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PROFESSIONAL ADJUSTMENT

GISELLE S. PETALUNA, R.N.

PROFESSIONAL ADJUSTMENT 

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Comes from the Greek word Ethos means moral duty "It studies how people make judgment in regard to right or wrong” -It is about making choices that are best for the individual or society at certain times and particular situation, and then evaluating such and outcomes growth of the individual and development of his capacities- physical, mental, emotional, social and spiritual.

PROFESSION 

A calling in which its members profess to have acquired unique body of knowledge and skills for purpose of guiding and caring others. (PNA)

QUESTION A nurse is considered a professional when she is: 1. Goal oriented 2. Person oriented 3. Autonomous and accountable 4. Ethical A. 1,2,3 B. 2,3,4 C. All of the above D. 1,3,4

QUESTION 

Nursing as it is today, is best defined as: A. The act of utilizing the environment of the patient to assist him in his recovery B. Assisting the individual, sick or well, in the performance of those activities C. Providing care for the dying patient D. Direct, goal oriented, adaptable to the needs of the individual, family and community during health and illness

NURSING 

A calling and an occupation requiring a unique body of knowledge and skills and which serves society C-alling: service oriented U-nique: special body of knowledge M-embers: RN O-thers: pt.-recipient of care

PROFESSIONAL NURSE  

Has completed a basic nursing education program Licensed in the country or state to practice nursing

QUESTION 

A profession is best defined as: A. The work that suits the person B. An activity which one engages C. Calling that requires special knowledge, skill and preparation D. Any of these

CHARACTERISTICS OF A NURSING PROFESSION Accountability Caring profession Competency Ethics Service-oriented Specialized scientific body of knowledge and skills

QUESTION 

All of the following is a requirement for an occupation to be considered a profession, EXCEPT: A. Code of Ethics B. Organization C. Science-based D. Monetary compensation

QUESTION 

A graduate of nursing in the Philippines is expected to be: 1. scientifically informed 2. desirous of material wealth 3. proficient in the use of computers 4. skillful in health promotion and disease prevention A. 1,2,3 C. 1,4 B. all D. 1,3,4

PROFESSIONAL DUTIES OF A NURSE INDEPENDENT FUNCTIONS Collaborate with other health care providers Health education to individuals, families and communities Accurate reporting and recording Responsible for training and supervision of subordinates 

Cont. Primary responsibility promotion of health and prevention of illness Observation of signs and symptoms Utilization of the nursing process Links pt. and families with different community resources  DEPENDENT FUNCTION Execution of a valid doctor’s order

QUESTION 

The Philippine Nursing Act delineates the scope of nursing. It specifies that independent practicing nurse is responsible for: A. health promotion and prevention of illness B. administration of written prescription for treatment and therapies C. rehabilitative aspect of care D. collaborating with other healthcare providers for health restoration and alleviation of suffering

QUESTION 

A nurse should be able to initiate nursing action even in the absence of a physician’s order. This is called: A. authority B. autonomy C. independence D. all

GOOD SAMARITAN LAW 

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Universal law that protects any person who will give aid to another whose life is in danger; provides immunity from civil liability when a person provide assistance in an emergency A nurse who renders first aid or treatment at the scene of an emergency and who does so within the standard of care, acting in good faith, is relieved of the consequences

AREAS OR FIELDS OF NURSING PRACTICE 1.) INSTITUTIONAL NURSING -

Hospital-based venue

D-uties are routinary and supervised A-cquire different learning and technical skills C-oordination of HCT S-pecialized areas

First level position - staff nurse A. General Staff Nurse General wards Surgical Ward Medical Ward Pediatric Ward Obstetric- Gynecology ward Communicable Disease Nurse Orthopedic Nurse

B. Nurse in the Special Areas 1. Emergency Room Nurse Disaster Nursing 2. Intensive/ Critical Care Nurse 3. Operating Room Nurse Nurse Anesthetist 4. Delivery Room 5. Nursery 6. Diagnostic Nurse 7. Psychiatric Nursing 8. Hemodialysis Nurse 9. Post mortem Nurse

2.) Community Health Nursing A. School nurse B. Public Health Nursing- focus on prevention and promotion of health PRIMARY HEALTH CARE- (1st) 1978 at Alma Ata, Russia -LOI 949 mandates that all public workers should have a duty of promotive and preventive care for the client.

