NURSING JURISPRUDENCE AND ETHICS FOR TEXAS NURSES LATEST UPDATED EXAM STUDY GUIDE 2024, Exams of Nursing

Download NURSING JURISPRUDENCE AND ETHICS FOR TEXAS NURSES LATEST UPDATED EXAM STUDY GUIDE 2024 and more Exams Nursing in PDF only on Docsity! NURSING JURISPRUDENCE AND ETHICS FOR TEXAS NURSES LATEST UPDATED EXAM STUDY GUIDE 2024 [Type here] [Type here] [Type here] According to BON Position Statement 15.24 Engaging in Reinsertion of Permanently Placed Feeding Tubes, it would be within the scope of practice for a nurse to replace a gastrostomy tube provided that the tube has been in place for 8-12 weeks, the nurse has a physician's order to replace the tube, and the nurse has completed specific competency training to safely replace the tube. the tube has been in place for 8-12 weeks, the facility policy allows replacement of a tube with a specific physician's order, and the nurse has not completed the required skills check-off. the tube has been in place for 4-6 weeks and the nurse observed a supervisor completed the procedure. the tube has been in place 4-6 weeks and the nurse as been determined to be competent in reinserting permanently placed tubes that have an established fistulous tract. - Correct answer- A. the tube has been in place for 8-12 weeks, the nurse has a physicians to replace the tube, and the nurse has completed specific competency training to safely replace the tube. The BON differs from nursing and healthcare specialty associations since the BON lobbies for legislation favorable to the practice of nursing. sets criteria for evaluating nursing career ladders. offers liability insurance at discounted rates for members protects and promotes the welfare of the people of Texas - Correct answer-D. protects and promotes the welfare of the people of Texas. The Standards of Nursing Practice, Board Rule 217.11 state that the LVN scope of practice includes including doing which of the following with regard to care plans? A. Initiate the development of a comprehensive nursing care plan independently B. May not document on the nursing care plan C. Participate in the modification and development of the nursing care plan. D. Review the nursing care plan only if directed to do so by the physician. - Correct answer-C. Participate in the modification and development of the nursing care plan. A nurse who contacts a physician to clarify a medication order is fulfilling a duty to keep the patient safe. likely to detract from a collegial nurse-physician relationship. engaging in action that is the duty of the pharmacist. not fulfilling nursing tasks with other patients. - Correct answer-A. fulfilling a duty to keep the patient safe. NURSING JURISPRUDENCE AND ETHICS FOR TEXAS NURSES LATEST UPDATED EXAM STUDY GUIDE 2024 [Type here] [Type here] [Type here] Nurses often ask the Board about what it means to abandon their patients. Though the Board does not use this term in the rules, what specific portion of Board Rule 217.12, Unprofessional Conduct, provides directions for the nurse regarding job abandonment and conduct that may also be Board-reportable? Paragraph (5) Paragraph (7) Paragraph (12) Paragraph (8) - Correct answer-C. Paragraph (12) Which of the following situations is an example of a nurse MAINTAINING appropriate professional boundaries between the nurse and the client? A nurse rewards a patient with a small stuffed mascot of his favorite football team for progress made in rehabilitation. responds less frequently to a demanding patient's call light. shares personal information regarding her recent bankruptcy because the patient seems genuinely interested. is personally attracted to a patient and calls and visits him on her days off "to check on how he is doing." - Correct answer-A. rewards a patient with a small stuffed mascot of his favorite football team for progress made in rehabilitation. Am advertisement for a "licensed nurse" states the following as routine job responsibilities. "Must work independently without supervision, have expertise in developing nursing care plans, including establishing appropriate nursing diagnoses for assigned patients, and, must be able to complete comprehensive nursing assessments." Based on these responsibilities, this advertisement would require, at a minimum, the nurse to hold a valid A. Advanced Practice Registered Nurse license. B. Physician Assistant license. C. Vocational Nurse license. D. Registered Nurse license. - Correct answer-D. Registered Nurse license. A nurse is caught stealing narcotics from the automated dispensing machine on the unit and self-injecting these drugs while on duty. The nurse admits that she is chemically dependent. In this situation, the NPA requires A. the nurse be reported to the BON. B. the Peer Review Committee to monitor the nurse's