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NURX108 Transition to the Professional Nurse Role Exam
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NURX108 Transition to the Professional Nurse Role ExamWhat is the first action the RN should take when faced with an ethical dilemma?
Collect more information.
Identify desired outcomes.
Describe the problem involved.
State the nurse's responsibility. - Answer 1) See 3).
2) See 3).
*3) The steps involved in ethical dilemma solving are as follows: 1) the identification and
clarification of the ethical issue, 2) gathering of facts, 3) identification and consideration
of choices, 4) making a choice of action, and 5) implementing and evaluating.
4) See 3).
Ethical, Legal, Regulatory, Professional Implications
What is the best explanation for why RNs must consider and identify their own values
first?
To identify those values that differ among generations
To be value-neutral and to interact effectively with patients who have different values
To gain insight into similarities between patients' religious beliefs and the nurse's
beliefs
To become more assertive and to develop independent functioning - Answer 1) See 2).
*2) Nurses are suggested to act in professional life in "value neutral" and
"nonjudgmental" manners, to keep their personal values uninvolved with the
professional role when treating patients, and not to judge based on personal
perception.
,3) See 2)
4) See 2)
Ethical, Legal, Regulatory, Professional Implications
What is the purpose of state nurse practice acts and subsequent policies for
implementing and enforcing laws?
To provide consumer protection
To recognize barriers to effective delegation
To differentiate between the various levels of patient care plans
To enumerate ways to make patient care accessible - Answer *1) The role of the nurse
practice acts, and policies created by the state boards of nursing to implement and
enforce the laws using those acts as a legal basis, is the protection of consumers.
2) See 1).
3) See 1).
4) See 1).
Ethical, Legal, Regulatory, Professional Implications
Which of the following statements reflect that the novice RN understands the
importance of the NCLEX-RN exam for licensure as an RN?
(Select all that apply.)
, The NCLEX-RN exam is a certification exam for Advanced Practice Nursing
Employers can compare the knowledge level of applicants who have passed the
NCLEX-RN examination.
Passing the NCLEX-RN examination protects RNs from legal suits for malpractice
because a minimal level of competence has been established.
Passing the NCLEX-RN exam protects the public by establishing that minimum
knowledge for competent practice has been demonstrated.
The NCLEX-RN exam provides a standardized, objective test allowing for the possibility
of relicensing in other states without having to take a different test. - Answer 1)
Additional education and testing is required for Advanced Practice Nursing such as
certification in Midwifery or as a Nurse Practitioner.
2) The NCLEX-RN exam is Pass-Fail so there is not a way for an employer to compare
grades of applicants who have passed the test.
3) While passing NCLEX-RN indicates minimum competence, RNs are still at risk of
malpractice lawsuits if they provide care which is unethical or negligent.
*4) The NCLEX-RN exam is an objective, criterion-referenced test that serves to protect
the public by assuring that candidates demonstrate a minimum level of knowledge for
safe and competent care by entry level practitioners.
*5) All states use the NCLEX-RN exam as one requirement for licensure and many states
have mutual reciprocation agreements for ease of relicensing.
Ethical, Legal, Regulatory, Professional Implications
What is the most appropriate response an RN can provide a patient who asks about
seeking surgery at either the nearest hospital or traveling to a magnet hospital for a
surgery?
"One of the strengths of magnet hospitals is their ability to retain staff due to good
benefits and working conditions."
, "A magnet hospital undergoes an external review documenting standards of nursing
excellence, which translates to higher overall quality patient care." "A non-magnet
hospital may simply have chosen not to seek the magnet designation; it may be as good
or even better than a magnet hospital."
"A magnet hospital allows nurses greater autonomy and focuses on evidence-based
practice."-Answer 1) Magnet hospitals are able to retain nursing staff in part because of
good working conditions but not necessarily because of good benefits. In any case,
these facts only indirectly address the question of whether going the extra distance to a
magnet hospital is worthwhile.
*2) This is a correct statement; and it directly and meaningfully answers the question
posed by providing information about higher quality patient care.
3) This is a correct statement; however, it does not directly address the question of
whether going the extra distance to a magnet hospital is worth it.
4) This is a true statement; however, it does not address the question of whether going
the extra distance to a magnet hospital is worth it.
Ethical, Legal, Regulatory, Professional Implications
Which statement best describes the purpose of nurse practice acts?
They establish minimum fees to be charged for services rendered by licensed nurses.
They protect the public and exert legal control over nursing practice.
They describe the process to be followed in validating the competency of nurses in their
specialty area of practice.
They specify the criteria for the accreditation of organizations and registration of
courses. - Answer 1) See 2).
*
2) Nurse practice acts are laws enacted for each state to protect the public's interest in
receiving quality nursing care.
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