PROMOTION OF PUBLIC HEALTH 

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P.D. 8976-Micronutrient Supplement Act P.D. 491 – Nutrition program E.O. 51 – Milk Code P.D. 825- Environmental Sanitation Law of the Phil. P.D. 856 Sanitation Code of the Phil.

PREVENTION OF DISEASES 

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P.D. 996- EPI Law -compulsory immunization of children below 9 years old R.A. 7160 – Local Autonomy Code or Local Government Code - Purpose: to make quality health care available, accessible and attainable for all

QUESTION 

In immunizing school entrants with BCG, you are not obliged to secure parental consent. This is because of which legal document? A. P.D. 996 B. R.A. 7846 C. Presidential Proclamation No. 6 D. Presidential Proclamation No. 46

C. Military Nurse Master in nursing or at least 9 units post graduate studies Three (3) years of current and continuous professional experience in hospital/ clinical setting and/or as member of a faculty of a recognized school of nursing

QUALIFICATIONS OF NURSING ADMINISTRATORS HOSPITAL-BASED

COMMUNITY

MILITARY

Supervisor/Manager BSN, RN Accredited org. member Nine units masters Two experience Chief/years Director RN MAN Five years supervisory experience

Master’s in PHN or CHN

MAN + GSC (gen. staffing course)

QUESTION 

The educational qualification of a nurse to become a supervisor in a hospital is: A. BSN with at least 9 units of post graduate studies in nursing administration B. Master of Arts in Nursing major in administration C. At least 2 years experience as a head nurse D. At least 18 units of post graduate

QUESTION 

Who is responsible in daily monitoring the standards of safe, nursing practice in the operating suite? A. surgeon B. perioperative nurse C. OR nurse supervisor D. chief nurse

QUESTION 

Which of the following qualifications for a chief nurse is NOT mandated in the nursing law? A. Masters in Nursing or related field B. At least 5 years experience in a supervisory capacity C. For a primary hospital, BSN with at least 9 units of management courses at the graduate level D. For a military hospital, in addition to masters, a completion of the General

3.) Occupational Health Nursing - Company Nurse duties: a. Promotive/ Preventive C-ounseling N-utrition S-afety and sanitation b. Curative/ Rehabilitative C-are for sick or injured laborers R-eferral V-isit and follow-ups

4.) Private Duty Nurse 5.) Para- legal Nurse 6.) Forensic Nurse 7.) Flight Nurse 8.) Nurse Entrepreneur- nursing homes, review centers

9.) Nursing Educationqualifications: a. CLINICAL INSTRUCTOR A-ccredited nursing org member M-AN in nursing or other health courses O-ne year clinical experience R-N b. DEAN R-N M-AN

QUESTION 

Who among the following nurse would qualify to be a dean of a college of nursing in the Philippines? A. One with PhD in education, MA in Nursing with 10 years experience in nursing B. One with an MA in education, 10 years practice in a hospital as chief nurse C. One with MA in Nursing with 18 units in PhD in Nursing, 3 years experience in teaching D. One with PhD in Nursing, MA in Nursing and 2 years in teaching

QUESTION 

Which of the following is the required qualification of a dean? A. Doctoral degree B. Masters degree in nursing C. 9 units in nursing administration D. Masters degree in related fields

QUESTION 

According to the current nursing law, the minimum educational qualification for a faculty member of a college of nursing is: A. Only a Master of Arts in Nursing is acceptable B. Masters degree in Nursing or in the related fields C. At least a doctorate in nursing D. At least 18 units in the Master of Arts in Nursing Program

