Fundamentals- scope of practice, hipaa

a nurse is reviewing the scope of nursing practice. which of the following is the purpose of the nursing scope of practice?

- specifies the actions a nurse can perform

a nurse is performing a complete bed bath for a client. which of the following actions should the nurse take?

-raise room temperature

what do rn's analysis do?

determine the priorities of pt care and determine the implications of pt's findings in expected, unexpected, and in emergent situations

what do rn's Assessment do?

independently perform pt assessment

define spirit of inquiry

nurse providing evidence based clinical nursing practice and using evidence to promote change and excellence

(qsen) define informatics

use of information and technology to promote safe patient care

define patient centered care

(QSEN competency) pts actively participate in their own medical tx with health care professionals

A group of nurses on a clinical unit are planning to research the incidence of falls among clients following joint replacement surgery. Which of the following actions should the nurses take to ensure the study complies with the HIPAA Privacy Rule?

- submit the proposal to the institutional review board for review and describe how they will deidentify client information

a newly licensed nurse is reviewing electronic information about the nclex exam from the national counsel of state board of nursing (NCSB) website. which of the following information should the nurse identify as passing the criteria for the nclex computerized adaptive test (CAT) ?

- the computer will stop giving items using the 95% confidence interval rule

a newly licensed nurse is reviewing the standards of care when performing client care. which of the following describes a standard of care?

- the level of care a nurse provides that is the same for all nurses who have comparable education, competency, and experience

a nurse resides in a state that recently enacted the nurse licensure compact (NLC). which of the following information should the nurse identify as part of the nlc?

- the nlc allows a nurse to practice across state lines with one license

a nurse is educating a group of nurses about the nursing practice act (NPA). which of the following statements should the nurse include (select all that apply)

- the npa contains current laws and regulations for nursing practice -npa contains stands and scope of practice -nurse is responsible to know current roles and responsibilities as defined by npa

which of the following methods of information exchange can occur without client authorization

- walking rounds that involve 2 nurses discussing an assigned client at the clients bedside in private room

a nurse is planning morning hygiene care for a postoperative client. which of the following actions should the nurse take?

-ask the client in what order they typically perform their morning routine

what are the nursing process

1- assessment 2- analysis 3-planning 4-implementation 5-evaluation (AAPIE)

a nurse is preparing to assist a client with a tub bath. identify the sequence of steps the nurse should take.

1- gather supplies 2- place a tub mat on the tub floor 3-assist the client into the bathroom 4-instruct the client on using safety bars when getting in and out of the tub 5-instruct client to remain in the tub for not longer than 20 min

What are the 6 QSEN competencies?

1. Patient-centered care 2. Teamwork and collaboration 3. Evidence-based practice 4. Quality improvement 5. Safety 6. Informatics (remb. s.p.e.i.q.t)

a newly licensed nurse is reviewing information about the national counsel of state board of nursing (NCSBN) transition to practice (TTP) program. which of the following factors should the nurse expect?

TTP programs increase job retention

A nurse is delivering client care in partnership with multiple members of the health care team. this is an example of the following qsen competencies?

_teamwork and collaboration

what do rn's planning consist of?

can develop the pt's plan of careline: outcome and appropiate nursing interventions; provide ongoing monitoring and delegating tasks among (rn's, lpn's, and aps)

what do rn's evaluation consist of?

evaluate pt's and lead response to care, revise plan of care based on pt's response

define nurse judgment

nurse using critical thinking and decision making skills when making clinical judgements that promote safe, quality client care

a nurse is responsible for their actions which whom they interact professionally, including pt's, colleagues, and society as a whole. which of the following components of the practice of nursing addresses this expected behavior

standards of professional performance

a nurse is teaching a group of nurses and asks which of the following integrating competencies is defined as having respect for diversity, holistic care, client- centered approach, and client advocacy. which of the following competencies does this describe?

- human flourishing

a nurse is reviewing the licensing laws in their state of residence. which of the following should the nurse use to define licensure?

- licensure protects the health and welfare of the public

Define Human Flourishing

- nurse providing client care that demonstrates respect for diversity, approaches pt's with a holistic and client- centered manner, and uses advocacy to enhance client health

what do rn's implementation consist of?

- provide comprehensive nursing care, develop and implement teaching plans and lead/ participate in interdisciplinary care

a nurse is providing client care using the nursing process. the nurse should identify that which of the following standards/ guidelines includes this criterion?

- standards of practice

a newly hired nurse is reviewing information about the hipaa privacy rule during facility orientation. which of the following statements by the nurse indicates an understanding of the privacy rule?

- " I can give information over the phone if the client gives permission"

a nurse is teaching a newly licensed nurse about providing oral hygiene for client who are unconscious. which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

- " ill swab the the clients mouth with chlorhexidine."

a nurse is teaching a newly licensed nurse about using the computer to document in a clients health record. which of the following statements by the the newly licensed nurse indicated an understanding of the teaching?

- "I should remain aware of my surroundings when documenting in the computer."

a nurse is preparing to provide oral care for a client who is npo. the client tells the nurse, " i dont need oral care because i haven't ate anything," which of the following response should the nurse make?

- "oral care is still important even though you are not eating."

a nurse in a pediatricians office is peaking on the phone with the guardian of school aged children who will become a new client at the office. the nurse should instruct the guardian to call the child's previous provider's office to request the following?

- a form authorization release of copies of the child's medical records to be signed by the guardian

a nurse is assisting a client with personal hygiene care. which of the following actions should the nurse take to reduce the risk of infection?

- clean the least soiled areas prior to the most soile areas

which of the following actions should a nurse take after witnessing a breach of confidentially in providers office?

- complete a health information privacy complaint form

all licensed nurses must follow the state mandated scope of practice. what guidance does the scope of practice provide for nurses?

- duties that a nurse is considered competent to carry out and authorized to perform a specified by state law ( what a nurse can and cannot do)

a nurse in the emergency department is caring for a client following a motor vehicle crash. the client is unresponsive and the clients spouse is not present at the facility. which of the following actions should the nurse take to assist with obtaining consent for the clients surgery

-inform the health provider of the spouse's contact information so consent can be obtained over the phone

a nurse in long term care facility is caring for a client who is on bed rest and requires frequent linen changes. which of the following should the nurse identify as the priority rationale for frequent linen changing?

-moisture from excessive diaphoresis can cause skin to breakdown

a client tells a nurse that they feel their privacy has been violated and wants to file a formal complaint with someone other than the medical facility. through which of the following agencies should the nurse instruct the client to file the complaint

-office of civil rights (OCR)

a nurse holds a single state nursing license and is preparing to move to another state, for the nurse to apply for reciprocity which of the following actions should the nurse take

-present current and valid nurse license - submit an application -pay fees for new license

a nurse receives a license renewal notification from the board of nursing. the nurse should identify that a license renewal requires the disclosure of which of the following?

-substance abuse within the 5 years

a nurse is observing an assistive personnel (ap) make a clients bed while the client is out of the room. which of the following actions by the ap indicates an understanding of the procedure?

-the ap reuses the clients clean blanket and spread

(qsen) define the quality improvement

-use of data collection to evaluate the effects of care and utilize improvement to design and asses changes as measure of cont.

a graduate nurse is offered a position in the emergency department upon the granting of initial licensure. which of the following information should the nurse identify as a requirement during the initial licensure process? (select all that apply)

-verification of graduation -passing score on Nclex exam - criminal background check in certain states - self disclosure of any substance use in the past 5 years