Legal And Ethical Issues in Nursing 6th Edition by Ginny Wacker Guido – Test Bank

Legal And Ethical Issues in Nursing 6th Edition by Ginny Wacker Guido – Test Bank

Guido, Legal and Ethical Issues in Nursing, 6e
Chapter 11
Question 1
Type: MCSA
Changes to nursing licensure are being considered. The nurse identifies which source of the state’s power to license nurses?
1. Police power within the state
2. State and federal case laws
3. Constitution of the United States
4. Nurse practice act
Correct Answer: 1
Rationale 1: It is the states’ police power that enables them to provide a license for nurses.
Rationale 2: State and federal case laws may define actions that the state may take in certain circumstances, but they do not extend to providing licensure for nurses.
Rationale 3: The Constitution is a federal document that does not address licensing power of the states.
Rationale 4: The state practice act defines the scope of practices and the processes for licensure, not the power to issue the license.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 11.1 Define licensure, including mandatory, permissive, and institutional licensure and the advantages and disadvantages of each.

Question 2
Type: MCSA
A medical technician working in a physician’s office routinely refers to herself as a nurse. Which type of licensure protects that title as well as the professional actions associated with nursing?
1. Mandatory
2. Institutional
3. Transitional
4. Permissive
Correct Answer: 1
Rationale 1: Mandatory licensure requires that all persons who are compensated as a member of a licensed profession obtain licensure prior to practicing actions of the profession. It protects both the title “nurse” and the professional actions associated with the nursing.
Rationale 2: Institutional licensure is the process by which a state government regulates health institutions and is an alternative to individual licensure. It does not protect individual practice or title.
Rationale 3: Transitional is not a term used to describe licensure in this text.
Rationale 4: With permissive licensure, nurses cannot use the title RN unless duly licensed, but can perform many or all of the same actions as long as they do not call themselves RN. So, permissive licensure regulates the use of the title, not the actions.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 11.1 Define licensure, including mandatory, permissive, and institutional licensure and the advantages and disadvantages of each.

Question 3
Type: MCSA
A nurse appointed to the state board of nursing would expect work focused on which basic purpose of that body?
1. Establishing a means of protecting the public at large
2. Ensuring that all schools of nursing seek national accreditation
3. Ensuring that all practicing nurses are competent
4. Restricting nursing practice through regulations
Correct Answer: 1
Rationale 1: The main purpose of the state board of nursing is to protect the public.
Rationale 2: The state board of nursing may support this effort, but this is not the basic function of the board.
Rationale 3: Overseeing nurse competence is a way to support the board’s basic purpose.
Rationale 4: The state board may restrict nursing practice in order to support its basic purpose.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 11.2 Describe the process for creating state boards of nursing and their authority, including limitations on their authority.