguard?
In the context of research, what client right does Provision 3 of the ANA Code of Ethics safeguard?
What is the primary benefit of a nurse cultivating a strong professional identity?
What is the primary benefit of a nurse cultivating a strong professional identity?
What role do nurse educators play in upholding Provision 3 related to professional standards?
What role do nurse educators play in upholding Provision 3 related to professional standards?
A nurse consistently seeks opportunities to improve their skills, participates in continuing education, and actively engages in their professional organization. This behavior primarily reflects:
A nurse consistently seeks opportunities to improve their skills, participates in continuing education, and actively engages in their professional organization. This behavior primarily reflects:
What is the responsibility of nurse executives and managers according to Provision 3?
What is the responsibility of nurse executives and managers according to Provision 3?
What is the impact of professional commitment towards a nurse's job satisfaction?
What is the impact of professional commitment towards a nurse's job satisfaction?
In what way does understanding the stages of nursing expertise (novice to expert) benefit a healthcare organization?
In what way does understanding the stages of nursing expertise (novice to expert) benefit a healthcare organization?
A nurse discovers a co-worker is diverting narcotics but chooses to ignore it, hoping the situation will resolve itself. Which principle is the nurse violating?
A nurse discovers a co-worker is diverting narcotics but chooses to ignore it, hoping the situation will resolve itself. Which principle is the nurse violating?
Which action demonstrates a nurse's understanding of professional responsibility regarding patient advocacy?
Which action demonstrates a nurse's understanding of professional responsibility regarding patient advocacy?
Which action best exemplifies the advocacy role of a nurse when a client is hesitant about a prescribed treatment?
Which action best exemplifies the advocacy role of a nurse when a client is hesitant about a prescribed treatment?
A registered nurse (RN) delegates the task of administering oral medication to a patient to a certified nursing assistant (CNA). What makes the RN accountable for this delegation?
A registered nurse (RN) delegates the task of administering oral medication to a patient to a certified nursing assistant (CNA). What makes the RN accountable for this delegation?
A nurse identifies that a client's medication dosage seems unusually high compared to standard protocols. What is the most appropriate first action for the nurse?
A nurse identifies that a client's medication dosage seems unusually high compared to standard protocols. What is the most appropriate first action for the nurse?
A new graduate nurse is unsure how to perform a complex dressing change. Following the principle of responsibility, what is the nurse's best course of action?
A new graduate nurse is unsure how to perform a complex dressing change. Following the principle of responsibility, what is the nurse's best course of action?
In which phase of the nursing advocacy process does the nurse identify a client's personal values and level of understanding regarding their health condition and rights?
In which phase of the nursing advocacy process does the nurse identify a client's personal values and level of understanding regarding their health condition and rights?
A nurse consistently arrives late to work and struggles to complete assigned tasks during their shift. This behavior primarily demonstrates a deficit in what area?
A nurse consistently arrives late to work and struggles to complete assigned tasks during their shift. This behavior primarily demonstrates a deficit in what area?
Which scenario best illustrates a nurse being accountable for their actions?
Which scenario best illustrates a nurse being accountable for their actions?
A common barrier that hinders a nurse's ability to effectively advocate for their clients is:
A common barrier that hinders a nurse's ability to effectively advocate for their clients is:
A nurse notices a change in a patient's condition but delays reporting it to the physician until the end of their shift. Which aspect of nursing is most directly compromised by this delay?
A nurse notices a change in a patient's condition but delays reporting it to the physician until the end of their shift. Which aspect of nursing is most directly compromised by this delay?
Which statement accurately reflects the role of a nurse advocate?
Which statement accurately reflects the role of a nurse advocate?
A nurse is asked to perform a task outside their scope of practice but agrees to do it because the unit is short-staffed. What principle is the nurse violating?
A nurse is asked to perform a task outside their scope of practice but agrees to do it because the unit is short-staffed. What principle is the nurse violating?
According to the Model of Professionalism in Nursing, what constitutes the 'inner processes' that contribute to a nurse's professionalism?
According to the Model of Professionalism in Nursing, what constitutes the 'inner processes' that contribute to a nurse's professionalism?
Which nursing action best demonstrates application of the 'six rights' of medication administration?
Which nursing action best demonstrates application of the 'six rights' of medication administration?
Following surgery, a client reports significant pain, but the nurse observes that pain medication is not due for another hour. What nursing action demonstrates client advocacy?
Following surgery, a client reports significant pain, but the nurse observes that pain medication is not due for another hour. What nursing action demonstrates client advocacy?
During the implementation phase of client advocacy, what is the primary focus of the nurse's actions?
During the implementation phase of client advocacy, what is the primary focus of the nurse's actions?
A nurse observes a colleague making repeated medication errors, but fears retaliation if they report it. What is the most ethical course of action, balancing personal safety with patient safety?
A nurse observes a colleague making repeated medication errors, but fears retaliation if they report it. What is the most ethical course of action, balancing personal safety with patient safety?
A client is scheduled for a complex diagnostic procedure but expresses confusion about the preparation steps. What is the most appropriate action for the nurse to take as an advocate?
A client is scheduled for a complex diagnostic procedure but expresses confusion about the preparation steps. What is the most appropriate action for the nurse to take as an advocate?
A patient experiences an adverse reaction to a medication. The nurse immediately assesses the patient, notifies the provider, and documents the incident. Which combination of qualities is best displayed by the nurse's actions:
A patient experiences an adverse reaction to a medication. The nurse immediately assesses the patient, notifies the provider, and documents the incident. Which combination of qualities is best displayed by the nurse's actions:
Which mandate requires nurses to act as advocates for their clients?
Which mandate requires nurses to act as advocates for their clients?
How does a nurse best demonstrate professional competency in their daily practice?
How does a nurse best demonstrate professional competency in their daily practice?
A nurse is caring for a client from a different cultural background who is hesitant to undergo a blood transfusion due to religious beliefs. What is the nurse's most appropriate action?
A nurse is caring for a client from a different cultural background who is hesitant to undergo a blood transfusion due to religious beliefs. What is the nurse's most appropriate action?
A hospital implements a new policy regarding electronic charting. To demonstrate accountability, what action should a nurse take?
A hospital implements a new policy regarding electronic charting. To demonstrate accountability, what action should a nurse take?
What is the primary goal of the evaluation phase in the nursing advocacy process?
What is the primary goal of the evaluation phase in the nursing advocacy process?
A nurse manager observes a pattern of errors related to medication administration on their unit. What is the manager's primary responsibility in addressing this issue?
A nurse manager observes a pattern of errors related to medication administration on their unit. What is the manager's primary responsibility in addressing this issue?
A nurse notices a colleague consistently providing substandard care to clients due to burnout and heavy workload. What is the nurse's ethical responsibility?
A nurse notices a colleague consistently providing substandard care to clients due to burnout and heavy workload. What is the nurse's ethical responsibility?
A new graduate nurse feels overwhelmed by the demands of their job. Which action demonstrates accountability regarding their professional growth?
A new graduate nurse feels overwhelmed by the demands of their job. Which action demonstrates accountability regarding their professional growth?
A nurse is asked to administer a medication that they are unfamiliar with. What is the most appropriate course of action?
A nurse is asked to administer a medication that they are unfamiliar with. What is the most appropriate course of action?
According to the content, what initiated the concept of advocacy in nursing?
According to the content, what initiated the concept of advocacy in nursing?
What is the primary reason that licensed professions, like nursing, must maintain control over defining their professional work?