practice. C. the nurse to enroll in the Texas Peer Assistance Program for Nurses (TPAPN). D. a report to law enforcement. - Correct answer-B. the Peer Review Committee to monitor the nurse's practice. A nurse was reported to the BON by two different employers multiple practice errors. The BON may determine that the nurse's conduct demonstrates a pattern of practice NURSING JURISPRUDENCE AND ETHICS FOR TEXAS NURSES LATEST UPDATED EXAM STUDY GUIDE 2024 [Type here] [Type here] [Type here] lobbying members of the Texas Legislature to pass bills that are favorable to nurses evaluating student advising currently licensed nurses about potential employment opportunities throughout the state. - Correct answer-A. regulating the education, licensure, and practice of nurses in Texas to ensure the safety of the public. A nurse who commits an error that is a minor incident must be reported immediately to the Incident-Based Peer Review Committee or to the BON if there is no peer review at the nurse's place of employment. should not under any circumstances be reported to the BON based on just one minor incident. must immediately resign from his or her place of employment so that there is no chance of the employment so that there is no chance of the employer alleging a "pattern of nursing practice errors." need not be reported to the BON unless the nurse's conduct created a significant risk of physical, emotional, or financial harm to the client. - Correct answer-D. need not be reported to the BON unless the nurse's conduct created a significant risk of physical, emotional, or financial harm to the client. Which of the following statements correctly reflects Board Rule 217.20 regarding the Safe Harbor Peer Review? A. An employer or supervisor can refuse to allow a nurse to invoke Safe Harbor if they resolve the staffing issues. B. Safe Harbor must be invoked prior to engaging in the assignment or at any time the assignment changes as long as the nurse believes it place patients at risk of harm. C. A nurse can invoke Safe Harbor after committing an error that caused patient harm. D. The Chief Nursing Offer (CNO) or Nurse Administrator does not have to assure compliance with the Nursing Peer Review Law or Board Rule 217.20 Safe Harbor Peer Review. - Correct answer- A nurse is counseled for questioning a physician's order that made the physician mad. Which of the following documents on the BON web site BEST explains why the nurse was correct to question a physician's order that the nurse believed could be harmful to a patient? Guideline for Nurses Transitioning to a New Practice Setting. Statistics on the number of nurses living in each county in Texas. Position Statement 15.14 Duty of a Nurse in Any Setting. Guideline for LVN Scope of Practice under Board Rule 217.11 - Correct answer-C. Position Statement 15.14 Duty of a Nurse in Any Setting. While interacting with the public in a nursing role, each nurse must wear a clearly legible insignia (such as a name badge) that identifies the nurse as an employee of the institutional setting. NURSING JURISPRUDENCE AND ETHICS FOR TEXAS NURSES LATEST UPDATED EXAM STUDY GUIDE 2024 [Type here] [Type here] [Type here] a registered nurse or a licensed vocational nurse. a member of a professional organization. an experienced nurse in the service area. - Correct answer-B. a registered nurse or a licensed vocational nurse. In a nurse-patient relationship, the most vulnerable patients are those who are A. under anesthesia or sedation. B. wearing a patient or exam gown. C. undergoing chemotherapy. D. using an interpreter. - Correct answer-A. under anesthesia or sedation. In the NPA, "conduct subject to reporting" includes conduct that causes a person to suspect that the nurse's practice is impaired by chemical dependency or drug or alcohol abuse. the occurrence of 2 minor incidents within a twelve month period in a facility with no nursing peer review. mandatory overtime resulting in sixteen consecutive hours worked. a nurse who disagrees with the supervisor over a patient assignment. - Correct answer-A. conduct that causes a person to suspect that the nurse's practice is impaired by chemical dependency or drug or alcohol abuse. Which of the following resources on the BON web page would assist a nurse in determining his or her scope of nursing practice? Disciplinary Action: Individual's Report to the BON. Memorandum of Understanding between the BON and the Texas State Board of Pharmacy. The continuing competency into sheet. Scope of Practice Decision-Making Model. - Correct answer-C. The continuing competency into sheet. If a nurse has reason to believe a medication order is inaccurate or contraindicated, the Standards of Nursing Practice require the nurse to do all of the following EXCEPT: consult with the ordering