NURSING RNSG 2221/2022 jurisprudence QUESTIONS AND 100% CORRECT ANSWERS (ALL ANSWERS CORRECTLY HIGHLIGHTED)

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A nurse wants help to lobby the Texas Legislature in favor of a bill that will help staff nurses. The nurse should contact his or her nursing professional organization. A nurse who contacts a physicia... n to clarify a medication order is A. fulfilling a duty to keep the patient safe. B. likely to detract from a collegial nurse-physician relationship. C. engaging in action that is the duty of the pharmacist. D. not fulfilling nursing tasks with other patients. When deciding what course of action to follow, the nurse has a duty to always keep the patient safe. A nurse believes that she lacks the basic knowledge and skills necessary to carry out her initial patient assignment. The nurse invokes Safe Harbor and brings her Quick Request for Safe Harbor form to her supervisor. What other action is required by the nurse when refusing an assignment?The nurse must collaborate with the supervisor in an attempt to determine an alternate assignment that will not violate the nurse's duty to the patient(s). An advanced practice registered nurse in an outpatient clinic could delegate which of the following tasks to an unlicensed clinical staff member? ANSWER A. Administering intramuscular (IM) and subcutaneous (SQ) injections other than insulin. B. Calling in prescription refills of a PRN pain medication for which no refills have been authorized. C. Reviewing routine laboratory results and calling the patient to tell the patient what the results mean. D. Cleansing and dressing a minor leg wound in accordance with step-by-step instructions. If a nurse borrows money from an elderly client to help pay personal bills, this act would be ANSWER A. physical abuse of the patient. B. a violation of professional boundaries. C. emotional abuse of the patient. D. a violation of Scope of Practice. An Incident-Based Nursing Peer Review CommitteeANSWER A. must make decisions about whether or not a nurse's employment should be terminated, and whether or not the nurse will be paid for accrued vacation time. B. may include the nurse's supervisor, charge nurse, and other management-level nurses who have administrative authority over the nurse. C. can prohibit the nurse from calling witnesses or asking questions during the hearing. D. must adhere to due process requirements for the nurse, unless the nurse has already been reported to the board and the committee is only reviewing the possible impact of external factors on the error. One of the ways the BON carries out its mission is by ANSWER A. starting nursing schools. B. projecting the needs for nurse aides in the state. C. approving nursing educational programs. D. regulating work settings for nurses. A nurse believes that she lacks the basic knowledge and skills necessary to carry out her initial patient assignment. The nurse invokes Safe Harbor and brings her Quick Request for Safe Harbor form to her supervisor. What other action is required by the nurse when refusing an assignment? ANSWER A. The nurse must agree to accept the assignment as there is no valid reason to ever refuse an assignment. B. The nurse must go home immediately, as her duty to any of the patient(s) starts only after taking report. C. The nurse must collaborate with the supervisor in an attempt to determine an alternate assignment that will not violate the nurse's duty to the patient(s). D. The nurse must fax the form to the BON so that the meeting can be scheduled within two weeks.According to Board Rule 213.29, Criteria and Procedure Regarding Intemperate Use and Lack of Fitness in Eligibility and Disciplinary Matters, a person desiring to obtain or retain his or her nursing license must provide a sworn certificate to the board that he or she has NOT ANSWER A. had any alcohol within the last five years. B. been under the influence of any alcohol or other illegal substance for the last five years. C. been addicted to or treated for the use of alcohol or any other drug in the last five years. D. been in the hospital for any type of surgery within the last five years. In Texas, advanced practice registered nurses (APRNs) may delegate which of the following to unlicensed assistive personnel? ANSWER A. APRNs can delegate anything a physician would delegate, as APRNs are educated to engage in some aspects of medical diagnosis 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 compliance with BON Rules 224 and 225 on RN Delegation. Which of the following situations is an example of a nurse MAINTAINING appropriate professional boundaries between the nurse and the client? A nurse ANSWER A. rewards a patient with a small stuffed mascot of his favorite football team for progress made in rehabilitation. B. responds less frequently to a demanding patient's call light. C. shares personal information regarding her recent bankruptcy because the patient seems genuinely interested.D. is personally attracted to a patient and calls and visits him on her days off "to check on how he is doing." An 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 RN When a nurse commits a crime