What is the primary reason that licensed professions, like nursing, must maintain control over defining their professional work?
What is the role of healthcare organizations in supporting professional governance for nurses?
What is the role of healthcare organizations in supporting professional governance for nurses?
Which of the following is NOT one of the four fundamental accountabilities of a profession?
Which of the following is NOT one of the four fundamental accountabilities of a profession?
In the shared governance model, what does the principle of 'Navigation' primarily refer to?
In the shared governance model, what does the principle of 'Navigation' primarily refer to?
Which of the following shared governance councils would primarily address issues related to patient falls and medication errors?
Which of the following shared governance councils would primarily address issues related to patient falls and medication errors?
A nurse is observed consistently demonstrating compassion, ethical decision-making, and competent care. What does this exemplify?
A nurse is observed consistently demonstrating compassion, ethical decision-making, and competent care. What does this exemplify?
A nurse posted a picture of her workplace on social media. Some comments are shared that violate patient privacy. What regulatory bodies might investigate this issue?
A nurse posted a picture of her workplace on social media. Some comments are shared that violate patient privacy. What regulatory bodies might investigate this issue?
A nurse's actions demonstrate strong accountability. What behavior would NOT demonstrate accountability on the part of a nurse?
A nurse's actions demonstrate strong accountability. What behavior would NOT demonstrate accountability on the part of a nurse?
How does 'responsibility' differ from 'accountability' in nursing practice?
How does 'responsibility' differ from 'accountability' in nursing practice?
A nurse is working to implement a new patient care protocol on their unit. Which leadership skill would be most important in this situation?
A nurse is working to implement a new patient care protocol on their unit. Which leadership skill would be most important in this situation?
A nurse is developing a care plan for a client with a terminal illness. Focusing on the client's emotional and spiritual well-being aligns with which nursing role?
A nurse is developing a care plan for a client with a terminal illness. Focusing on the client's emotional and spiritual well-being aligns with which nursing role?
A nurse identifies a recurring issue with delayed medication administration on their unit and proposes a new workflow to the nurse manager. Which nursing role is the nurse demonstrating?
A nurse identifies a recurring issue with delayed medication administration on their unit and proposes a new workflow to the nurse manager. Which nursing role is the nurse demonstrating?
What is the central focus of the 'educator' role of a nurse?
What is the central focus of the 'educator' role of a nurse?
A nurse is explaining the importance of consistent blood glucose monitoring and insulin administration to a newly diagnosed diabetic patient. Which nursing role is primarily being demonstrated?
A nurse is explaining the importance of consistent blood glucose monitoring and insulin administration to a newly diagnosed diabetic patient. Which nursing role is primarily being demonstrated?
Which action best illustrates the 'advocate' role of a nurse in a healthcare setting?
Which action best illustrates the 'advocate' role of a nurse in a healthcare setting?
A nurse is comforting a client who is expressing anxiety about an upcoming surgery. Which nursing role is the nurse primarily demonstrating?
A nurse is comforting a client who is expressing anxiety about an upcoming surgery. Which nursing role is the nurse primarily demonstrating?
A nurse volunteers to precept a new graduate nurse on the unit. Which nursing roles are they fulfilling?
A nurse volunteers to precept a new graduate nurse on the unit. Which nursing roles are they fulfilling?
A nurse on a medical-surgical unit consistently encourages other nurses to adapt evidence-based practices. This demonstrates which key nursing role?
A nurse on a medical-surgical unit consistently encourages other nurses to adapt evidence-based practices. This demonstrates which key nursing role?
After noticing a high incidence of pressure ulcers on immobile patients, a team of nurses investigates new mattress technologies and implements a trial of alternating pressure mattresses. Which nursing role does this BEST exemplify?
After noticing a high incidence of pressure ulcers on immobile patients, a team of nurses investigates new mattress technologies and implements a trial of alternating pressure mattresses. Which nursing role does this BEST exemplify?
A nurse is using data collected from clients to evaluate the effectiveness of a new fall prevention protocol. Which nursing role is being demonstrated?
A nurse is using data collected from clients to evaluate the effectiveness of a new fall prevention protocol. Which nursing role is being demonstrated?
What is the primary characteristic that differentiates a nurse functioning as a 'critical thinker' from one strictly performing tasks?
What is the primary characteristic that differentiates a nurse functioning as a 'critical thinker' from one strictly performing tasks?
What is an essential component of the nursing role as a 'caregiver'?
What is an essential component of the nursing role as a 'caregiver'?
A nurse observes a colleague repeatedly making medication errors. By reporting these errors and advocating for improved safety measures, what role is the nurse primarily demonstrating?
A nurse observes a colleague repeatedly making medication errors. By reporting these errors and advocating for improved safety measures, what role is the nurse primarily demonstrating?
A nurse is asked to administer a medication with which they're unfamiliar. What is the MOST appropriate action?
A nurse is asked to administer a medication with which they're unfamiliar. What is the MOST appropriate action?
A nurse leading a new initiative seeks to inspire team members by clearly articulating the project's potential to improve patient outcomes and aligning it with their professional values. Which leadership style is the nurse demonstrating?
A nurse leading a new initiative seeks to inspire team members by clearly articulating the project's potential to improve patient outcomes and aligning it with their professional values. Which leadership style is the nurse demonstrating?
A charge nurse allows experienced nurses to manage their patient assignments with minimal intervention but remains available for consultation if needed. What leadership style is the charge nurse primarily using?
A charge nurse allows experienced nurses to manage their patient assignments with minimal intervention but remains available for consultation if needed. What leadership style is the charge nurse primarily using?
A nurse consistently seeks opportunities to learn new evidence-based practices and integrate them into their care routines. What primary benefit does this commitment to lifelong learning provide to the nurse's professional practice?
A nurse consistently seeks opportunities to learn new evidence-based practices and integrate them into their care routines. What primary benefit does this commitment to lifelong learning provide to the nurse's professional practice?
In a hospital unit, all nurses are expected to strictly adhere to established protocols for medication administration, with little room for individual interpretation. Which leadership style is most evident in this scenario?
In a hospital unit, all nurses are expected to strictly adhere to established protocols for medication administration, with little room for individual interpretation. Which leadership style is most evident in this scenario?
A nurse manager who adopts a transformational leadership style would likely exhibit which of the following behaviors when implementing a new electronic health record (EHR) system?
A nurse manager who adopts a transformational leadership style would likely exhibit which of the following behaviors when implementing a new electronic health record (EHR) system?
A nursing student consistently arrives late to clinical rotations and fails to complete pre-clinical assignments. Which aspect of professional development is most directly affected by these actions?
A nursing student consistently arrives late to clinical rotations and fails to complete pre-clinical assignments. Which aspect of professional development is most directly affected by these actions?
A team leader observes a conflict between two nurses regarding patient care priorities. The leader facilitates a discussion where both nurses can express their concerns and collaboratively develop a patient-centered plan of care. Which leadership style is the team leader demonstrating?
A team leader observes a conflict between two nurses regarding patient care priorities. The leader facilitates a discussion where both nurses can express their concerns and collaboratively develop a patient-centered plan of care. Which leadership style is the team leader demonstrating?
Which action best demonstrates a nurse practicing under a laissez-faire leadership model?
Which action best demonstrates a nurse practicing under a laissez-faire leadership model?
Under a bureaucratic leadership approach, what is the primary focus when addressing a deviation from established patient care protocols?
Under a bureaucratic leadership approach, what is the primary focus when addressing a deviation from established patient care protocols?
