N4325 KNOWLEDGE CHECK REVIEW AND
SOLUTIONS 2026
◉ A nurse is caring for a client who is refusing to take prescribed
medications. Which action should the nurse take first. Answer:
Explore with the client the reason for medication refusal.
◉ During which step of the nursing process does the nurse
administer prescribed medications to a client. Answer:
Implementation
◉ who is associated with the nursing role. Answer: All registered
nurses are part of the "who" in nursing. Each has been educated,
titled, and maintains an active license to practice nursing, which
includes the ethical and legal responsibility of medication
administration.
◉ what is associated with the nursing role?. Answer: Provision 4 of
the American Nurses Association's Code of Ethics for Nurses states,
"the nurse has the authority, accountability, and responsibility for
nursing practice; makes decisions; and takes action consistent with
the obligation to promote health and to provide optimal care"
(Fowler, 2015, p. 59). Nurses follow this provision by using three
checks and following the rights of safe medication administration.
,◉ where does the nursing role occur?. Answer: in any environment
"where" there is a healthcare consumer (client) in need of care
(medication therapy), information, or advocacy.
◉ when does nursing occur?. Answer: "when" there is a need for
nursing knowledge, wisdom, caring, leadership, practice, or
education. . . anytime and anywhere medication therapy is needed.
◉ "why" of nursing. Answer: The "why" is characterized as nursing's
response to the changing needs of society to achieve positive client
outcomes in keeping with nursing's obligation to society through the
medication administration process.
◉ "how" of nursing. Answer: The "how" of nursing practice is
defined as the ways, means, methods, and behaviors that nurses use
to practice professionally and safely administer medications.
◉ federal regulations of medication administration. Answer: The
U.S. government protects the health of its citizens by ensuring that
medications are safe and effective. The U.S. Food and Drug
Administration (FDA) enforces medication laws related to safety,
potency, and efficacy. The FDA oversees the testing of drugs before
they are provided to the public. Federal regulations also control the
naming, labeling, sale, and distribution of medications as well as the
use of controlled substances. The United States Pharmacopeia (USP)
publication sets standards for medication strength, quality, purity,
packaging, safety, labeling, and dose form.
,◉ state & local regulations of medication administration. Answer:
All state and local medication laws must conform to federal
legislation. States often have additional controls, including
substances not regulated by the federal government. Local
government regulates the use of alcohol and tobacco.
◉ healthcare facility regulation of medication administration.
Answer: Healthcare facilities establish individual policies to meet
federal, state, and local regulations that are often more restrictive
than governmental controls. For example, many facilities require
that a prescription for a controlled substance be automatically
discontinued after a set number of days. Although the healthcare
provider may re-prescribe the drug, this policy helps to ensure
regular review of the need for a medication.
◉ nurse practice act. Answer: statute in each state and territory that
regulates the practice of nursing
◉ Provision 1: Dignity and Respect. Answer: the nurse practices
with compassion and respect for the inherent dignity, worth, and
unique attributes of every person.
◉ Provision 2: Primary commitment. Answer: A nurse's primary
commitment is to the recipient(s) of nursing care, whether an
individual, family, group, community, or population.
, ◉ Provision 3: Trust and advocacy. Answer: The nurse establishes a
trusting relationship and advocates for the rights, health, and safety
of recipient(s) of nursing care.
◉ Provision 4: Accountability and responsibility in practice. Answer:
Nurses have authority over nursing practice and are responsible and
accountable for their practice consistent with their obligations to
promote health, prevent illness, and provide optimal care.
◉ Provision 5: Duty to self. Answer: The nurse has moral duties to
self as a person of inherent dignity and worth including an
expectation of a safe place to work that fosters flourishing,
authenticity of self at work, and self-respect through integrity and
professional competence.
◉ Provision 6: Ethical work environment. Answer: Nurses, through
individual and collective effort, establish, maintain, and improve the
ethical environment of the work setting that affects nursing care and
the well-being of nurses.
◉ Provision 7: Knowledge development and social policy. Answer:
Nurses advance the profession through multiple approaches to
knowledge development, professional standards, and the generation
of policies for nursing, health, and social concerns.