practitioner to clarify the order. give the medication as ordered and document concerns in the medical record. tell the ordering practitioner if the nurse decide not to give the medication. collaborate with other members f the health care team for more information about the medication and why it was ordered. - Correct answer-B. give the medication as ordered and document concerns in the medical record. When making nursing assignments to other LVNs and RNs, the Board Rule 217.11 Standards of Nursing Practice, requires the nurse in a supervisory position into consideration all of the following EXCEPT: NURSING JURISPRUDENCE AND ETHICS FOR TEXAS NURSES LATEST UPDATED EXAM STUDY GUIDE 2024 [Type here] [Type here] [Type here] the educational preparation of each licensed nurse. the experience of each licensed nurse. the state where the nurse was licensed. the physical and emotional ability of each licensed nurse. - Correct answer-D. the physical and emotional ability of each licensed nurse. A person may not practice or offer to practice professional or vocational nursing in Texas unless the person graduates from a board-approved nursing educational program in Texas. completes at least 500 hours of clinical practice inn his or her nursing educational program. demonstrates basic nursing skills on the Nursing Competency Skills List. holds a license as required by the NPA. - Correct answer-D. holds a license as required by the NPA. A nurse quits his job, and submits a written notice at the end of his shift, telling his supervisor that he will not be back at work the following morning. The supervisor tells the nurse he has to complete the entire month's schedule or he will be committing "patient abandonment," and will be reported to the BON. This is true. The nurse must work the entire currently posted work schedule before he can quit his present job. true. It would be "patient abandonment" if the nurse does not complete the current schedule. The nurse could be reported to the BON. C. false. Quitting a job at the end of a shift is not considered "patient abandonment" by the BON and is not grounds for reporting to, or action by, the BON. D. false. The nurse only has to work for two more weeks of the schedule before he can quit. - Correct answer-C. false. Quitting a job at the end of a shift is not considered "patient abandonment" by the BON and is not grounds for reporting to, or action by, the BON. The BON rules regarding licensure renewal require the nurse to answer eligibility questions concerning which of the following with regard to the previous two-year licensure cycle whether the nurse has completed hours of continuing education. whether the nurse has a current CPR card. whether the nurse has any criminal background that must be revealed. whether the nurse has been fired from employment in the past two years. - Correct answer-C. whether the nurse has any criminal background that must be revealed. Chart audits find the following errors committed by a nurse with observed impaired behavior at work. NO physician orders for narcotics signed out by the nurse, and NO documentation that the nurse either administered or wasted the narcotics. The best decision for the Incident Based Peer Review Committee to make is that NURSING JURISPRUDENCE AND ETHICS FOR TEXAS NURSES LATEST UPDATED EXAM STUDY GUIDE 2024 [Type here] [Type here] [Type here] Committee is required to review external factors surrounding the practice errors and to report to the facility's Patient Safety Committee as appropriate. While a LVN has a "directed" scope of practice, this is NOT true for a RN. This means that the RN has full accountability for the LVN. is able to engage in making medical diagnoses if signed off by a physician and performed under the physician's delegation. must be present in all settings to supervise the LVN's care. is permitted to practice nursing independently within the RN's scope of practice. - Correct answer-D. is permitted to practice nursing independently within the RN's scope of practice. Which of the following activities would violate a provision of the NPA and Board Rule 217.11(2), Standards of Nursing Practice, relating to the practice of nursing by a LVN? Assisting in the evaluation of a client's response to nursing interventions. Practicing in any setting without an appropriate practice supervisor who is at least telephonically available. Collaborating with the RN to revise the nursing care plans for assigned clients. Making assignments to other licensed nurses and to unlicensed assistive personnel when working in a supervisory position. - Correct answer-B. Practicing in any setting without an appropriate practice supervisor who is at least telephonically available. The integrated pattern of personal, academic, and occupational