Chapter 3

Question 1

certification

Answer 1

official recognition by a state that you met requirements

Question 2

delegate

Answer 2

authorize / direct staff to perform task

Question 3

delegation

Answer 3

process of nurse directing / allowing staff to perform task not usually performed

Question 4

endorsement

Answer 4

reciprocity; state recognizes certificate / license issued by another state

Question 5

job decription

Answer 5

doc describing agency expectations of you

Question 6

how can you give safe care ?

Answer 6

• know own limits
• what you can / cannot do
• know role limits

Question 7

nurse practice act

Answer 7

defines the different nursing levels and the scope of practice for each

Question 8

who enforces the nurse practice act ?

Answer 8

the state’s board of nursing (BON)

Question 9

what can the BON do ?

Answer 9

deny, revoke, suspend a nursing license
- mishandling of drugs
- convicted of abuse / neglect
- incompetent behavior

Question 10

omnibus budget reconciliation act of 1987 (OBRA)

Answer 10

sets minimum requirement of nursing assistant training and evaluation in all 50 states

Question 11

what does OBRA require to be eligible to take NATCEP ?

Answer 11

• ≥ 75 hours of instruction
• ≥ 16 hours of physical training

Question 12

nursing assistant training and competency evaluation program

Answer 12

(NATCEP) written (multiple-choice) and evaluation test taken after training program

Question 13

how many chances does OBRA allow to take the NATCEP ?

Answer 13

3

Question 14

what is included in the nursing assistant registry ?

Answer 14

• full name (maiden / married included )
• identifying info
• date test was NATCEP passed
• any mishandling / abuse

Question 15

reasons for discipline ?

Answer 15

• violating professional boundaries
• leaving / abandoning person
• failing to report / protect
• neglect / abuse
• false / incorrect entry
• mishandling drugs
• making false / misleading statements to BON / during investigation
• accepting tasks not trained to perform
  etc.

Question 16

OBRA doesn’t allow persons convicted of abuse / neglect to work where ?

Answer 16

long-term care agencies

Question 17

how long of not working as a nursing assistant until OBRA can take away your license ?

Answer 17

24 months

Question 18

what can states require to ensure you’re competent after not working for a while?

Answer 18

• require competency evaluation
• retrain and give a new competency evaluation

Question 19

what outcomes will happen when being evaluated for endorsement in another state ?

Answer 19

• granted / denied certification
• have to take NATCEP test (written / skills / both)

Question 20

roles / responsibilities of nursing assistants ?

Answer 20

• report observations to nurses
• review care plan w/ nurse
• ask nurse for guidance when not understanding
• perform only tasks state / job description allow

Question 21

before performing a nursing task what should you make sure of ?

Answer 21

• state allows you to do task
• task is in job description
• have education / training to do task
• nurse is available to answer your questions

Question 22

advanced practice registered nurse (APRN) can delegate ?

Answer 22

• RNs
• LPNs / LVNs
• nursing assistants

Question 23

registered nurses (RN) can delegate ?

Answer 23

• LPNs / LVNs
• nursing assistants

Question 24

LPNs / LVNs can delegate ?

Answer 24

nursing assistants if state’s nurse practice act allows

Question 25

nursing assistants can delegate ?

Answer 25

no one; you can ask for help, but not for them to do your work

Question 26

how can delegated tasks be made safe ?

Answer 26

- know person's needs - know person's condition - predict if outcome of task is predictable or not - know how much supervision will be needed - if task is in delegating nurse's practice - task is within abilities - in the job description - task doesn't involve judgement / critical thinking for nursing assistant

Question 27

delegation is a process requiring what skills ?

Answer 27

- good assessment of person's needs - communication - guidance / assistance - follow up / feedback

Question 28

delegation should have clear / complete directions about ?

Answer 28

- how to perform / complete task - observations to record / report - when to report - priorities of task - person concerns to report at once - what to do if person's condition change

Question 29

when would the nurse take action during implementation of a delegated task ?

Answer 29

- didn't complete task efficiently - task did not meet expectations - change in person's condition

Question 30

the 5 rights delegation ?

Answer 30

- the right task; within your abilities / job description - the right circumstances; had experience / understand how to do - the right person; comfortable doing task / concerns - the right direction / communication; clear objectives - the right supervision; nurse available for any questions / problems

Question 31

you have the right to refuse a delegation when ?

Answer 31

- beyond your abilities / training - not in job description - could cause harm / isn't ethical / legal - person's condition changed - directions not complete / clear always think of safety of the person