10.) Nurse Researcher 11.) Independent Nurse Practitioner - self- employed; reach out and offer their service - Make referrals and collaborates with physicians 12.) Advanced Practice Nursing/ Specialist

QUESTION 

When a nurse decides to be an independent nurse practitioner, she must consider that she is primarily responsible as an independent practitioner to activities that are: A. Activities within health promotion and disease prevention are her primary domain B. Curative and rehabilitative activities are her primary focus C. The whole range of activities covering health promotion as well as cure and rehabilitation are well within her field of practice D. For her to be allowed to practice independently, she needs to have a tie-up with a doctor for

QUESTION 

Who among the following are qualified to the dean of a new college of nursing? A. One who has a BSN,RN and an MA in nursing B. One who has a BSN, RN, and completed all academic units for MA in Nursing C. A former chief nurse with at least 9 units of graduate studies in nursing D. A former clinical instructor, with Phd in Education

QUESTION 

What is the legal basis for Primary Health Care approach in the Philippines? A. Alma Ata Declaration on PHC B. Letter of Instruction No. 949 C. Presidential Decree No. 147 D. Presidential Decree 996

TRENDS IN NURSING PRACTICE: 1. 2. 3. 4. 5.

Automation Independent Practice Specialization Primary Care Nursing Team teaching

NURSING ORGANIZATIONS 1. Alumni associations 2. Philippine Nurse’s Association (PNA) - founded on Oct. 22,1922 by Anastacia Giron Tupas -Proc. Order 539 – Nurses’ Week – every last week of October AIM: To promote professional growth towards the attainment of highest standards of nursing. Professional well-being Unity among nurses Promotes reciprocity Advancement of nurse’s knowledge and skills Ethics promulgation

3. Critical Care Nurses Association of the Philippines, Inc. (CCNAPI) - recognized national organization of nurses interested in the specialization of critical care nursing; founded in Feb. 1977 4. Renal Nurses Association of the Philippines 5. Operating Room Nurses Association of the Philippines (ORNAP)- aims to promote the highest professional standard of Perioperative Nursing 6. Maternal & Child Nurses Association of the Philippines - aims to help promote optimum health and welfare of mothers and children in the country with emphasis on safe motherhood 7. Occupational Nurses Association of the Philippines (ONAP)

QUESTION 

Which of the following is TRUE about membership to the Philippine Nurses Association (PNA)? A. Membership to PNA is mandatory and is stipulated in the Philippine Nursing Act of 2002 B. Membership to PNA is compulsory for newly registered nurses wanting to enter the practice of nursing in the country C. Membership to PNA is voluntary and is encouraged by the PRC Code of Ethics for Nurses D. Membership to PNA is required by

QUESTION 

Which of the following is the nongovernment agency which provides training programs to promote mental health: A. ORNAP B. PNA C. Philippine Mental Health Association D. Association of Mental Health Nursing

QUESTION 

As nurse, you should be an actively involved member of this nurse’s organization including attending to school sponsored activities A. CRNA C. Alumni association B. ANA D. ICN

QUESTION 

The founder of the Philippine Nurse’s Association (PNA)? A. Mary Coleman B. Julieta Sotejo C. Socorro Salamanca-Diaz D. Anastacia Giron-Tupas

QUESTION 

The Philippine Nurses Association is considered as the accredited professional organization (APO) for nursing in the Philippine. This means that PNA is recognized A. To be the political party to represent nurses in all matters related to the profession B. By PRC as the official representative of the nursing profession in matters affecting nurses and nursing in the country C. By the ICN as the organization officially representing the Philippines in the international community D. As the duty elected by the nurses as their