A nurse manager implements a policy requiring all nurses to attend a mandatory training session on new protocols. What leadership style is the nurse manager primarily using in this scenario?
A nurse manager implements a policy requiring all nurses to attend a mandatory training session on new protocols. What leadership style is the nurse manager primarily using in this scenario?
A nurse notices a colleague consistently delegating tasks to others while avoiding direct patient care responsibilities. What would be the most appropriate course of action for the nurse to address this issue?
A nurse notices a colleague consistently delegating tasks to others while avoiding direct patient care responsibilities. What would be the most appropriate course of action for the nurse to address this issue?
A nurse is inspired by a transformational leader to advocate for a new policy that allows for more patient autonomy in end-of-life decisions. Which motivation aligns with transformational leadership?
A nurse is inspired by a transformational leader to advocate for a new policy that allows for more patient autonomy in end-of-life decisions. Which motivation aligns with transformational leadership?
In a situation where a new graduate nurse is working under a laissez-faire leader, what action demonstrates appropriate decision making?
In a situation where a new graduate nurse is working under a laissez-faire leader, what action demonstrates appropriate decision making?
A nurse consistently seeks to improve patient outcomes on their unit. They research best practices, propose changes to existing protocols, and mentor other nurses in implementing these changes. Which of the following leadership attributes is the nurse demonstrating?
A nurse consistently seeks to improve patient outcomes on their unit. They research best practices, propose changes to existing protocols, and mentor other nurses in implementing these changes. Which of the following leadership attributes is the nurse demonstrating?
Which of the following scenarios portrays a practical application of bureaucratic leadership in nursing practice?
Which of the following scenarios portrays a practical application of bureaucratic leadership in nursing practice?
How can nursing students best demonstrate accountability and responsibility during their clinical placements?
How can nursing students best demonstrate accountability and responsibility during their clinical placements?
A nursing team faces high staff turnover and low morale. How could a transformational leader improve employee engagement and commitment?
A nursing team faces high staff turnover and low morale. How could a transformational leader improve employee engagement and commitment?
A nurse is assigned to care for a patient with a complex medical history. To ensure comprehensive and safe care, what is the nurse's most important initial action?
A nurse is assigned to care for a patient with a complex medical history. To ensure comprehensive and safe care, what is the nurse's most important initial action?
A new graduate nurse is unsure about how to perform a specific procedure. What is the most appropriate action for the nurse to take?
A new graduate nurse is unsure about how to perform a specific procedure. What is the most appropriate action for the nurse to take?
What is a potential disadvantage of a laissez-faire leadership style in a nursing unit with many new graduates?
What is a potential disadvantage of a laissez-faire leadership style in a nursing unit with many new graduates?
In which of the following scenarios would a bureaucratic leadership style be MOST appropriate?
In which of the following scenarios would a bureaucratic leadership style be MOST appropriate?
A nurse is working in a busy emergency department when a patient arrives in critical condition. Which leadership style would be MOST effective in this situation?
A nurse is working in a busy emergency department when a patient arrives in critical condition. Which leadership style would be MOST effective in this situation?
A nurse is implementing a new fall prevention protocol on a hospital unit. Transactional leadership would be demonstrated by which of the following actions?
A nurse is implementing a new fall prevention protocol on a hospital unit. Transactional leadership would be demonstrated by which of the following actions?
A nurse is working to implement evidence-based practice changes on their unit. To be a transformational leader, what is the BEST way for the nurse to proceed?
A nurse is working to implement evidence-based practice changes on their unit. To be a transformational leader, what is the BEST way for the nurse to proceed?
A nurse leader is tasked with improving team morale and productivity on a unit. What initial step should the nurse leader take to effectively address these issues?
A nurse leader is tasked with improving team morale and productivity on a unit. What initial step should the nurse leader take to effectively address these issues?
What is a key challenge when using a laissez-faire leadership style for a team comprised of diverse skill sets?
What is a key challenge when using a laissez-faire leadership style for a team comprised of diverse skill sets?
In a unit that is led through bureaucratic leadership, how would conflict likely be handled?
In a unit that is led through bureaucratic leadership, how would conflict likely be handled?
A nurse witnesses a colleague making a medication error but the colleague does not report it. What is the nurse's ethical responsibility in this situation?
A nurse witnesses a colleague making a medication error but the colleague does not report it. What is the nurse's ethical responsibility in this situation?
What distinguishes a transactional leader from other leadership styles in nursing?
What distinguishes a transactional leader from other leadership styles in nursing?
A nurse is assigned charge nurse on a busy medical-surgical unit. The unit is short-staffed, and several patients have complex care needs. What is the most crucial action for the charge nurse to take first?
A nurse is assigned charge nurse on a busy medical-surgical unit. The unit is short-staffed, and several patients have complex care needs. What is the most crucial action for the charge nurse to take first?
A client with complex care needs requires coordination between physical therapy, wound care, and dietary services. Which role is MOST essential for ensuring seamless integration of these services?
A client with complex care needs requires coordination between physical therapy, wound care, and dietary services. Which role is MOST essential for ensuring seamless integration of these services?
A nurse identifies a potential safety risk on the unit. Following the chain of command, what is the nurse's MOST appropriate initial action?
A nurse identifies a potential safety risk on the unit. Following the chain of command, what is the nurse's MOST appropriate initial action?
A nurse is concerned about a change in a patient's condition but feels their concerns are being dismissed by the charge nurse. What is the nurse's BEST next step to advocate for the patient, while adhering to the chain of command?
A nurse is concerned about a change in a patient's condition but feels their concerns are being dismissed by the charge nurse. What is the nurse's BEST next step to advocate for the patient, while adhering to the chain of command?
A new policy is being implemented on the nursing unit, and several nurses have concerns about its potential impact on patient care. How can shared governance BEST address these concerns?
A new policy is being implemented on the nursing unit, and several nurses have concerns about its potential impact on patient care. How can shared governance BEST address these concerns?
A nurse is consistently assigned to care for patients with complex medical needs, despite expressing a desire to gain experience in other areas. How might shared governance empower the nurse to address this issue?
A nurse is consistently assigned to care for patients with complex medical needs, despite expressing a desire to gain experience in other areas. How might shared governance empower the nurse to address this issue?
A nurse is unable to directly reach a physician to report critical lab results. Following the chain of command, what should the nurse do NEXT after documenting the failed attempt?
A nurse is unable to directly reach a physician to report critical lab results. Following the chain of command, what should the nurse do NEXT after documenting the failed attempt?
A facility is considering implementing a new electronic health record (EHR) system. How could a shared governance model be used to ensure a successful transition for nurses?
A facility is considering implementing a new electronic health record (EHR) system. How could a shared governance model be used to ensure a successful transition for nurses?
A nurse strongly disagrees with a new hospital policy regarding patient visitation hours, believing it negatively impacts patient well-being. What is the MOST appropriate way for the nurse to address this concern within the chain of command?
A nurse strongly disagrees with a new hospital policy regarding patient visitation hours, believing it negatively impacts patient well-being. What is the MOST appropriate way for the nurse to address this concern within the chain of command?
A team of nurses is tasked with developing new protocols for managing post-operative pain. How does shared governance contribute to this process?
A team of nurses is tasked with developing new protocols for managing post-operative pain. How does shared governance contribute to this process?
Following a medication error, a nurse documents the incident and immediately reports it to the charge nurse. According to the chain of command, what is the MOST likely next step?
Following a medication error, a nurse documents the incident and immediately reports it to the charge nurse. According to the chain of command, what is the MOST likely next step?
