NSG 444 Exam 1 Study Guide – Nursing
Delivery Systems, Delegation, Prioritization
and Professionalism|Questions with Solutions
and Rationales| Reviewed 2026/2027
Nurse Practice Act - ANSWER✔️--defines practice of professional nursing
-describes authority, power, & composition of Board of Nursing
-defines educational program standards
-sets min educational qualifications & other requirements for licensure
-protects legal titles & abbreviations nurses may use
-provides disciplinary action of licensees for certain causes
-statutory law (affects nursing practice within bounds of the state)
Most common reason for disciplining nurses - ANSWER✔️-practicing while
under the influence of alcohol/drugs (diverted from workplace)
Licensure by Endorsement - ANSWER✔️-RN may practice in different states
without having to take another licensing exam
-proof of licensure in another state is required
-licensure fee
Nurse Licensure Compact: A Mutual Recognition Model of Licensure -
ANSWER✔️-Created by NCSBN (2000)
-Nurses licensed in a compact state can practice in their own state and in any other
compact state without applying for licensure by endorsement
-who is licensed in a compact state and changes permanent residence, may practice
under the license from former state of residence for up to 90 days
Priorities for Client Teaching - ANSWER✔️--determine client's learning needs
-determine client's perceptions regarding what is important
Prioritizing for a group of clients - ANSWER✔️--identify problems of each client
-review the problems & any nursing diagnoses
-determine what client problems are most urgent
-anticipate time time to accomplish goals
, Factors within professional socialization - ANSWER✔️--structural: professional
role is shaped by rules
-cultural: traditions, symbols, language, idea systems in society shape how one
becomes a nurse
3 types of socialization - ANSWER✔️--formal socialization (nursing facility as
the first mentor; orderly, building-block fashion)
-informal socialization (incidental lessons)
-professional socialization ( •Absorbing the culture of nursing—rites, rituals, and
valued behaviors
•Learning vocabulary
•Learning new roles and anxiety, disappointments and frustrations, and
disillusionment)
Factors that influence Socialization - ANSWER✔️--code of ethics for nurses :
requires nurses to work with all pts regardless of their beliefs
-personal feelings can be shaped by significant adults & peers
-negative health behaviors can influence personal feelings
-unexamined biases are more likely to influence behavior than examined ones
-learning how to deal with values of conflicts while respecting pts differing
viewpoints
Clinical judgement - ANSWER✔️--informed opinions and decisions based on
empirical knowledge and experience
-knowing the limitations of your expertise
Clinical Judgment: Nine Key Questions - ANSWER✔️-1. What major outcomes
(observable beneficial results) do we expect to see in this particular patient, family,
or group when the plan of care is terminated?
2. What problems or issues must be addressed to achieve the major outcomes?
3. What are the circumstances? Who is involved? How urgent are the problems?
What are the factors influencing their presentation? What are the patient's values,
beliefs, and cultural influences?
4. What knowledge is required?
5. How much room is there for error?
6. How much time do I have?
7. What resources can help me?
8. Whose perspectives must be considered?
Delivery Systems, Delegation, Prioritization
and Professionalism|Questions with Solutions
and Rationales| Reviewed 2026/2027
Nurse Practice Act - ANSWER✔️--defines practice of professional nursing
-describes authority, power, & composition of Board of Nursing
-defines educational program standards
-sets min educational qualifications & other requirements for licensure
-protects legal titles & abbreviations nurses may use
-provides disciplinary action of licensees for certain causes
-statutory law (affects nursing practice within bounds of the state)
Most common reason for disciplining nurses - ANSWER✔️-practicing while
under the influence of alcohol/drugs (diverted from workplace)
Licensure by Endorsement - ANSWER✔️-RN may practice in different states
without having to take another licensing exam
-proof of licensure in another state is required
-licensure fee
Nurse Licensure Compact: A Mutual Recognition Model of Licensure -
ANSWER✔️-Created by NCSBN (2000)
-Nurses licensed in a compact state can practice in their own state and in any other
compact state without applying for licensure by endorsement
-who is licensed in a compact state and changes permanent residence, may practice
under the license from former state of residence for up to 90 days
Priorities for Client Teaching - ANSWER✔️--determine client's learning needs
-determine client's perceptions regarding what is important
Prioritizing for a group of clients - ANSWER✔️--identify problems of each client
-review the problems & any nursing diagnoses
-determine what client problems are most urgent
-anticipate time time to accomplish goals
, Factors within professional socialization - ANSWER✔️--structural: professional
role is shaped by rules
-cultural: traditions, symbols, language, idea systems in society shape how one
becomes a nurse
3 types of socialization - ANSWER✔️--formal socialization (nursing facility as
the first mentor; orderly, building-block fashion)
-informal socialization (incidental lessons)
-professional socialization ( •Absorbing the culture of nursing—rites, rituals, and
valued behaviors
•Learning vocabulary
•Learning new roles and anxiety, disappointments and frustrations, and
disillusionment)
Factors that influence Socialization - ANSWER✔️--code of ethics for nurses :
requires nurses to work with all pts regardless of their beliefs
-personal feelings can be shaped by significant adults & peers
-negative health behaviors can influence personal feelings
-unexamined biases are more likely to influence behavior than examined ones
-learning how to deal with values of conflicts while respecting pts differing
viewpoints
Clinical judgement - ANSWER✔️--informed opinions and decisions based on
empirical knowledge and experience
-knowing the limitations of your expertise
Clinical Judgment: Nine Key Questions - ANSWER✔️-1. What major outcomes
(observable beneficial results) do we expect to see in this particular patient, family,
or group when the plan of care is terminated?
2. What problems or issues must be addressed to achieve the major outcomes?
3. What are the circumstances? Who is involved? How urgent are the problems?
What are the factors influencing their presentation? What are the patient's values,
beliefs, and cultural influences?
4. What knowledge is required?
5. How much room is there for error?
6. How much time do I have?
7. What resources can help me?
8. Whose perspectives must be considered?