PHILIPPINE NURSING LAW BRIEF HISTORY Act 2493 (1915)- first law that has to do with the nursing practice Act 2808 (1919)- first true nursing law; created the board of examiners 1920- first official board exam for nurses R.A. 877 (June 19, 1953)· Phil. Nursing law established; need for registration before nurses can practice R.A. 7164- Phil. Nursing Act of 1991; students who will enroll to the school of nursing should belong to the upper 40% of graduating class P.D. 223 (June 23,1973)- PRC was created R.A. 9173- Philippine Nursing Act of 2002 (Oct. 21,2002) 

QUESTION In the Philippines, safe nursing practice is stipulated in what law A. The Philippine Nursing Act of 2002 or R.A. 9173 B. the Philippine Nursing Act of 1991 or R.A. 7164 C. Resolution 425 of 2003 D. Republic Act No. 8981 

QUESTION 

Which of the following actions of the nurse is now covered in RA 9173 which was not very clear in the old nursing law? A. The nurse can take care of geriatric clients B. The nurse can do private practice C. The nurse is allowed to handle normal delivery and do suturing of perineal lacerations after training D. Give intravenous injections without need for special training

BOARD OF NURSING APPOINTMENT: by the president of the Republic of the Philippines QUALIFICATIONS: Masters in nursing, education or other allied medical profession Accredited nursing organization member Seven (1 chairman, 6 members) Immediately resign upon appointment Not convicted of any crime Pecuniary interest, absence of Ten years continuous practice (last 5 years in the Phil.) Citizen & resident of RP

BON MEMBERS BON shall represent 3 AREAS OF NURSING: 1. Community Health Nursing 2. Nursing Education 3. Nursing Service 

TERMS OF OFFICE: 1. Appointed for three years, eligible for reappointment (max. of 2 terms only) 2. Appointment to vacancy shall be for the unexpired portion of the term 3. Proper oath of office 

QUESTION 

To ensure that the major areas of nursing care covered in the nursing licensure examination, the Nursing Law provides that in the Board of Nursing A. The members of the BON must represent the areas of nursing education, nursing research and nursing practice B. The three major areas of nursing: community health, nursing education and nursing service must be represented in the BON C. The test framework must cover all the major areas of nursing practice D. The specialties of nursing must be represented in the BON

BON MEMBERS and their SPECIALIZATIONS Chairman: CARMENCITA M. ABAQUIN; UP  MS – neuro, sensory, endocrine, BURNS, ONCOLOGY, elderly care, RESEARCH Members: 1. MARCO ANTONIO C. STO. TOMAS; St. Joseph College of Nursing  Funda, MCN, IMCI 2. LEONILA A. FAIRE; UP  renal transplant, RENAL DISORDERS, ENT, ophthal (cataract), OR 3. BETTY F. MERRITT; UP  Psych: child psychology, stress management 4. PERLA G. PO; UP  Psych: therapeutic communication, psych drugs, nursing theories 5. AMELIA B. ROSALES; Ortañez College of Nursing  MS

POWERS AND FUNCTIONS OF BON Licensure exam

Issue, suspend, revoke COR Monitor standards of nursing practice Education Code of ethics promulgation Hear and decides cases of negligence and malpractice Accredits different nursing organizations Guides nursing practice in the Phil.

REMOVAL OR SUSPENSION OF A MEMBER 

I – ncompetence or continuous neglect of duty

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C – ommission! tolerance or irregularities in the board exam

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U – nprofessional, immoral, dishonorable conduct

QUESTION 

When a member of the Board of Nursing commits an irregularity in the conduct of the board examinations, s/he can be removed from office by: A. B. C. D.

