RNSG 2138 Exam I Professionalism, Ethical & Legal Precepts, & Health Policy SAC Mobility

RNSG 2138 Exam I Professionalism, Ethical & Legal Precepts, & Health Policy SAC Mobility.Nursing is recognized increasingly as a profession based on the following defining criteria: Well-defined body of specific and unique knowledge Strong service orientation Recognized authority by a professional group Code of ethics Professional organization that sets standards Ongoing research Autonomy and self-regulation Standards of Nursing Practice Standards allow nurses to carry out professional roles, serving as protection for the nurse, the patient, and the institution where health care is provided. Each nurse is accountable for his or her own quality of practice and is responsible for the use of these standards to ensure knowledgeable, safe, and comprehensive nursing care. 00:15 01:22 What the nursing practice acts of each state have in common: Protect the public by defining the legal scope of nursing practice, excluding untrained or unlicensed people from practicing nursing. Create a state board of nursing or regulatory body having the authority to make and enforce rules and regulations concerning the nursing profession. Define important terms and activities in nursing, including legal requirements and titles for RNs and LPNs. Establish criteria for the education and licensure of nurses. reciprocity process allowing a nurse to apply for and be endorsed as a registered nurse by another state. The Institute of Medicine's (IOM) The four key messages underlying their recommendations for transforming the nursing profession are: Nurses should practice to the full extent of their education and training. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States. Effective workforce planning and policy making require better data collection and an improved information infrastructure A nurse is caring for a patient in the ICU who is being monitored for a possible cerebral aneurysm following a loss of consciousness in the emergency room. The nurse anticipates preparing the patient for ordered diagnostic tests. This nurse's knowledge of the diagnostic procedures for this condition reflects which aspect of nursing? a. The art of nursing b. The science of nursing c. The caring aspect of nursing d. The holistic approach to nursing b. Rationale: The science of nursing is the knowledge base for care that is provided. In contrast, the skilled application of that knowledge is the art of nursing. Providing holistic care to patients based on the science of nursing is considered the art of nursing. Nursing is recognized increasingly as a profession based on which defining criteria? Select all that apply. a. Well defined body of general knowledge b. Interventions dependent upon the medical practice c. Recognized authority by a professional group d. Regulation by the medical industry e. Code of ethics f. Ongoing research c, e, f Rationale: Nursing is recognized increasingly as a profession based on the following defining criteria: well-defined body of specific and unique knowledge, strong service orientation, recognized authority by a professional group, code of ethics, professional organization that sets standards, ongoing research, and autonomy and self-regulation. Nurse practice acts are established in each state of the United States to regulate nursing practice. What is a commonelement of every state practice act? a. Defining the legal scope of nursing practice b. Providing continuing education programs c. Determining the content covered in the NCLEXexamination d. Creating institutional policies for health care practices a. Rationale: Nurse practice acts are established in each state to regulate the practice of nursing by defining the legal scope of nursing practice, creating a state board of nursing to make and enforce rules and regulations, define important terms and activities in nursing, and establish criteria for the education and licensure of nurses. The acts do not determine the content covered on the NCLEX, but they do have the legal authority to allow graduates of approved schools of nursing to take the licensing examination. The acts also may determine educational requirements for licensure, but do not provide the education. Institutional policies are created by the institutions themselves. The National Advisory Council on Nurse Education and Practice identifies critical challenges to nursing practice in the 21st century. What is a current health care trend contributing to these challenges? a. Decreased numbers of hospitalized patients b. Older and more acutely ill patients c. Decreasing health care costs due to managed care d. Slowed advances in medical knowledge and technology b. Rationale: The National Advisory Council on Nurse Education and Practice identifies the following critical challenges to nursing practice in the 21st century: A growing population of hospitalized patients who are older and more acutely ill, increasing health care costs, and the need to stay current with rapid advances in medical knowledge and technology. Common Law is based on the principle "ofstare decisis" which means "let the decision stand." After a decision has been made in a court of law, the principle in that decision becomes the rule to follow in other similar cases. The case that first sets down the rule by decision is called a precedent. (Most law involving malpractice is common law.) Professional regulations and laws that govern nursing practice are in place for what reason? To protect the safety of the public What is the difference between morals and professional regulations? Morals refer to personal standards of right and wrong. Professional regulations and laws that govern nursing practice are in place to protect the safety of the public.