1) Distinguish between in-service, advanced, continuing and Registered Nurse education
a. Education
i. Advanced education NP
ii. Continuing – CEUs
A nurse is employed by a health care agency that provides an informal training session on how to
properly use a new vital sign monitor. Which type of education did the nurse receive?
a. In-service education
b. Advanced education
c. Continuing education
d. Registered nurse education
ANS: A
In-service education programs are instruction or training provided by a health care agency or
institution designed to increase the knowledge, skills, and competencies of nurses and other
health care professionals employed by the institution. Some roles for RNs in nursing require
advanced graduate degrees, such as a clinical nurse specialist or nurse practitioner. There are
various educational routes for becoming a registered nurse (RN), such as associate, diploma, and
baccalaureate. Continuing education involves formal, organized educational programs offered by
universities, hospitals, state nurses associations, professional nursing organizations, and
educational and health care institutions.
2) Know the differences between accountability, autonomy, licensure, and certification
a. Certification is more of a specialty
A nurse listens to a patients lungs and determines that the patient needs to cough and deep
breath. The nurse has the patient cough and deep breath. Which concept did the nurse
demonstrate?
a. Accountability
, b. Autonomy
c. Licensure
d. Certification
ANS: B
Autonomy is essential to professional nursing and involves the initiation of independent nursing
interventions without medical orders. Accountability means that you are professionally and
legally responsible for the type and quality of nursing care provided. To obtain licensure in the
United States, RN candidates must pass the NCLEX-RN examination administered by the
individual State Boards of Nursing to obtain a nursing license. Beyond the NCLEX-RN, some
nurses choose to work toward certification in a specific area of nursing practice.
3) Describe influences such as workplace hazards, nursing shortage, professionalism and
emergency preparedness
A registered nurse is required to participate in a simulation to learn how to triage patients who
are arriving to the hospital after exposure to an unknown gas. This is an example of a response to
what type of influence on nursing?
a. Workplace hazards
b. Nursing shortage
c. Professionalism
d. Emergency preparedness
ANS: D
Many health care agencies, schools, and communities have educational programs to prepare for
nuclear, chemical, or biological attack and other types of disasters. Nurses play an active role in
emergency preparedness. Workplace hazards include violence, harassment, and ergonomics. A
person who acts professionally is conscientious in actions, knowledgeable in the subject, and
responsible to self and others. There is an ongoing global nursing shortage, which results from
, insufficient qualified registered nurses (RNs) to fill vacant positions and the loss of qualified
RNs to other professions.
A nurse is presenting at an interdisciplinary meeting about the multiple external forces that are
influencing nursing today. Which examples should the nurse include? (Select all that apply.)
a. Health care reform
b. Threat of bioterrorism
c. Population demographics
d. Role of nurse manager
e. Nursing shortage
ANS: A, B, C, E
Multiple external forces affect nursing today, including health care reform, demographic changes
of the population, increasing numbers of medically underserved, need for emergency
preparedness, threat of bioterrorism, workplace issues, and the nursing shortage. Role of nurse
manager is not an external force affecting nursing, but is one role of the registered nurse.
4) Know the difference between the code of ethics, nurse practice act, standards of practice
and the quality and safety education for nurses
A nurse is teaching the staff about the characteristics of a profession. Which information should
the nurse include? (Select all that apply.)
a. Extended education
b. Theoretical body of knowledge
c. Code of ethics for practice
d. Practice developments
e. Provision of a specific service