behaviors that indicate an individual is able to consistently conform his/her conduct to the requirements of the Nursing Practice Act and the Board's rules relates to course requirements of the BON prior to entering nursing school. an educational background in liberal arts that complements the nursing profession. the Florence Nightingale Pledge. the BON's rule concerning good professional character. - Correct answer-D. the BON's rule concerning good professional character. A nurse is assisting a physician when she witness the physician break sterile technique and use a contaminated instrument to finish the procedure. The nurse reports the physician to the Texas Medical Board. Which of the following statements is accurate in relation to this scenario? The nurse cannot be disciplined by the BON or discriminated against by the employer. The nurse has no recourse if the physician gets angry and terminates her employment. If the facility terminates the nurse's employment, the BON can provide the nurse with legal advice. The nurse must inform the physician of any reports the nurse files. - Correct answerA. The nurse cannot be disciplined by the BON or discriminated against by the employer. The board's Disciplinary Sanction Policy on Sexual Misconduct explains that NURSING JURISPRUDENCE AND ETHICS FOR TEXAS NURSES LATEST UPDATED EXAM STUDY GUIDE 2024 [Type here] [Type here] [Type here] suggestive language between the nurse and patient are acceptable only in a therapeutic nurse- patient relationship. sexual misconduct towards patients or in the workplace raises questions regarding the nurse's ability to provide safe, competent care. sex-related criminal activity by a nurse is a private matter and may not need to be reported to the board. sex between a nurse and patient is acceptable if the patient consents. - Correct answer-C. sex- related criminal activity by a nurse is a private matter and may not need to be reported to the board. Knowing, recognizing, and maintaining professional boundaries of the nurse-patient relationship is a nursing standard. Which of the following is a violation of professional boundaries? A nurse borrows money from a patient to repair the nurse's car. A nurse accepts a box of candy from the patient and shares it with other staff. The patient shares a history of substance abuse that the nurse reports during shift change. A nurse report's a patient's communicable disease to the health department. - Correct answer-A. A nurse borrows money from a patient to repair the nurse's car. The identity of a person submitting a complaint against a nurse to the BON is kept confidential until the nurse is made aware of the compliant. throughout the entire investigation process. until formal charges are filed. until an agreed order is signed and ratified. - Correct answer-B. throughout the entire investigation process. A nurse was arrested for making death threats with a gun, then subsequently admitted to a psychiatric facility, and diagnosed with previously untreated and other mental health conditions. The BON is likely to consider the conduct by this nurse as grounds for disciplinary action on the nurse's license due to the nurse not obtaining treatment when symptoms first occurred. lack of fitness to practice which may impose a risk to patients. the likeliness the nurse would have the diagnoses for life. exposing patients or the public to a communicable disease. - Correct answer-B. lack of fitness to practice which may impose a risk to patients. A person with a history of chemical dependency on controlled substances who desires to obtain or retain a license to practice nursing may be required to provide evidence of current sobriety and fitness to practice. good employer evaluations. NURSING JURISPRUDENCE AND ETHICS FOR TEXAS NURSES LATEST UPDATED EXAM STUDY GUIDE 2024 [Type here] [Type here] [Type here] attendance at five Alcoholics Anonymous meeting each week. support system of family and friends. - Correct answer-A. current sobriety and fitness to practice. In Texas, advanced practice registered nurse (APRNs) may delegate which of the following to unlicensed assistive personnel? compliance with BON Rules 224 and 225 on RN Delegation. - Correct answer-D. Activities of daily living, health maintenance activities, and nursing tasks in compliance with BON Rules 224 and 225 on RN Delegation. A. APRNs can delegate anything a physician would delegate, as APRNs are educated to engage in some some aspects of medical and medical management. B. Medical diagnosis and nursing assessment in compliance with BON Rules 224 and 225 on RN delegation. C. Advanced practice skills that the APRN learned in his or her advanced practice nursing program of study. D. Activities of daily living, health maintenance activities, and nursing tasks in