A nurse is concerned about a patient's deteriorating condition, but the on-call physician does not seem concerned. What is the nurse's MOST appropriate next step after documenting the conversation with the physician?
A nurse is concerned about a patient's deteriorating condition, but the on-call physician does not seem concerned. What is the nurse's MOST appropriate next step after documenting the conversation with the physician?
How do shared governance models primarily improve client outcomes in healthcare settings?
How do shared governance models primarily improve client outcomes in healthcare settings?
A nurse notices a pattern of delayed medication administration on their unit. To address this through shared governance, what would be an effective strategy?
A nurse notices a pattern of delayed medication administration on their unit. To address this through shared governance, what would be an effective strategy?
A seasoned nurse in a teaching hospital notices that newly graduated nurses are not consistently following sterile procedures during dressing changes. How should this nurse BEST address this problem, considering principles of shared governance and the chain of command?
A seasoned nurse in a teaching hospital notices that newly graduated nurses are not consistently following sterile procedures during dressing changes. How should this nurse BEST address this problem, considering principles of shared governance and the chain of command?
A team of nurses is implementing a new falls prevention program on their unit. Which outcome would BEST indicate the successful application of shared governance principles?
A team of nurses is implementing a new falls prevention program on their unit. Which outcome would BEST indicate the successful application of shared governance principles?
A nurse is managing a conflict between two staff members with differing levels of experience. To effectively address the situation using situational leadership, the nurse should:
A nurse is managing a conflict between two staff members with differing levels of experience. To effectively address the situation using situational leadership, the nurse should:
A new graduate nurse consistently follows established protocols without questioning their effectiveness, even when patient outcomes are suboptimal. Which leadership style does this behavior align with?
A new graduate nurse consistently follows established protocols without questioning their effectiveness, even when patient outcomes are suboptimal. Which leadership style does this behavior align with?
A nurse is tasked with implementing a new electronic health record (EHR) system. Some team members are resistant to change, while others are enthusiastic. What should the nurse do by using situational leadership?
A nurse is tasked with implementing a new electronic health record (EHR) system. Some team members are resistant to change, while others are enthusiastic. What should the nurse do by using situational leadership?
A nurse is leading a team through a period of significant organizational change. To foster a positive and adaptive environment, what initial action should the nurse take, according to transformational leadership principles?
A nurse is leading a team through a period of significant organizational change. To foster a positive and adaptive environment, what initial action should the nurse take, according to transformational leadership principles?
A nurse providing care in a busy emergency department encounters a patient who is anxious and demanding. Applying the principles of situational leadership, the nurse should:
A nurse providing care in a busy emergency department encounters a patient who is anxious and demanding. Applying the principles of situational leadership, the nurse should:
A manager observes a nurse consistently failing to follow established medication administration protocols. As a transactional leader, the manager's initial response should be to:
A manager observes a nurse consistently failing to follow established medication administration protocols. As a transactional leader, the manager's initial response should be to:
A nurse leader aims to empower their team to take ownership of their professional development and foster innovation. Which leadership style would be MOST effective in achieving this?
A nurse leader aims to empower their team to take ownership of their professional development and foster innovation. Which leadership style would be MOST effective in achieving this?
A healthcare organization needs to implement a new infection control protocol to address a recent outbreak of a multidrug-resistant organism and a bureaucratic leader would respond by:
A healthcare organization needs to implement a new infection control protocol to address a recent outbreak of a multidrug-resistant organism and a bureaucratic leader would respond by:
A nurse is working with a team of experienced professionals who consistently deliver high-quality care, and the nurse wants to use Laissez-faire leadership, therefore the nurse should:
A nurse is working with a team of experienced professionals who consistently deliver high-quality care, and the nurse wants to use Laissez-faire leadership, therefore the nurse should:
A nurse observes a colleague taking supplies home for personal use. The nurse knows this violates hospital policy. Applying the principles of professional responsibility, the nurse should:
A nurse observes a colleague taking supplies home for personal use. The nurse knows this violates hospital policy. Applying the principles of professional responsibility, the nurse should:
A nurse is caring for a patient who refuses a prescribed medication due to cultural beliefs. To demonstrate respect for the patient's autonomy and cultural values, the nurse should:
A nurse is caring for a patient who refuses a prescribed medication due to cultural beliefs. To demonstrate respect for the patient's autonomy and cultural values, the nurse should:
A nurse is assigned to care for a patient with a complex medical condition that they are not familiar with. To ensure competent and safe care, the nurse should FIRST:
A nurse is assigned to care for a patient with a complex medical condition that they are not familiar with. To ensure competent and safe care, the nurse should FIRST:
A nurse is consistently criticized for being insensitive to patients' emotional needs and failing to establish therapeutic relationships. What areas of nursing practice needs improvement?
A nurse is consistently criticized for being insensitive to patients' emotional needs and failing to establish therapeutic relationships. What areas of nursing practice needs improvement?
A hospital implements a new policy requiring all nurses to obtain a specific certification in a specialized area of practice. A staff nurse, resistant to change, openly voices that the certification is unnecessary since they have many years of experience. What should the nurse do?
A hospital implements a new policy requiring all nurses to obtain a specific certification in a specialized area of practice. A staff nurse, resistant to change, openly voices that the certification is unnecessary since they have many years of experience. What should the nurse do?
A nurse is asked to administer a medication by a route that they are not familiar with and have not been trained in. What should the nurse do?
A nurse is asked to administer a medication by a route that they are not familiar with and have not been trained in. What should the nurse do?
A nurse suspects a colleague is diverting narcotics. According to the nursing code of ethics, what is the nurse's initial responsibility?
A nurse suspects a colleague is diverting narcotics. According to the nursing code of ethics, what is the nurse's initial responsibility?
A nurse is asked to administer a medication by a provider that they believe is outside the standard of care and potentially harmful. What is the appropriate nursing action?
A nurse is asked to administer a medication by a provider that they believe is outside the standard of care and potentially harmful. What is the appropriate nursing action?
A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which action demonstrates accountability in this situation?
A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which action demonstrates accountability in this situation?
What is the primary ethical consideration when a nurse disagrees with a patient's healthcare decision?
What is the primary ethical consideration when a nurse disagrees with a patient's healthcare decision?
A nurse observes a pattern of client rights violations within their healthcare facility. What is the nurse's ethical duty?
A nurse observes a pattern of client rights violations within their healthcare facility. What is the nurse's ethical duty?
A hospital is conducting research on a new pain management protocol. What is the nurse's role in upholding ethical research standards?
A hospital is conducting research on a new pain management protocol. What is the nurse's role in upholding ethical research standards?
Which nursing action best exemplifies advocacy for vulnerable populations regarding access to healthcare?
Which nursing action best exemplifies advocacy for vulnerable populations regarding access to healthcare?
A nurse discovers a medication error occurred due to a system malfunction. What is the nurse's ethical responsibility?
A nurse discovers a medication error occurred due to a system malfunction. What is the nurse's ethical responsibility?
A nurse is asked to care for a patient whose values conflict with the nurse's personal beliefs. How should the nurse respond?
A nurse is asked to care for a patient whose values conflict with the nurse's personal beliefs. How should the nurse respond?
What is the best example of a nurse promoting eco-justice as part of their professional responsibilities?
What is the best example of a nurse promoting eco-justice as part of their professional responsibilities?
How might a nurse demonstrate a commitment to lifelong learning as outlined in the nursing code of ethics?
How might a nurse demonstrate a commitment to lifelong learning as outlined in the nursing code of ethics?
