A client's PaCO2 is abnormal on an ABG report.
What does the nurse suspect as the most likely medical diagnosis?

Choice A rationale

Nurse practice acts, established at the state level, delineate the scope of nursing practice. They define the specific actions, duties, and responsibilities that nurses are legally authorized to perform based on their education, licensure, and experience. These acts also outline what activities fall outside the permissible boundaries of nursing practice to protect patient safety and maintain professional standards.

Choice B rationale

A primary objective of state nurse practice acts is to safeguard the public by regulating the practice of nursing. Through licensure requirements, standards of care, and disciplinary procedures, these acts ensure that only qualified and competent individuals provide nursing care. This regulation helps to maintain accountability within the profession and protect patients from potential harm due to unqualified or unethical practice.

Choice C rationale

The regulation of nursing practice primarily falls under the jurisdiction of individual state governments, not the federal government. Each state has its own board of nursing or similar regulatory body that is responsible for developing and enforcing the state's nurse practice act. While federal laws may influence healthcare, the direct oversight and regulation of nursing licensure and practice are state responsibilities.

Choice D rationale

Student nurses are held to the same standards of care as licensed nurses when providing patient care. Although they are still in the learning process and work under supervision, they are expected to adhere to established safety protocols and ethical principles. Their actions can have consequences, and they are accountable for the care they provide, just as licensed nurses are.

Choice E rationale

If a student nurse faces disciplinary action by a state board of nursing due to violations of nursing practice standards or unprofessional conduct, it can indeed impact their eligibility to take the National Council Licensure Examination (NCLEX). State boards have the authority to determine who is eligible for licensure, and disciplinary actions can lead to delays or even prohibition from taking the examination, depending on the severity of the infraction.

Choice A rationale

Expressing remorse indicates an awareness of the negative consequences of past actions, which aligns with the valuing process step of choosing, where the individual recognizes the value and impact of different choices. However, it doesn't fully demonstrate prizing, which involves cherishing and affirming the value.

Choice B rationale

Explaining how past choices contributed to the renal failure demonstrates understanding and cognitive processing of the situation, aligning with the choosing step of the valuing process, where the individual intellectually recognizes the value. However, it doesn't necessarily indicate an emotional investment or affirmation of new values.

Choice C rationale

Stating an intention to adopt new behaviors reflects the acting step of the valuing process, where the individual commits to and implements the chosen values in their actions. While important for change, it doesn't directly demonstrate the internal valuing or cherishing of these new actions.

Choice D rationale

Expressing pride in gaining knowledge and skills to manage diabetes signifies that the client now holds this self-management in high regard and finds personal worth in it. This aligns with the prizing step of the valuing process, where the individual emotionally embraces and values the new belief or behavior, leading to a sense of satisfaction and affirmation.