The chairman of PRC The President of the Philippines The President of PNA Order of the courts

EXAMINATION & REGISTRATION 

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QUALIFICATIONS for admission to the licensure exam: 1. Citizen of RP or by reciprocity 2. BSN degree holder RATINGS: General Average of at least 75% with a rating of not below 60% in any subject If above 75% but with a subject below 60%, must repeat that subject with a rating above 75% OATH TAKING: priority action of the board passer

QUESTION 

According to RA 9173 Philippine Nursing Act of 2002, a graduate nurse who wants to take the licensure examination must comply with the following qualifications: A. At least 21 years old, graduate of BSN from a recognized school, and of good moral character B. At least 18 years old, graduate of BSN from a recognized school and of good moral character C. At least 18 years old, provided that when s/he passes the board exams, s/he must be at least 21 years old; BSN graduate of a recognized school, and of good moral character D. Filipino citizen or a citizen of a country where we have reciprocity; graduate of BSN from a recognized school and of good moral character

QUESTION 

A nurse who would like to practice nursing in the Philippines can obtain a license to practice by: A. Paying the professional tax after taking the board exams B. Passing the board exams and taking the oath of professionals C. Paying the examination fee before taking the board exams D. Undergoing the interview conducted by the Board of Nursing and taking the board exams

QUESTION 

Suppose you took the licensure exam last December but failed it. If you repeat the exam this coming June, what rule on rating will apply to you based on RA 9173? A. You need to get a grade of 75 in all the subjects you will repeat B. Your scores must all be 60 in above C. The general average must be at least 75% with no grade below 60 in any subject D. The general average can be below 75% since it is a repeat of the board exam

ISSUANCE OF CERTIFICATE OF REGISTRATION 

PROFESSIONAL LICENSE A legal document given by the government that permits a person to offer to the public his or her skills and knowledge in a particular jurisdiction

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Bearing of the COR: o o o

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Bearing of PRC card: o o o o

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Full name of the registrant Serial number Signature of the chairperson and members of the board Official seal of the commission and the board Date of registration License number Date of issuance Expiration date

Renewal of License: Every 3 years on birth month

QUESTION 

The professional license of an RN is/ can be: A. transferable B. lifetime C. revoked for reasons stipulated in RA 9173 D. personal

QUESTION 

The license to practice one’s profession like nursing is considered A. privilege B. natural right C. inborn right D. personal

QUESTION 

R.N. denotes that a nurse: A. has satisfactorily completed the requirements to practice nursing as set by the state B. has a baccalaureate degree in nursing C. is professionally ready to practice nursing D. just a title

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GROUNDS FOR NURSE NOT TO BE REGISTERED D-ishonorable conduct U-nsound mind M-oral turpitude I-ndecent/immoral conduct

P.D. 223 - PRC Act– regulatory body to all profession in Philippines R.A. 1080 – Civil Service Act - Automatic civil service eligible once you pass PRC nursing exam R.A. 8981 – PRC modernization / Computerization Act - after 5 days – result

REGISTRATION BY RECIPROCITY 

CONDITIONS BEFORE NURSES REGISTERED IN A FOREIGN COUNTRY CAN PRACTICE IN THE PHILIPPINES 1. The requirements for registration in their country are substantially the same in our country 2. Under their laws, Filipino nurses are granted the same privileges and on the same basis as their citizens

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SPECIAL AND TEMPORARY PERMIT TO PRACTICE FOR LICENSED FOREIGN NURSES 1. Medical Mission 2. Outstanding expert/lecturer 3. Professor on exchange employment

QUESTION 

Reciprocity of license to practice requires that the country of origin of the interested foreign nurse complies with the following conditions: A. The country of origin has similar preparation for a nurse and has laws allowing Filipino nurses to practice in their country. B. The Philippines is recognized by the country of origin as one that has high quality of nursing education C. The country of origin requires Filipinos to take their own board examination D. The country of origin exempts Filipinos

QUESTION 

Licensed nurses from foreign countries can practice nursing in the Philippines in the following condition: A. employed in state colleges and universities B. special projects with hospitals with a fixed fee C. employees by private hospitals D. medical mission whose services are free

QUESTION 

If a nurse from Canada would like to practice nursing in the Philippines, she will be allowed if she complies with the requirements for reciprocity which include the following: 1.

4.

