Role Development Final Exam UPDATED ACTUAL
Questions and CORRECT Answers
Shift in Nursing Education informal apprenticeship --> formal training programs
Florence Nightingale's School of Nursing Established 1860 in London by Florence Nightingale
Changed nursing education by emphasizing hygiene, nursing ethics, and
patient centered care
Bellevue Hospital School of Nursing Established in 1873 and was the first. nursing school in the United States
Used Nightingale Model
Prioritized practical skills, infection control and patient advocacy
John Hopkins School of Nursing Established in 1889
Pioneered scientifically based, university affiliated nursing education model
Academic Training + practical nursing skills
New England Hospital for Women and Children first hospital to establish a formal 1 year program in 1872
"Good Soldier" --> strong militaristic and religious influences
The American Association of Colleges of Nursing Leading voice for nursing education, advocating for excellence in nursing
(AACN) programs and setting professional standards
AACN Guidelines Educational preparation = BSN or MSN
Licensure Examination = Passing NCLEX-RN is mandatory to enter the
profession
What does the NCLEX-RN assess? nurse's competency and knowledge in core areas of nursing practice
, Requirements for Nursing Licensure can vary by state but generally require:
1. Completion of an approved nursing program
2. NCLEX-RN examination
3. State-specific requirements - these are set by state nursing board
What are examples of state-specific requirements? Background checks, specific coursework and residency requirements
Florence Nightingale's Environmental Theory emphasizes the impact of a patient's environment on their health outcomes
also advocates for clean, safe and supportive environments to promote
healing
Jean Watson Theory of Caring highlights importance of nurse-patient relationship and compassionate care
emphasizes human connection and emotional aspects of nursing
Callista Roy's Adaptation Model focus on individual's ability to adapt to physical and psychosocial stressors
helps to guide nurses in assessing and supporting patients adaptive
mechanisms
State Nursing Practice Act Each state enacts a Nursing Practice Act
• Laws that define responsibilities of the nurse and "scope of practice".
• The range of activities and services as well as the qualifications for practice
that can be performed.
--> establishes licensure requirements, continuing education requirements and
ethical guidelines for nurses
• The acts are intended to protect patients from harm as a result of unsafe or
incompetent practice, or unqualified nurses.
Key Elements of State of Nursing Practice Acts SLL - "States Lessen Litigation"
Scope of practice = range of activities or interventions a nurse can perform
Licensure requirements = educational, examination and experience
requirements for licensure in the state
Legal Regulations = legal guidelines for nursing practice (negligence,
malpractice and ethical conduct)
Roles of State of Nursing Practice Acts 1. Defines due process for protecting the rights of nurses
2. Accredits nursing programs
3. Defines legal scope of practice for nursing
Purpose of Job Description Facilitates effective recruitment, performance evaluation and setting clear
expectations
Outlines responsibilities, duties and qualifications for a specific nursing role
Questions and CORRECT Answers
Shift in Nursing Education informal apprenticeship --> formal training programs
Florence Nightingale's School of Nursing Established 1860 in London by Florence Nightingale
Changed nursing education by emphasizing hygiene, nursing ethics, and
patient centered care
Bellevue Hospital School of Nursing Established in 1873 and was the first. nursing school in the United States
Used Nightingale Model
Prioritized practical skills, infection control and patient advocacy
John Hopkins School of Nursing Established in 1889
Pioneered scientifically based, university affiliated nursing education model
Academic Training + practical nursing skills
New England Hospital for Women and Children first hospital to establish a formal 1 year program in 1872
"Good Soldier" --> strong militaristic and religious influences
The American Association of Colleges of Nursing Leading voice for nursing education, advocating for excellence in nursing
(AACN) programs and setting professional standards
AACN Guidelines Educational preparation = BSN or MSN
Licensure Examination = Passing NCLEX-RN is mandatory to enter the
profession
What does the NCLEX-RN assess? nurse's competency and knowledge in core areas of nursing practice
, Requirements for Nursing Licensure can vary by state but generally require:
1. Completion of an approved nursing program
2. NCLEX-RN examination
3. State-specific requirements - these are set by state nursing board
What are examples of state-specific requirements? Background checks, specific coursework and residency requirements
Florence Nightingale's Environmental Theory emphasizes the impact of a patient's environment on their health outcomes
also advocates for clean, safe and supportive environments to promote
healing
Jean Watson Theory of Caring highlights importance of nurse-patient relationship and compassionate care
emphasizes human connection and emotional aspects of nursing
Callista Roy's Adaptation Model focus on individual's ability to adapt to physical and psychosocial stressors
helps to guide nurses in assessing and supporting patients adaptive
mechanisms
State Nursing Practice Act Each state enacts a Nursing Practice Act
• Laws that define responsibilities of the nurse and "scope of practice".
• The range of activities and services as well as the qualifications for practice
that can be performed.
--> establishes licensure requirements, continuing education requirements and
ethical guidelines for nurses
• The acts are intended to protect patients from harm as a result of unsafe or
incompetent practice, or unqualified nurses.
Key Elements of State of Nursing Practice Acts SLL - "States Lessen Litigation"
Scope of practice = range of activities or interventions a nurse can perform
Licensure requirements = educational, examination and experience
requirements for licensure in the state
Legal Regulations = legal guidelines for nursing practice (negligence,
malpractice and ethical conduct)
Roles of State of Nursing Practice Acts 1. Defines due process for protecting the rights of nurses
2. Accredits nursing programs
3. Defines legal scope of practice for nursing
Purpose of Job Description Facilitates effective recruitment, performance evaluation and setting clear
expectations
Outlines responsibilities, duties and qualifications for a specific nursing role