outside of the workplace, the BON's concern relates to whether the nurse may ANSWER A. discuss the crime with his or her colleagues. B. involve other nurses in the criminal behavior. C. repeat the same misconduct against a patient. D. lie to his or her family about the criminal behavior. Conduct by a nurse that is subject to reporting to the BON includes all of the following EXCEPT: conduct that constitutes a single minor incident in compliance with Board Rule 217.16, Minor Incidents. Any person who wishes to report and or file a complaint against a nurse regarding possible violations of the board rules should rint a complaint form from the BON web page under the Disciplinary Action section, complete as much of the information as possible, and mail or fax the form to the BON. Halfway through her shift, a nurse is told she will be getting several patient admissions. The nurse is fearful that she cannot provide safe care for so many patients. What initial steps must the nurse take if she decides to invoke Safe Harbor?Discuss patient safety with the supervisor and invoke Safe Harbor. The BON rules, located in Title 22 of the Texas Administrative Code, help implement and reflect ANSWER A. the standards of nursing care developed by various nursing specialty and professional organizations. B. the statutes passed by the legislature relating to nursing found in Texas Occupations Code, including the NPA. C. the steps necessary to complete the NCLEX exam application. D. the process necessary to be promoted to higher positions in nursing in different practice settings. Board cases involving eligibility or disciplinary issues that are resolved through a board agreed order ANSWER A. are public records and accessible on the BON's web page. B. are not subject to open records requests or accessible to the public. C. do not have to be sent to the nurse's last known employer or to the nurse. D. do not follow the nurse if the nurse decides to move to another state. Which of the following factors is evaluated by the BON when determining the relevance of past criminal behavior of a nurse? The nature and seriousness of the crime. A nurse providing nursing services to a young child in a home setting asks the parent to bring the child to the nurse's home for nursing care. The nurse asks the parent to keep this arrangement confidential. This could be considered a violation of professional boundaries of the nurse-client relationship. A nursing error that contributes to the death or serious harm of a patientANSWER A. can be considered a minor incident if the nurse is accountable for his or her practice and understands his or her error. B. can be considered a minor incident if the patient had a do-not-resuscitate order. C. cannot be considered a minor incident, even if the nurse appears to have the knowledge and skills to practice safely. D. cannot be considered a minor incident unless the nurse has a previous pattern of similar nursing practice errors A nurse under investigation by the board is required to complete which of the following within 20 days of receipt of the letter of notice? ANSWER A. Enroll in a BON approved remedial education course. B. Resign from nursing employment. C. Provide a written response to the BON investigator. D. Inform employer of the BON investigation. Which of the following actions by a nurse would comply with the Standards of Nursing Practice in Board Rule 217.11? ANSWER A. Documenting the medication administration route as intramuscular (IM) (as per physician order) when the nurse accidently administered the medication intravenously (IV). B. Omitting healthcare information on a patient record at the patient's request. C. Documenting an aspect of nursing care provided to a patient after the fact by following facility policy for making a "late entry." D. Documenting a colleague's assessment findings as your own. When a nurse steals valuables (such as medications, money, jewelry, or credit cards) from a patient, this may be considered criminal as well as unprofessional conduct involving: THEFT OF PROPERTY The mission of the BON supersedes ANSWERA. the licensing rules for acute care hospitals. B. the regulations for federal agencies. C. the interests of individuals, the profession, or special interest groups. D. the state laws that apply to medical supply services, medical facilities, and physicians. Which of the following factors is evaluated by the BON when determining the relevance of past criminal behavior of a nurse? ANSWER A. The state in which the crime occurred. B. The nature and seriousness of the crime. C. The nurse's level of education and licensure (LVN vs. RN). D. His or her grade point average (GPA) in nursing school. A RN working with an unlicensed assistive person (UAP) directs the UAP to perform the task of applying a sterile dressing to a minor abrasion for a specific client. The RN is directly responsible for the nursing care given to the client. This is an example of ANSWER A. a RN training an unlicensed person to perform certain nursing tasks. B. a RN delegating nursing tasks to an unlicensed person. C. a RN supervising nursing care delivered by other licensed nurses. D. a RN providing direct