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Exam (elaborations)

Nursing 104 Exam 2 Questions and Answers

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Nursing 104 Exam 2 Questions and Answers

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Nursing 104 Exam 2 Questions and Answers

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The History of Nursing Licensure -Identification/recognition of nursing skills
-Recognition: nursing pins and registries


Purpose of licensure -Graduate nurses, physicians, and hospitals set criteria for licensure of nurses in
the US
-Primary purpose was, and still is, the protection of the public


1896 -Attempts made to license Nurses in the United States
-Failed due to lack of broad-based support


1901 International Council of Nurses passed a resolution that each nation and state
examine and license its nurses


1903 Four states instituted permissive licensure, and nurses were not required to
comply


1915 Due to variability among states' licensure requirements, ANA designed "model
nurse practice acts"


1923 all states had instituted examinations for permissive licensure


1947 • Mandatory licensure
• American Nurses Association [ANA] formed the National Council of State Boards
of Nursing [NCSBN]


1950 Standardized examination for licensure
National League for Nursing (NLN) administered the first State Board Test Pool
Examination


1982 National Council Licensure Examination - Registered Nurse [NCLEX-RN]

, 1994 Paper & Pencil test replaced by Computerized Adaptive Testing [CAT]


Nurse Practice Acts (NPAs) -Each state develops rules and regulations [laws] to govern the practice of
nursing within that state
-Written and passed by legislator
-American Nurses Association (ANA) and later the National Council of State
Boards of Nursing (NCSBN) provide a template for nurse practice acts


Components of Nurse Practice Acts -Purpose of Act
-Definition of Nursing and Scope of Practice
-Licensure Requirements
-Renewal of Licensure
-Mandatory Continuing Education (varies from state to state, full-time & part-time)


Regulatory Boards of Nursing Role of regulatory boards to ensure safe practice
- Membership of the board of nursing usually appointed by the governor's office


Duties of the board of nursing
- Administer the state's nurse practice act
- Grant and renew licenses and take disciplinary action when provisions of the act
are violated


Louisiana Louisiana State Board of Nursing (LSBN)
- Regulatory board for the state of LA
Located in Baton Rouge, LA
Biennial license renewal for RN
Renewal season begins every year on October 1st


Special Cases of Licensure - Military and Government nurses
- Internationally Educated Nurses (IENs)
~ 8.1% of U.S. registered nurse workforce
- international practice


Mutual Recognition Model Nurse License Compact (NLC)
-One multistate licensure for nurses
-Practice in home state & other compact states
- The eNLC has been implemented as of January 19, 2018


If you're licensed in Louisiana & you want to travel & work All States Not Participating in the Nurse Licensure Compact
in Nevada, what can you do first? Must 1st check the state's NPA related to licensure for endorsement for
requirements


Certification Recognizes excellence in practice
Awarded by nongovernmental agencies
ANCC - central organization for certification of nurses
Other specialty organizations offer certification examinations


Licensure [NCLEX] - establishes minimal levels of practice
- granted & governed by legislation & administered through state boards of
nursing

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