PROFESSIONAL

ADJUSTMENT

GISELLE S. PETALUNA,
R.N.
 PROFESSIONAL
ADJUSTMENT
 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
 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
 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
 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
Chief/years experience
Director
RN Master’s in MAN + GSC
MAN PHN or CHN (gen. staffing
Five years supervisory course)
experience
 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 Education-
qualifications:
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. Automation
2. Independent Practice
3. Specialization
4. Primary Care Nursing
5. 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 non-
government 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
 C – ommission! tolerance or
irregularities in the board exam
 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. The chairman of PRC
B. The President of the Philippines
C. The President of PNA
D. Order of the courts
 EXAMINATION &
REGISTRATION
 QUALIFICATIONS for admission to the
licensure exam:
1. Citizen of RP or by reciprocity
2. BSN degree holder
 RATINGS:
o General Average of at least 75% with a rating
of not below 60% in any subject
o 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
 Bearing of the COR:
o Full name of the registrant
o Serial number
o Signature of the chairperson and members of the
board
o Official seal of the commission and the board
 Bearing of PRC card:
o Date of registration
o License number
o Date of issuance
o 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
 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
 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. Her country recognizes that the Philippines has world
class nursing education
2. Canada has laws that grants the same privileges to
Filipino registered nurse
3. Her country has substantially the same requirement for
licensure
4. Canada is a member of ASEAN

F. 1 and 2 C. 1 and 4
G. 2 and 3 D. 1 and 3
 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
 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

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

A. 1 and 2 C. 2 and 3
B. 2 and 4 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!