A health system is considering implementing a new technology that could improve patient outcomes but will also reduce the need for nursing staff. Which ethical consideration should be prioritized?
A health system is considering implementing a new technology that could improve patient outcomes but will also reduce the need for nursing staff. Which ethical consideration should be prioritized?
Which action best demonstrates a nurse's role in promoting social justice within their practice?
Which action best demonstrates a nurse's role in promoting social justice within their practice?
What is the most appropriate way for a nurse to respond to a situation where they feel morally distressed by a healthcare decision made by a patient or provider?
What is the most appropriate way for a nurse to respond to a situation where they feel morally distressed by a healthcare decision made by a patient or provider?
A nurse discovers that a colleague is falsifying patient data to meet performance metrics. What is the nurse's ethical obligation?
A nurse discovers that a colleague is falsifying patient data to meet performance metrics. What is the nurse's ethical obligation?
Flashcards
Professional Behaviors
Professional Behaviors
Standards of behavior expected of a nurse, including ethical conduct, accountability, and commitment to patient well-being.
Accountability
Accountability
Being answerable for one's actions and decisions; includes owning up to mistakes and learning from them.
Responsibility
Responsibility
The obligation to perform assigned tasks and duties to the best of one's ability.
Leadership
Leadership
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Organizational Structure
Organizational Structure
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Scope of Practice
Scope of Practice
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Nursing Foundation
Nursing Foundation
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Nursing Reputation
Nursing Reputation
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Professional Nursing Image
Professional Nursing Image
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Key Components of Professionalism
Key Components of Professionalism
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NCSBN, Boards of Nursing & Ethics
NCSBN, Boards of Nursing & Ethics
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State Boards of Nursing Role
State Boards of Nursing Role
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6-Step Decision-Making Model
6-Step Decision-Making Model
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Benefits of Nursing Organizations
Benefits of Nursing Organizations
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Specialty Certification
Specialty Certification
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Certification's Impact
Certification's Impact
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Unprofessional Behavior
Unprofessional Behavior
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Two Categories of Misconduct
Two Categories of Misconduct
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Benefits of joining before licensure
Benefits of joining before licensure
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Nursing organization goals
Nursing organization goals
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Skills from certification
Skills from certification
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Certification characteristics
Certification characteristics
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Correlation between certified nurses and outcomes
Correlation between certified nurses and outcomes
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Professionalism (Nursing)
Professionalism (Nursing)
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Key Aspects of Professionalism
Key Aspects of Professionalism
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Standards of Nursing Care
Standards of Nursing Care
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Nursing Process
Nursing Process
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Data Collection (PN)
Data Collection (PN)
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National Council of State Boards of Nursing (NCSBN)
National Council of State Boards of Nursing (NCSBN)
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Nurse Practice Act (NPA)
Nurse Practice Act (NPA)
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Organizational Policies & Procedures
Organizational Policies & Procedures
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Duty to Self-Regulate
Duty to Self-Regulate
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Professional Image/Appearance
Professional Image/Appearance
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Commitment to Self and Profession
Commitment to Self and Profession
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Adaptability in Nursing
Adaptability in Nursing
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Critical Thinking
Critical Thinking
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Effective Communication
Effective Communication
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Professional Conduct
Professional Conduct
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Professional Incompetence
Professional Incompetence
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Impairment
Impairment
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Unethical Behavior
Unethical Behavior
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BON's Duty
BON's Duty
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Moral Turpitude
Moral Turpitude
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Social Media Misconduct
Social Media Misconduct
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Diverting Drugs
Diverting Drugs
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HIPAA Violation
HIPAA Violation
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Practicing Outside Scope
Practicing Outside Scope
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Boundary Violation
Boundary Violation
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Novice Nurses
Novice Nurses
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Critical Thinking development
Critical Thinking development
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Novice Stage
Novice Stage
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Advanced beginner stage
Advanced beginner stage
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Nursing Professional Commitment
Nursing Professional Commitment
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Code of Conduct
Code of Conduct
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Code of Ethics
Code of Ethics
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ANA Code of Ethics
ANA Code of Ethics
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Healthcare as a Human Right
Healthcare as a Human Right
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Value Client's Dimensions
Value Client's Dimensions
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Informed Consent
Informed Consent
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Culture of Civility
Culture of Civility
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Definition of 'Client'
Definition of 'Client'
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Collaborative Care Planning
Collaborative Care Planning
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Value Conflict Resolution
Value Conflict Resolution
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Professional Boundaries
Professional Boundaries
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Client Privacy
Client Privacy
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Breach of Confidentiality
Breach of Confidentiality
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Verifying Competence
Verifying Competence
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Advanced Beginner Nurse
Advanced Beginner Nurse
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Competent Nurse
Competent Nurse
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Proficient Nurse
Proficient Nurse
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Expert Nurse
Expert Nurse
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Professional Commitment
Professional Commitment
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Professional Identity (PI)
Professional Identity (PI)
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Brand Identity
Brand Identity
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Public Image
Public Image
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Shaping Professional Identity
Shaping Professional Identity
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Clinical Learning Environment
Clinical Learning Environment
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Student Expectations (Clinical)
Student Expectations (Clinical)
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Professional Commitment (Students)
Professional Commitment (Students)
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Student Compliance
Student Compliance
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Psychological Commitment
Psychological Commitment
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professional development
professional development
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Error Reporting
Error Reporting
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Questionable Practice
Questionable Practice
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Impaired Colleague
Impaired Colleague
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Abiding by Regulations
Abiding by Regulations
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Nursing Practice
Nursing Practice
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Delegation
Delegation
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Safety Measures
Safety Measures
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Respect for Nurses
Respect for Nurses
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Conscientious Objection
Conscientious Objection
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Moral Environments
Moral Environments
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Duty to Resign
Duty to Resign
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Ethical Research
Ethical Research
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Work Conditions
Work Conditions
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Evidence-Based Practice
Evidence-Based Practice
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Advocacy
Advocacy
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Nonmaleficence
Nonmaleficence
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Six Rights of Medication Administration
Six Rights of Medication Administration
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Professional Responsibility
Professional Responsibility
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Professional Nursing Competency
Professional Nursing Competency
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Lifelong Learning
Lifelong Learning
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Cultural Competency
Cultural Competency
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Error Avoidance
Error Avoidance
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Nursing Assessment (RN)
Nursing Assessment (RN)
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Clarifying Client Need
Clarifying Client Need
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Implementing Client-Centered Care
Implementing Client-Centered Care
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Evaluating Care Effectiveness
Evaluating Care Effectiveness
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Quality Improvement
Quality Improvement
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Nursing Advocacy
Nursing Advocacy
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Nurse's Advocacy Role
Nurse's Advocacy Role
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Why Clients Need Advocates
Why Clients Need Advocates
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Barriers to Advocacy
Barriers to Advocacy
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Ways to Advocate
Ways to Advocate
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Advocate's Core Actions
Advocate's Core Actions
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Four Phases of Advocacy
