PROFESSIONAL REGULATION COMMISSION-BOARD OF NURSING NURSING PRACTICE III, IV and V Test Description :

Theories, concepts, principles and processes in the care of clients with altered health patterns, utilizing the nursing process and integrating the key areas of nursing competencies. Test Scope I. :

Safe & Quality Care, Health Education, Communication, Collaboration and Teamwork Test III a. Client in Pain b. Perioperative Care c. Alterations in Human Functioning 1. Disturbances in Oxygenation 2. Disturbances in Metabolic and Endocrine Functioning 3. Disturbances in Elimination Test IV a. Alterations in Human Functioning 1. Disturbances in Fluids and Electrolytes 2. Inflammatory and Infectious Disturbances 3. Disturbances in Immunologic Functioning 4. Disturbances in Cellular Functioning b. Client in Biologic Crisis c. Emergency and Disaster Nursing Test V a. Disturbances in Perception and coordination 1. Neurologic disorders 2. Sensory disorders 3. Muskulo-skeletal disorders 4. Degenerative disorders b. Maladaptive Patterns of Behavior 1. Anxiety Response and anxiety related disorders 2. Psychophysiologic responses, somatoform and sleep disorders 3. Abuse and violence 4. Emotional responses and mood disorders 5. Schizophrenia and other psychotic and mood disorders 6. Social responses and personality disorders 7. Substance related disorders

8. Eating disorders 9. Sexual Disorders 10.Emotional disorders of infants, children and adolescents II. Communication, Collaboration & Teamwork a. Team Approach b. Referral c. Network/Linkage d. Therapeutic communication

III.Ethico-Moral-Legal Responsibility a. Confidentiality b. Clients Rights 1. Informed consent 2. Refusal to take medications, treatment and admission procedures c. Nursing accountability, liability d. Documentation/Charting e. Culture sensitivity III.Personal & Professional Development a. Nurse-Client Relationship Continuing Education IV. Research and Quality Improvement a. Evidence-based Practice b. Standards of Safe Practice Management of Resources, Environment and Record Management a. Patient Safety b. Standards of Documentation

V.