,Chapter1: Foundations of Nursing Practice
Stem: Which statement best describes the purpose of the ANA
Nursing: Scope and Standards of Practice?
A. To list state-specific regulatory penalties for nursing
violations.
B. To describe the who, what, where, when, why, and how of
nursing practice and define professional expectations.
C. To provide a facility checklist for accreditation surveys.
D. To replace each state’s Nurse Practice Act as the legal
standard.
Correct Answer: B
Rationales:
• Correct: The ANA scope and standards define the
profession’s boundaries and expectations for competent
practice across settings; they frame professional
responsibilities and the nursing process.
• A: Incorrect — regulatory penalties are set by state boards
and laws, not the ANA standards.
• C: Incorrect — the document guides practice; facility
survey checklists are separate tools.
• D: Incorrect — ANA provides professional guidance but
does not supersede state Nurse Practice Acts.
Teaching Point: ANA standards define professional
expectations, not legal statutes.
, 2.
Chapter 1, Section 1 — Nursing: Scope and Standards of
Practice (Overview)
Stem: The ANA Standards of Practice are organized primarily
around which clinical framework?
A. The chain of command.
B. The nursing process (Assessment, Diagnosis, Outcomes
Identification, Planning, Implementation, Evaluation).
C. The SOAP note template only.
D. The medical model of diagnosis and prescription.
Correct Answer: B
Rationales:
• Correct: The Standards of Practice are built on the nursing
process (ADOPIE/ADPIE), which organizes clinical decision-
making and care.
• A: Incorrect — chain of command is organizational, not the
clinical framework for standards.
• C: Incorrect — SOAP is a documentation format, not the
organizing framework of the ANA standards.
• D: Incorrect — the nursing process is distinct from the
physician medical model; it centers nursing judgments and
outcomes.
, Teaching Point: The nursing process (ADPIE) underpins ANA
Standards of Practice.
3.
Chapter 1, Section 1 — Nursing: Scope and Standards of
Practice (Overview)
Stem: A registered nurse documents a plan including
measurable patient outcomes. Which ANA Standard does this
activity primarily fulfill?
A. Implementation.
B. Outcomes Identification.
C. Diagnosis.
D. Ethics.
Correct Answer: B
Rationales:
• Correct: Outcomes Identification requires the RN to
identify expected, measurable outcomes individualized to
the healthcare consumer or situation.
• A: Incorrect — Implementation is carrying out
interventions, not specifying outcomes.
• C: Incorrect — Diagnosis is analysis of assessment data to
determine issues; outcomes follow diagnosis.
• D: Incorrect — Ethics guides behavior; it does not
specifically name outcome-setting.
Stem: Which statement best describes the purpose of the ANA
Nursing: Scope and Standards of Practice?
A. To list state-specific regulatory penalties for nursing
violations.
B. To describe the who, what, where, when, why, and how of
nursing practice and define professional expectations.
C. To provide a facility checklist for accreditation surveys.
D. To replace each state’s Nurse Practice Act as the legal
standard.
Correct Answer: B
Rationales:
• Correct: The ANA scope and standards define the
profession’s boundaries and expectations for competent
practice across settings; they frame professional
responsibilities and the nursing process.
• A: Incorrect — regulatory penalties are set by state boards
and laws, not the ANA standards.
• C: Incorrect — the document guides practice; facility
survey checklists are separate tools.
• D: Incorrect — ANA provides professional guidance but
does not supersede state Nurse Practice Acts.
Teaching Point: ANA standards define professional
expectations, not legal statutes.
, 2.
Chapter 1, Section 1 — Nursing: Scope and Standards of
Practice (Overview)
Stem: The ANA Standards of Practice are organized primarily
around which clinical framework?
A. The chain of command.
B. The nursing process (Assessment, Diagnosis, Outcomes
Identification, Planning, Implementation, Evaluation).
C. The SOAP note template only.
D. The medical model of diagnosis and prescription.
Correct Answer: B
Rationales:
• Correct: The Standards of Practice are built on the nursing
process (ADOPIE/ADPIE), which organizes clinical decision-
making and care.
• A: Incorrect — chain of command is organizational, not the
clinical framework for standards.
• C: Incorrect — SOAP is a documentation format, not the
organizing framework of the ANA standards.
• D: Incorrect — the nursing process is distinct from the
physician medical model; it centers nursing judgments and
outcomes.
, Teaching Point: The nursing process (ADPIE) underpins ANA
Standards of Practice.
3.
Chapter 1, Section 1 — Nursing: Scope and Standards of
Practice (Overview)
Stem: A registered nurse documents a plan including
measurable patient outcomes. Which ANA Standard does this
activity primarily fulfill?
A. Implementation.
B. Outcomes Identification.
C. Diagnosis.
D. Ethics.
Correct Answer: B
Rationales:
• Correct: Outcomes Identification requires the RN to
identify expected, measurable outcomes individualized to
the healthcare consumer or situation.
• A: Incorrect — Implementation is carrying out
interventions, not specifying outcomes.
• C: Incorrect — Diagnosis is analysis of assessment data to
determine issues; outcomes follow diagnosis.
• D: Incorrect — Ethics guides behavior; it does not
specifically name outcome-setting.
