NURSE PRACTICE ACT FINAL EXAM AND ALL CORRECT ANSWERS.
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Module
Nurse Practice Act
Institution
Nurse Practice Act
BASIS FOR RN SCOPE AND LICENSURE - Answer -RN scope and licensure is defined by *state law*
-Each state has a NPA and a method for initial and continuing licensure
-Requirements for licensure and scope vary slightly between states; multiple state licenses = mutual recognition model or endorse...
NURSE PRACTICE ACT FINAL EXAM
AND ALL CORRECT ANSWERS.
BASIS FOR RN SCOPE AND LICENSURE - Answer -RN scope and licensure is defined by *state law*
-Each state has a NPA and a method for initial and continuing licensure
-Requirements for licensure and scope vary slightly between states; multiple state licenses = mutual
recognition model or endorsement process
HISTORY OF NURSING REGULATION - Answer 1800s - Nightingale schools and publications
1896 - First nurse convention
1903 - North Carolina first state to enact Nurse Practice Act (NPA)
1911- America Nurses Association (ANA) was established
1923 - All others states have NPA
Licensure regulations 1930s-1950s; nursing was narrowly defined
1970s - Advanced practice roles
RN LICENSURE & NURSE PRACTICE ACT - Answer -Boundaries for practice are defined in the NPA of
each state; defines how nursing is regulated in that jurisdiction
-Remember that nursing licensure is a *privilege* and not a right
-Since the mandatory NPA was passed in N. Carolina in 1903, nursing has been legislated, directed, and
controlled to some extent
NURSE PRACTICE ACT - Answer -The NPA is a legal instrument; defines functions of nursing and sets
standards for licensure
-Grants a nurse the authority to carry out those functions
-Each state has its own NPA, but all must be consistent w/ provisions or statues established at the federal
level
KNOW YOUR STATE NPA & RESOURCES/SUPPORT TO REVIEW AND INTERPRET - Answer "NURSES WHO
ARE AWARE OF THEIR RIGHTS AND DUTIES IN LEGAL MATTERS ARE BETTER ABLE TO PROTECT
THEMSELVES FROM LIABILITY AND LOSS OF LICENSURE."
, BRN & NURSE PRACTICE ACT - Answer -BRN - contained within the California Business and Professions
Code
CA TITLE 22 → PT CLASSIFICATION SYSTEM → ACKNOWLEDGES NURSE WORK INTENSITY! - Answer -Pt
classification system; establish staffing requirements by unit, patient, and shift = predict nursing care
requirements
"GRASP" = EB, acuity, workload solutions
(Grasp Reynolds Application and Study of PETO)
-Evaluation amount of nursing care needed for each patient category; validate each unit/shift R/T
trends/patterns of nursing care delivery
-Address nursing care needed, R/T patient category, care delivery pattern; annual data, populations, skill
mix, staff allocation, or patient care delivery model
CA TITLE 22 NURSE-PATIENT RATIOS IN A NUT-SHELL - Answer -Hospitals to provide staffing by licensed
nurses, within scope of licensure in accordance with nurse-to-patient ratios. Licensed nurse = registered
nurse, licensed vocational nurse and, in psychiatric units only, a licensed psychiatric technician
-Hospital shall NOT assign a licensed nurse to a nursing unit or clinical area unless hospital determines
that nurse has demonstrated current competence in providing care in that area, AND received sufficient
orientation to provide competent care
-Licensed nurse-to-patient ratios represent max # of patients assigned to one licensed nurse. "Assigned"
means the licensed nurse has responsibility for the provision of care to a particular pt within scope of
practice
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