Four Phases of Advocacy
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Phase 1: Assessment
Phase 1: Assessment
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Phase 2: Identification
Phase 2: Identification
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Phase 3: Implementation
Phase 3: Implementation
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Phase 4: Evaluation
Phase 4: Evaluation
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Accountability in Nursing
Accountability in Nursing
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Inner and Outer Processes of Professionalism
Inner and Outer Processes of Professionalism
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Manifest Professionalism
Manifest Professionalism
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Expected Nursing Professionalism
Expected Nursing Professionalism
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Lifelong Learning (Nursing)
Lifelong Learning (Nursing)
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Nurse Leader
Nurse Leader
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Nursing Leadership
Nursing Leadership
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Nursing Leadership Development
Nursing Leadership Development
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Autocratic/Authoritarian Leadership
Autocratic/Authoritarian Leadership
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Democratic Leadership
Democratic Leadership
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Laissez-faire Leadership
Laissez-faire Leadership
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Transactional Leadership
Transactional Leadership
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Transactional Leadership actions
Transactional Leadership actions
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Transactional leadership goal
Transactional leadership goal
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Transactional Tactics
Transactional Tactics
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Transactional Leadership: Examples
Transactional Leadership: Examples
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Transactional Example in Nursing
Transactional Example in Nursing
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Transactional Leadership Outcome
Transactional Leadership Outcome
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Situations for transactional leaderships
Situations for transactional leaderships
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Transformational Leaders
Transformational Leaders
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Transformational Leadership Actions
Transformational Leadership Actions
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Transformational Leader Traits
Transformational Leader Traits
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Intellectual Stimulation(Transformational)
Intellectual Stimulation(Transformational)
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Laissez-Faire Leaders
Laissez-Faire Leaders
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Ideal Followers (Laissez-Faire)
Ideal Followers (Laissez-Faire)
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Actions of a Laissez-Faire Leader
Actions of a Laissez-Faire Leader
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Nursing Actions (Laissez-Faire)
Nursing Actions (Laissez-Faire)
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Laissez-Faire Characteristics
Laissez-Faire Characteristics
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Bureaucratic Leaders
Bureaucratic Leaders
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Bureaucratic Leadership
Bureaucratic Leadership
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Bureaucratic Leader Actions
Bureaucratic Leader Actions
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Bureaucratic Leadership Departments
Bureaucratic Leadership Departments
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Bureaucratic Leader Traits
Bureaucratic Leader Traits
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Bureaucratic Leadership Environment
Bureaucratic Leadership Environment
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Supporting elements of laissez faire
Supporting elements of laissez faire
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Situational Leadership
Situational Leadership
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Transformational Leadership
Transformational Leadership
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Leadership Definition
Leadership Definition
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Nursing as Art and Science
Nursing as Art and Science
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The Three 'C's
The Three 'C's
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Empathy
Empathy
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Individualized Care
Individualized Care
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Critical Thinking (Nursing)
Critical Thinking (Nursing)
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Nursing Mind
Nursing Mind
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Professional Governance
Professional Governance
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Shared Decision-Making
Shared Decision-Making
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Shared Governance Core
Shared Governance Core
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Shared Governance Councils
Shared Governance Councils
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Nurse Professionalism
Nurse Professionalism
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Decision-Making
Decision-Making
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Accountability (Detailed)
Accountability (Detailed)
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Leadership (Detailed)
Leadership (Detailed)
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Art and Science of Nursing
Art and Science of Nursing
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Primary Nursing Role
Primary Nursing Role
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Caregiver
Caregiver
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Critical Thinker
Critical Thinker
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Change Agent
Change Agent
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Educator
Educator
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Counselor
Counselor
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Leader
Leader
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Mentor
Mentor
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Researcher
Researcher
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Health Literacy
Health Literacy
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Nurse-Client Relationship
Nurse-Client Relationship
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Holistic approach
Holistic approach
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Nursing Research Impact
Nursing Research Impact
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Care Coordinator
Care Coordinator
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Chain of Command
Chain of Command
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Nurse's Role in Chain of Command
Nurse's Role in Chain of Command
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Using Chain of Command Benefits
Using Chain of Command Benefits
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Escalating Client Concerns
Escalating Client Concerns
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Failed Links in Chain of Command
Failed Links in Chain of Command
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Liability in Chain of Command
Liability in Chain of Command
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Nurse's Responsibility
Nurse's Responsibility
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Shared Governance
Shared Governance
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Shared Governance Purpose
Shared Governance Purpose
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Shared Governance Promotes
Shared Governance Promotes
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Shared Governance Impact
Shared Governance Impact
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Promotion of Excellence
Promotion of Excellence
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Clinical Findings of Good Governance
Clinical Findings of Good Governance
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Study Notes
- Nursing is a profession grounded in both the art of caring and scientific evidence.
- Professionalism guides nurses in their practice.
- Nurses have a unique responsibility to mentor, guide, and lead others entering the profession.
Scope of Practice
- There are differences in the scope of practice between RNs and PNs.
- PN scope of practice varies by state.
- PNs must understand and follow their state's guidelines for safe practice.
Professionalism
- Professionalism includes actions, behaviors, and attitudes that reflect the core values, ethical principles, and regulatory guidelines of the nursing profession.
- Nurses design, develop, and advance the standards of conduct for professionalism.
- Professionalism requires understanding standards of practice, identifying client needs, and reporting information.
- Professionalism involves commitment to self and the profession, integrity, honesty, and devotion to the welfare of others.
Professional Behaviors
- Nurses are the largest sector of health professionals, with over 4.3 million in the United States.
- Modern healthcare requires nurses to think critically, communicate effectively, problem-solve, adapt, and maintain current knowledge.
- Standards of nursing care guide acceptable levels of education, skills, attitudes, behaviors, judgment, and self-evaluation for safe and professional practice.
- Standards provide a way to compare performance, especially when actions or client care are questioned.
- The nursing process is a uniform way to provide client care.
- The nursing process includes assessment, analysis, planning, implementation, and evaluation.
Data Collection in the PN Nursing Process
- Observe, check, monitor, and collect subjective and objective client data.
- Complete a focused assessment.
- Identify the need for further assessment.
- Determine the need to report information.
- Determine priority.
- Identify appropriateness of prescriptions, contraindications, and risk.
- Assist with triage.
Hierarchy of Regulation
- Each state has a board of nursing that reports to the National Council of State Boards of Nursing (NCSBN).
- The NCSBN oversees standards for educational programs, licensure, scope of practice, and disciplinary actions.
- Each board of nursing determines the Nurse Practice Act (NPA) for licensed nurses within that state.
- The NPA defines nursing activities and ensures nurses practice within defined laws, rules, and regulations.
- Organizations employ nurses and have established policies and procedures that regulate and guide nursing practice.
- Each nurse is in control of their individual competence, decisions, and actions while providing client care; this is self-regulation.
Presentation of Nurses
- Nurses are expected to practice responsibly and serve the public in a competent way.
- Society has higher standards of conduct because nurses care for vulnerable populations.
- Verbal and nonverbal communication influences a client's confidence in a nurse.
- Nurses must personify trust, caring, confidence, and intelligence.
- Nurses must communicate clearly; self-reflect; and model responsibility, respect, and advocacy.
- The NCSBN, state boards of nursing, and the nursing Code of Ethics reinforce professional behaviors.
- Individual state boards of nursing can investigate and act on complaints.
- A six-step decision-making model assists in the use of professional judgment.
Six Steps of Decision-Making Activity
- Step 1: Nurse is called away to an emergency and asks Nurse B to cover the care of their client.
- Step 2: Nurse B says yes and and goes to check on the client
- Step 3: The client reports pain at a level of 8 on a scale of 0 to 10
- Step 4: The client asks to receive morphine.
Membership in Nursing Organizations and Certification
- Joining a nursing organization and becoming certified are important professional behaviors for a nurse
- Nursing organizations allow nurses to network with those in similar specialties.
