Before applying for re-licensure, the nurse attends continuing education programs. Which action is the nurse performing to adhere to the state board of nursing expectation?
1. Licensure
2. Competency
3. Credentialing
4. Certification
Rationale 1: Licensure is the process of granting a legal permit to practice or engage in a profession, such as nursing.
Rationale 2: Competency is a level of acceptable performance, and credentialing ensures this in licensure. Certification is also part of credentialing. It validates that an individual has met minimum standards of nursing competency in a specialty area.
Rationale 3: Credentialing is the process of determining and maintaining competence in general nursing practice. It is one way to maintain the professional standards of practice and accountability for the members' educational preparation.
Rationale 4: Certification validates that an individual has met minimum standards of nursing competency in a specialty area.
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A patient is receiving IV heparin every 6 hours. An activated partial thromboplastin time (aPTT) is drawn 1 hour before the 08:00 dose. The PTT is 92 seconds. What is the most appropriate action by the nurse?
A) Give the next two doses at the same time. B) Give the dose and chart the patient response. C) Check the patient's vital signs and give the dose. D) Hold the dose and call the aPTT result to the physician's attention.
The hospital organization has developed a philosophy based on the client, organizational involvement, quantitative measurement of outcomes, and processes for improvement
In which quality management process are these characteristics typically seen? 1. Continuous quality improvement (CQI) 2. Total quality management (TQM) 3. Plan, Do, Check, Act (PDCA cycle) 4. Six Sigma
Which technique should the nurse use to cleanse the perineum of a female patient during urinary catheter insertion?
a. Rinse the perineum with warm antiseptic solution. b. Swab the perineum 3 times from the anus to the urinary meatus. c. Use the nondominant hand to keep the labia spread apart continuously. d. Use the nondominant hand to cleanse from the urinary meatus to the rectum.
Self-payment of health care costs are
a. Almost never done because that is the purpose of health insurance. b. Frequently done because many employers do not offer a health insurance benefit. c. Frequently done by paying for one's own insurance to ensure coverage. d. Usually done by paying co-payments and deductibles required by insurance.