SOLUTIONS 2026
◉ A nurse is caring for a client who is refusing to take prescribed
medications. Which action should the nurse take first. Answer:
Explore with the client the reason for medication refusal.
◉ During which step of the nursing process does the nurse
administer prescribed medications to a client. Answer:
Implementation
◉ who is associated with the nursing role. Answer: All registered
nurses are part of the "who" in nursing. Each has been educated,
titled, and maintains an active license to practice nursing, which
includes the ethical and legal responsibility of medication
administration.
◉ what is associated with the nursing role?. Answer: Provision 4 of
the American Nurses Association's Code of Ethics for Nurses states,
"the nurse has the authority, accountability, and responsibility for
nursing practice; makes decisions; and takes action consistent with
the obligation to promote health and to provide optimal care"
(Fowler, 2015, p. 59). Nurses follow this provision by using three
checks and following the rights of safe medication administration.
,◉ where does the nursing role occur?. Answer: in any environment
"where" there is a healthcare consumer (client) in need of care
(medication therapy), information, or advocacy.
◉ when does nursing occur?. Answer: "when" there is a need for
nursing knowledge, wisdom, caring, leadership, practice, or
education. . . anytime and anywhere medication therapy is needed.
◉ "why" of nursing. Answer: The "why" is characterized as nursing's
response to the changing needs of society to achieve positive client
outcomes in keeping with nursing's obligation to society through the
medication administration process.
◉ "how" of nursing. Answer: The "how" of nursing practice is
defined as the ways, means, methods, and behaviors that nurses use
to practice professionally and safely administer medications.
◉ federal regulations of medication administration. Answer: The
U.S. government protects the health of its citizens by ensuring that
medications are safe and effective. The U.S. Food and Drug
Administration (FDA) enforces medication laws related to safety,
potency, and efficacy. The FDA oversees the testing of drugs before
they are provided to the public. Federal regulations also control the
naming, labeling, sale, and distribution of medications as well as the
use of controlled substances. The United States Pharmacopeia (USP)
publication sets standards for medication strength, quality, purity,
packaging, safety, labeling, and dose form.
,◉ state & local regulations of medication administration. Answer:
All state and local medication laws must conform to federal
legislation. States often have additional controls, including
substances not regulated by the federal government. Local
government regulates the use of alcohol and tobacco.
◉ healthcare facility regulation of medication administration.
Answer: Healthcare facilities establish individual policies to meet
federal, state, and local regulations that are often more restrictive
than governmental controls. For example, many facilities require
that a prescription for a controlled substance be automatically
discontinued after a set number of days. Although the healthcare
provider may re-prescribe the drug, this policy helps to ensure
regular review of the need for a medication.
◉ nurse practice act. Answer: statute in each state and territory that
regulates the practice of nursing
◉ Provision 1: Dignity and Respect. Answer: the nurse practices
with compassion and respect for the inherent dignity, worth, and
unique attributes of every person.
◉ Provision 2: Primary commitment. Answer: A nurse's primary
commitment is to the recipient(s) of nursing care, whether an
individual, family, group, community, or population.
, ◉ Provision 3: Trust and advocacy. Answer: The nurse establishes a
trusting relationship and advocates for the rights, health, and safety
of recipient(s) of nursing care.
◉ Provision 4: Accountability and responsibility in practice. Answer:
Nurses have authority over nursing practice and are responsible and
accountable for their practice consistent with their obligations to
promote health, prevent illness, and provide optimal care.
◉ Provision 5: Duty to self. Answer: The nurse has moral duties to
self as a person of inherent dignity and worth including an
expectation of a safe place to work that fosters flourishing,
authenticity of self at work, and self-respect through integrity and
professional competence.
◉ Provision 6: Ethical work environment. Answer: Nurses, through
individual and collective effort, establish, maintain, and improve the
ethical environment of the work setting that affects nursing care and
the well-being of nurses.
◉ Provision 7: Knowledge development and social policy. Answer:
Nurses advance the profession through multiple approaches to
knowledge development, professional standards, and the generation
of policies for nursing, health, and social concerns.