- Organizations drive practice and policies by promoting nurses to:
- Be actively involved in their specialty
- Make a difference in the populations they care for
Certification
- Certification in a specialty area demonstrates mastery of knowledge, education, and skills; nurses demonstrate a motivation and passion for delivering quality care
- Certification provides confidence that nurses are practicing at an elevated level based on up-to-date evidence.
- Nurses with certification distinguish themselves through lifelong learning, self-improvement, and personal and professional growth.
- A higher number of nurses with specialty certification correlates with better clinical outcomes.
- Eligibility requirements include years of experience within a set population, fees, review of study material, and passing an exam.
Unprofessional Behaviors
- Unprofessionalism is conduct that does not adhere to the standards of practice or the Code of Ethics.
- Unprofessional behavior is "conduct unbecoming of a nurse" that dishonors, disgraces, or harms the profession's reputation.
- Misconduct can be a single incident or a pattern of incidents, relevant to the practice of nursing or not, occurring during client care or not.
- Misconduct include incompetence and impairment.
- Professional incompetence is when nurses lack reasonable skills, knowledge, or concern for the client’s welfare, which places the client in jeopardy or harm’s way.
- Impairment includes the nurse being unable or unfit to practice because of physical illness, behavioral health issues, or being under the influence of a chemical substance.
- Unethical behavior also falls under misconduct.
- Boards of nursing (BONs) can take disciplinary action against a nurse for unprofessional conduct.
- Nurses can be in jeopardy for using social media in an unprofessional or unethical manner.
- The BON may investigate reports of inappropriate disclosures made on social media.
Unprofessional Behaviors Checklist
- Addictions: drugs or alcohol; diverting drugs.
- Breaking the law: at work or outside of work.
- Dual relationships: cheating.
- Disruptive behavior: displaying anger, yelling, throwing things, making faces, gossiping, etc.
- Financial improprieties: selling items, taking or asking for money or gifts.
- HIPAA or confidentiality violations: snooping; leaving a computer terminal unattended after logging on; releasing client information; photos, text, or social media with client content; disposing of client information improperly.
- Inappropriate conduct: flirting, touching, asking for personal numbers or other contact information.
- Irresponsible or lax supervision: putting client care aside, completing tasks unsafely.
- Misrepresentation, falsification: lie to, swindle, or harm a client; use false statements in documentation.
- Practicing with an expired license: working without a current or active license.
- Practicing outside scope: performing duties that are not allowed by the scope of practice or the organization.
- Sexual and nonsexual boundary violations: disclosing unnecessary personal information with the client; befriending the client on personal time; hugging, caressing, or kissing the client; exploiting the client.
Novice to Expert
- The transition from student to newly licensed nurse can be challenging, because novice nurses may be nervous and lack confidence.
- Novice nurses haven't acquired the practical skills needed to care for complex clients.The acquisition of skills and the development of critical thinking progress from novice to expertise.
Stage 1: Novice
- This stage is when the person has no experience.
- During this stage, the individual learns right from wrong, accepts limitations, sets boundaries, and asks questions.
- The novice is taught processes, steps, and general rules involved in caring for a client, along with the rationale and consequences.
- Most importantly, learns to catch errors and sort, identify, and prioritize client care.
Stage 2: Advanced Beginner
- The nurse demonstrates skills based on previous exposure; they need guidelines, prompting, and support from a mentor.
- They obtain knowledge and experience based on certain situations, known as aspect recognition.
- Support, guidance, and special advice from a competent and experienced mentor provide an opportunity to grasp an understanding and learn to apply safe client-centered care.
Stage 3: Competent
- During this stage, the individual can plan, make decisions, and perform their job responsibly and efficiently.
- The nurse approaches situations as trained and has coping mechanisms for stressful situations.
- The nurse completes their tasks with little to no error and looks for opportunities to assist others.
Stage 4: Proficient
- During this stage, the nurse has a rounded understanding of their role, views the situation from beginning to end, and modifies their behavior based on clinical situations.
- This stage includes advanced decision-making, knowledge, resourcefulness, flexibility, and the ability to address problems.
Stage 5: Expert
- During this stage, the expert is a master with a deep understanding who multitasks effortlessly.
- This stage involves teaching and precepting others, and assessing and improving the work environment and the practice of nursing.
- These individuals know what to do because of their instinctive skills, high proficiency, and wide-ranging clinical experience.
Professional Commitment and Identity
- Professional commitment is the belief and acceptance of the standards and values of the profession of choice.
- It requires an effort to represent the standards, a motivation to grow and improve, and the determination to retain and protect membership within the profession.
- Professional identity (PI) is a nurse’s sense of self as influenced by the values, beliefs, and attributes associated with the nursing discipline.
- PI includes beliefs, values, attributes, traits, and experiences.
- Shaping PI begins in the nonclinical classroom environment.
- During clinical courses, the PI of a student undergoes professional socialization.
Codes of Conduct
- Codes of conduct protect the business and explain expected behavior or conduct of its employees.
- A code of conduct has guidelines influencing an employee's specific actions
- A code of ethics revolves around higher level concepts, establishing a set of principles and influencing the judgment of those involved.
- The code of professional conduct for nurses is known as the Code of Ethics.
- The American Nurses Association (ANA) Code of Ethics includes ethical standards, obligations, ideals, and values.
- The code promises to deliver the best, safest, and highest quality client care
- The Code sets nonnegotiable standards that apply to all nurses in all venues and domains.
- A nurse must use the Code to guide their clinical reasoning, ethical analysis, judgment, and decision making before acting.
Provisions of Code of Ethics
- Provision 1: Health care is a universal human right and should be provided without prejudice or bias.
- Provision 2: The plan of care should integrate participation from the client and collaboration from those who share responsibility; the nurse will ensure safety and promote the client's best interests.
- Provision 3: The nurse will advocate for and safeguard the right to an environment of privacy, maintaining confidentiality of information.
- Provision 4: Nurses have the authority, accountability, and responsibility for practice.
- Provision 5: Nurses are entitled to the same respect as others, and they are free to express their own moral point of view.
- Provision 6: Nurses will construct and promote good environments that nurture excellent nursing practice.
- Provision 7: Human or animal research will be soundly constructed.
- Provision 8: The highest achievable standard of health is a fundamental human right.
- Provision 9: It is the responsibility of collective nursing profession to strengthen the central nursing values.
Advocacy
- Advocacy is the act of defending the interests, rights, and safety of those who cannot do it for themselves.
- Advocacy includes assisting a client to obtain needed care, defending the rights of the client, assuring quality of care, and serving as a link between the client and the health care system.
- Failure to advocate places the client’s rights, welfare, and needs in jeopardy.
- Advocacy is not easy; nurses may face obstacles, resistance, or limited opportunities to address the rights, welfare, or choice of the client.
Ways to Advocate
- Safeguard the rights of the client by knowing what their wishes are.
- Educate the client on medications and treatments to improve quality of life.
- Give the client a voice by helping them ask questions, get answers, and understand.
- Protect the client from harm against unsafe conditions or unwanted medications, treatments, or procedures.
- Communicate, propose alternatives, and take action for the client.
- Connect to resources for meals, transportation, prescriptions, financial assistance, or support groups.
- Error check and ask another nurse or a pharmacist to verify medications and dosages.
Phases of Advocacy
- Phase 1: Assessment - Determine the client’s level of understanding, interests, personal values, mental function, and awareness of rights.
- Phase 2: Identification - Identify the goals of the client, which are based on their needs and beliefs; explain so the client can make an informed decision to consent or to refuse.