Her country recognizes that the Philippines has world class nursing education Canada has laws that grants the same privileges to Filipino registered nurse Her country has substantially the same requirement for licensure Canada is a member of ASEAN

F. G.

1 and 2 2 and 3

2. 3.

C. 1 and 4 D. 1 and 3

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Foreign nurses who would like to practice nursing in the Philippines will be allowed to get a special permit if the nurse is: A. An internationally recognized expert in a field of nursing B. The nurse would like to setup her own clinic in a rural community C. The nurse is part of a regular team that perform surgery in a well known hospital in the Philippines D. The nurse is from a country where we have no

GROUNDS FOR REVOCATION AND SUSPENSION   

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Conviction of any criminal offense Unprofessional or unethical conduct Gross incompetence or serious ignorance Malpractice or negligence Use of fraud, deceit or false statements in obtaining the certificate of registration Violation of nurses’ code of ethics Practicing profession during suspension

REISSUANCE OF REVOKED OR REPLACEMENT OF LOST CERTIFICATE 

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Expiration of a maximum of four years from date of revocation Cause of revocation has been corrected Payment of required fees and proper application Request is to replace lost, destroyed certificate or license

QUESTION 

Which of the following is a TRUE statement about revoked license? A. Once revoked, it can never be re-issued B. Revocation means permanent withdrawal of the privilege to practice and will not be re-issued C. Revoked license maybe re-issued provided that the cause of revocation has already been removed D. Revocation like suspension is a permanent disqualification to practice

SCOPE OF NURSING PRACTICE 1. Provide nursing care; covering the different stages of life (from conception to old age) 2. Promotion of health 3. Prevention of Illness 4. Initiate and perform nursing services in any health care setting 5. Collaborate with other health care providers for the preventive, curative, and rehabilitative aspects of care

DUTIES OF NURSES Do utilize nursing process Undertake nursing and health human resource development training and research Teach, guide, supervise nursing students Interrelationship or linkage with community resources and health care team Educate individual, family and community Strict or duty-bound adherence to the code of ethics

PROHIBITED / ILLEGAL PRACTICE OF NURSING Imprisonment: 1-6 yrs  Fine: P50 – 100k License , without Own (using as your own license of another) Invalidated license, revoked or suspended Sign name & attach title BSN, RN (not true) Falsification of documents (diploma, experiences) Assist another person in illegal practice of nursing Underwaging Review/ training centers for RN not accredited by government Any person violating the nursing act 

QUESTION 

When the license of the nurse is revoked, it means that the nurse: A. Is no longer allowed to practice the profession for the rest of her life B. Will never have her/his license re-issued since it has been revoked C. May apply for re-issuance of his/her license based on certain conditions stipulated in RA 9173 D. Will remain unable to practice professional nursing

QUESTION 

Negligence in the practice of nursing can be a ground for: A. revocation of license by the Ombudsman B. revocation of license by the BON C. revocation of license by the DOH D. revocation of license by the Nursing Department

QUESTION 

If found guilty of violating the provision of the nursing law on prohibited acts, the person can be penalized which could be: 1. 2. 3. 4.

A fine of not less than Php 50,000 but not more than Php 100,000 An imprisonment of not less than one year but not more than 6 years A fine of not less than Php 10,000 but not more than php 20,000 An imprisonment of 6months to 6 years

A. 1 and 2 B. 2 and 4

C. 2 and 3 D. 3 and 4

THE HUMAN BODY  

It takes your food seven seconds to get from your mouth to your stomach. One human hair can support 3 kg (6.6 lb). The average man's penis is three times the length of his thumb. Human thighbones are stronger than concrete. A woman's heart beats faster than a man's. There are about one trillion bacteria on each of your feet. Women blink twice as often as men. The average person's skin weighs twice as much as the brain. Your body uses 300 muscles to balance itself when you are standing still. If saliva cannot dissolve something, you cannot taste it. Women reading this will be finished now. Men are still busy checking their thumbs.

TAKE CARE EVERYONE!