Chapter 04 - Nursing Licensure and Certification
The primary purpose of nursing licensure, now and in the past is to:
provide the public with protection against poorly trained nurses.
Although requirements governing the practice of advance practice nursing may vary significantly, all states require:
certification in the specialty area.
Which of the following is an area of clinical specialist nursing for which the American Nurses Credentialing Center (ANCC) offers a certifying examination?
ANCC offers Clinical Nurse Specialist certifying examinations for Adult Health CNS, Diabetes Management—Advanced, Adult Psychiatric and Mental Health CNS, Child Adolescent Psychiatric and Mental Health CNS, Gerontologic CNS, Pediatric CNS, and Public Community Health CNS. Home Health and Informatics Nursing are specialties that the ANCC offers certifying examinations for.
CCNE
Responsible for accrediting baccalaureate and higher-degree nursing programs
What caused the accelerated BSN program to emerge after the 1990s?
As the nursing shortage gained national recognition during the 1980s and 1990s, accelerated BSN programs emerged to hasten the time to graduation for select groups of students.
APN
Legal title for nurses prepared by education and competence to perform independent practice
What characteristic applies to process of licensure?
Licensure establishes minimal levels of practice, whereas certification recognizes excellence in practice and is granted and governed by legislation and administered through the state board of nursing. Certification recognizes excellence in practice and is awarded by nongovernmental agencies.
The mobility of nurses and the growing area of telehealth have resulted in the development of a new licensing model called the ___________________________.
Mutual Recognition Model
Uniform testing for entry into professional nursing practice is accomplished through the _______________.
NCLEX-RN® examination
NCSBN
Organization whose membership consists of the board of nursing of each state or territory
Where can a registered nurse (RN) find the most reliable guidelines regarding the appropriate delegation of activities or tasks to unlicensed nursing personnel?
That state's nurse practice act
A nursing student is telling peers about a scheduled appointment with a primary care provider. The student says, "One of the office staff come to take my blood pressure and said, "I will be your nurse today." "I noticed the name tag said nursing technician." Which of the following is the best response the student should make when explaining the implications of the nurse practice acts related to the technician's statement?
The RN title is defined and protected by the purpose of the nurse practice act.
Which of the following was an initial factor in the mutual recognition model of nursing regulation?
The growing presence of nurse-managed telehealth services
____________________ is directed toward attesting to or endorsing the demonstrated knowledge base and clinical practice behaviors associated with high-quality performance in an area of specialization.
Certification, The certification of individual nurses is a growing quality-control activity being implemented by a variety of nursing and nursing-related organizations. Certification is directed toward attesting to or endorsing the demonstrated knowledge base and clinical practice behaviors associated with high-quality performance in an area of specialization.
In 1965, the American Nurses Association (ANA) designated the associate degree as the educational entry point into professional nursing practice (ANA, 1965). True or false?
False, In 1965, the ANA designated the baccalaureate degree as the educational entry point into professional nursing practice (ANA, 1965).
ANA
Professional organization that represents all registered nurses
The clinical nurse leader (CNL) is a master's-prepared nurse who oversees the care coordination of a distinct group of patients and actively provides direct patient care in complex situations. True or false?
True, The CNL role was developed in collaboration with leaders from education and practice settings. The American Association of Colleges of Nursing (AACN) (2003) further describes the CNL role: "Along with the authority, autonomy, and initiative to design and implement care, the CNL is accountable for improving individual care outcomes and care processes in a quality cost-effective manner" (p. 7). The CNL role differs from advanced practice nursing roles in that the CNL is a generalist and not a specialist as are nurse practitioners and clinical nurse specialists.