- Phase 3: Implementation - Implement a plan to communicate the client’s preferences to the rest of the interprofessional team, including the goals and the steps involved in accomplishing them.
- Phase 4: Evaluation - Review the outcomes or findings, considering the satisfaction of the client, family, caregivers, and the rest of the interprofessional team.
Model of Professionalism in Nursing
- Professionalism has inner and outer processes; the point at which they intersect manifests professionalism.
- Inner processes are beliefs, values, and attitudes, while outer processes are behaviors or actions; both function within the culture, policies, and expectations.
- Professionalism grows over time with the following: interactions and relationship with the client, the importance of appearance in uniform, the belief and culture of service and duty Complex areas such as client-centered care, safety, and health advocacy.
Accountability
- Accountability is a legal obligation with a moral and ethical commitment to do the right thing.
- It means taking ownership of decisions and actions and being responsible and answerable for actions and the consequences of those actions (e.g., telling the truth or being respectful).
- Professional accountability deals with legal and ethical aspects of nursing practice and the effect they have on decision making, quality client care, and safety standards.
- Accountability establishes acceptable boundaries and ensures that the nurse takes their duties seriously, plans actions, and intervenes competently.
Responsibility
- Responsibility is an obligation to perform work, duties, or tasks using sound professional judgment.
- Responsibility means being reliable, dependable, and following through with commitments.
- It means thinking things through, completing a task at an acceptable level, and accepting the consequences.
- Nursing responsibilities include all the nursing competencies acquired during didactic and clinical experiences as a student and newly licensed nurse.
- Responsibility consists of appropriate, effective, and knowledgeable "tasking" or providing care that is based on the level to which the person has been educated.
Nursing Responsibility
- Be knowledgeable and skilled in assessment (RN) and the collection of client data (PN).
- Identify and clarify any client need or problem.
- Respond to the identified need or problem and implement client-centered care.
- Evaluate the effectiveness or outcome of the care provided.
Professional nursing competency incorporates knowledge, skills, abilities, attitude, and values.
- Professional competence is when nurses have correct behaviors, judgments, and actions in daily nursing activities.
- Professional competence is expected of nurses.
- Each nurse is held accountable to maintain their professional skills by their employer or regulatory agencies.
- A commitment to lifelong learning maintains professional competence and quality nursing practice that supports safe, competent care.
Leadership Styles
- A leader is an individual who inspires the best in others and guides them to work as a team to accomplish a common goal.
- Leaders use interpersonal skills to influence attitudes, behaviors, feelings, and beliefs.
- Nurse leaders develop through self-reflection, visionary thinking, seeking out new knowledge, and working effectively.
- Nurse leaders communicate and engage the actions of others, benefiting the nursing profession, clients, and the health care environment.
- Autocratic/authoritarian leadership: Leaders make choices for others.
- Democratic leadership: Group members are encouraged to contribute to the decision-making process.
- Laissez-faire leaders: Leaders promote innovation and originality with a hands-off approach.
Transactional Leaders
- Transactional leaders establish standards, highlight obligations, concentrate on monitoring behaviors, and reward or punish based on how tasks are completed.
- They encourage compliance with the rules; they promote continuity of the norm and dependency on the leader’s decisions.
- They do not encourage creativity, nor do they motivate others to find solutions to existing problems.
Transformational Leaders
- Transformational leaders establish a common mission and vision and encourage employees to heighten their level of performance.
- They focus on a person’s willingness to change and stimulates them to assess current structures and develop fresh new ways to improve them.
- They inspire others to be part of the team.
- They are passionate about their cause and display compassion and a sense of understanding toward others on the team.
Laissez-Faire Leaders
- Laissez-faire leaders are hands-off leaders that oversee and encourage their team to work independently, providing little direct control over decision making.
- They relinquish the power and responsibility to others, facilitating independent decision making, goal setting, and solutions.
- Laissez-faire leaders have confidence in the skills and knowledge of others, remain available and open for consultation, and allow employees to work with little to no oversight.
Bureaucratic Leaders
- Bureaucratic leaders abide by the specific policy and procedures or rules established within a top-down decision-making organization.
- This leader is “by the book” and relies heavily on consistency and adherence to rules.
- Bureaucratic leaders pay great attention to detail, which helps to bring control and clarity to situations.
Situational Leaders
- Situational leaders are flexible and move from style to style depending on the circumstances at hand.
- These leaders assess the situation and decide which strategy is best to use based on the task, nature of the group, or requirements of the organization.
- Situational leaders align their style to assist in the development and growth of others and the overall effectiveness of the organization.
- Nurses are situational leaders because they assess each client individually and manage their care depending upon the client’s specific needs.
Nurse's Role Within an Organization
- Nurses blend clinical knowledge, technical skills, and critical thinking with sensitivity, compassion, and caring.
- The primary role of a nurse is to care and advocate for clients of all ethnic and religious backgrounds.
- Other responsibilities include collection and documentation of client data, delegation of tasks to assistive staff, health education, administration of medications and treatments
- Nurses can also operate medical equipment, advocate for the client, share in decision making, provide effective communication and coordination of client care in collaboration with the interprofessional team
Common Nursing Roles
- Caregiver: respecting the dimensions of the client, including their needs, values, beliefs, emotions, opinions, and preferences.
- Critical thinker: interpreting and examining a problem; reasoning and applying a solution; and evaluating outcomes.
- Advocate: using the four phases in the process of advocacy (assessment, identification, implementation, and evaluation).
- Change agent: recognizing a problem, determining a need, recommending a plan, and participating in interprofessional care and evaluation.
- Educator: teaching and supporting clients to better comprehend, address, and assume responsibility for their own health status.
- Counselor: considering and encompassing the intellectual, emotional, mental, and psychological aspects of the client.
- Leader: guiding others by using interpersonal skills to influence attitudes, behaviors, feelings, and beliefs.
- Mentor: sharing knowledge and time to support, guide, encourage, and motivate another nurse.
- Researcher: using past and present evidence-based research to improve nursing practice.
- Care coordinator: organizing client care, including the client, family, interprofessional team members, and resources required to provide care.
Chain of Command
- The chain of command is an organizational hierarchy identifying the lines of authority within an organization.
- Each organization has a chain of command identifying the order used to notify superiors.
- Using the chain of command protects the client, raises organizational awareness, and contributes to a culture of safety.
- The nurse is required to document efforts as they move along the chain of command.
Shared Governance
- Shared governance is a shared-decision structure that gives nurses control over their own practice.
- It is the process that guides decisions towards accountability and ownership of clinical outcomes.
- It is intended to take nurses from the point of care to the decision-making table, unifying the core values and beliefs of nursing to advance quality client care.
- Shared governance empowers individual autonomy, contribution, and engagement in nursing practice, which promotes collaboration, professional development, and accountability.
Principles of Shared Governance
- Principle One: Professional governance is grounded accountability where members uphold the Code of Ethics and regulatory bodies
- Principle Two: Organizational processes are designed around accountability, where those with authority take ownership for and are held liable for their decisions and actions.
Shared Governance Model
- The core of the shared governance model consists of the client and the interprofessional team, surrounded by four interlocking principles: caring is the essence of nursing; navigation is guiding the client in the health system; knowing is safe care with evidence-based knowledge; leading is advancing care in the organization and community.
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Description
Learning Objectives:
- Discuss professional behaviors that are consistent with those of a nurse.
- Identify the purpose of accountability and responsibility in the role of the nurse.
- Explore leadership styles and the related characteristics of each.
- Discuss the nurse’s role when functioning within an organization.
