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apply.
A. Requires 75 hours of theory and practice to be certified.
Test Generator Questions, Chapter 2, Educational Preparation
B. Role emphasizes safe client environment.
for Nursing
C. State agencies responsible for oversight vary.
1. Which national agency is responsible for providing recommendations on nursing D. Certification is under the jurisdiction of the federal government.
practice issues in the educational environments? E. National regulation of hours exists in other areas of long-term care.
A. Pew Health Professions Commission
B. The Joint Commission Answer: A, B, C
C. Omnibus Budget Reconciliation Act
D. National Council Licensure Examination Rationale: October 1, 1990, all people working as nursing assistants in nursing homes
(hospitals and assisted living units were not included) would be required to complete
a minimum of 75 hours of theory and practice and pass both a theory and practice
Answer: A examination to be certified. Certification falls under state jurisdiction but is guided by
federal regulations. In many states, the hours of preparation required exceed the 75
Rationale: The Pew Commission distinguishes between the practice responsibilities of hours established by federal law. The state agency responsible for certifying and
the graduates educated in each of the different educational environments (Pew Health maintaining the list of nursing assistants varies from state to state; most commonly,
Professions Commission, 1995). The Joint Commission requires that hospitals ensure it is the board of nursing or the state department of health services. Certification of
the competence of all employees. In 1987, Congress passed the Omnibus Budget nursing assistants is determined at the state level. There are no national regulations
Reconciliation Act, which regulates agencies receiving federal funds and includes an in other areas of long-term care.
amendment regulating the education and certification of unlicensed assistive Question Format: Multiple Select
personnel who work in nursing homes. The National Council Licensure Examination Chapter: 2
does not distinguish practice responsibilities. Cognitive Level: Apply
Question Format: Multiple Choice Client Needs: Safe and Effective Care Environment: Management of Care
Chapter: 2 Integrated Process: Communication and Documentation
Cognitive Level: Apply Learning Objective: 1
Client Needs: Safe and Effective Care Environment: Management of Care Page and Header: 42, The Nursing Assistant
Integrated Process: Teaching/Learning
Learning Objective: 1
Page and Header: 41, Introduction 3. Which routes describe traditional educational avenues for becoming a registered
nurse? Select all that apply.
A. Hospital based
2. Which characteristics describe the role of the nursing assistant? Select all that B. Community colleges
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Answer: A
Rationale: The elimination of hospital-based programs has occurred because hospitals
could not sustain the costs of supporting the programs and because students became
more attracted to programs located in colleges and universities. As more nursing
education programs were moved to institutions of higher education, many
hospital-based schools elected to discontinue their programs. Some merged with a
local community college or university that assumed administrative responsibility for
managing the nursing program and awarded an associate or baccalaureate degree
when graduation requirements were satisfied. Cadet nurse programs and credit hour
requirements were not considered priority reasons for the elimination of
hospital-based programs.
Question Format: Multiple Choice
Chapter: 2
Cognitive Level: Apply
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Teaching/Learning
Learning Objective: 1
Page and Header: 41, Introduction
5. Which characteristics describe hospital-based nursing programs? Select all that
apply.
A. Vary in length from 27 to 36 months
B. Affiliated with college or university
C. Includes experience in nursing management
D. Hire only PhD prepared faculty
E. Emphasis is on student experience
Answer: A, B, C
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