care for a client. The Standards of Nursing Practice, Board Rule 217.11 state that the LVN scope of practice includes doing which of the following with regard to care plans? Only review A professional nursing association determines that a nurse cheated on a national certification exam. The association disqualifies the nurse from being eligible to seek certification, and suspends the nurse's membership privileges for the association.According to the NPA Section 301.406, Duty of Professional Associations and Organizations to Report, the professional association ANSWER A. has authority to mandate that the BON suspend the nurse's license in Texas. B. also has a duty to report the nurse to the BON. C. must publish this disciplinary action against the nurse in the yearly newsletter to its members. D. is required to make a report to local law enforcement authorities as the nurse's deliberate act of cheating may also be considered criminal conduct. A nurse is terminated and reported to the BON for committing repeated practice errors. As required in the NPA, the CNO also sends the case to the Incident Based Peer Review (IBPR) Committee because: ANSWER A. the nurse may convince the committee the errors were not her fault, and the committee can then withdraw the CNO's report to the BON. B. the IBPR Committee can decide to reverse the CNO's decision to terminate the nurse's employment. C. the IBPR Committee may decide to re-orient and re-train the nurse even though she was fired. D. the IBPR Committee is required to review external factors surrounding the practice errors and to report to the facility's Patient Safety Committee as appropriate. A RN working with an unlicensed assistive person (UAP) directs the UAP to perform the task of applying a sterile dressing to a minor abrasion for a specific client. This is an example of ANSWER A. a RN delegating nursing tasks to an unlicensed person. B. a RN training an unlicensed person to perform certain nursing tasks. C. a RN supervising nursing care delivered by other licensed nurses. D. a RN providing direct care for a client.A nurse wants help to lobby the Texas Legislature in favor of a bill that will help staff nurses. The nurse should ANSWER A. contact his or her nursing professional organization. B. contact the Texas BON. C. contact the local newspaper. D. contact his or her nurse manager. 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? ANSWER A. Guideline for Nurses Transitioning to a New Practice Setting. B. Statistics on the number of nurses living in each county in Texas. C. Position Statement 15.14 Duty of a Nurse in Any Setting. D. Position Statement 15.27 The Licensed Vocational Nurse Scope of Practice. Within the nurse licensure compact agreement, the party state that is the nurse's primary state of residence is called the nurse's HOME STATE Why does the BON require nurses to disclose that they have been diagnosed with, treated for, or hospitalized with certain mental illnesses? Nurses diagnosed with these disorders may lack fitness to practice nursing safely and may require a period of monitored practice by the BON.A nurse may not be reported to the BON, may not have his or her license sanctioned by the BON, and may not be suspended or terminated from his or her employment for either appropriately invoking Safe Harbor or for advising another nurse of their right to invoke Safe Harbor. These are ANSWER A. criteria for determining a minor incident. B. rules that apply to RNs and not LVNs. C. criteria for determining safe staffing. D. protections for a nurse who requests a peer review determination. According to the Standards of Nursing Practice, Board Rule 217.11, LVNs have a "directed" scope of practice. Of the following categories of providers, which of the following is an appropriate nursing practice supervisor for the LVN? PHYSICIAN An Incident-Based Nursing Peer Review Committee A. must make decisions about whether or not a nurse's employment should be terminated, and whether or not the nurse will be paid for accrued vacation time. B. may include the nurse's supervisor, charge nurse, and other management-level nurses who have administrative authority over the nurse. C. can prohibit the nurse from calling witnesses or asking questions during the hearing. D. must adhere to due process requirements for the nurse, unless the nurse has already been reported to the board and the committee is only reviewing the possible impact of external factors on the error. 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?ANSWER A. Assisting in the evaluation of a client's response to nursing interventions. B. Practicing in any setting without an appropriate practice supervisor who is at least telephonically available. C. Collaborating with the RN to revise the nursing care plans for assigned clients. D. Making assignments to other licensed nurses and to unlicensed assistive personnel when working in a supervisory position. A nurse had his license revoked by the BON in Hawaii. When the nurse moves to Texas and applies for a nursing license in Texas, the most likely result will be that ANSWER A. the nurse will be granted a nursing license until the Texas BON learns of the revocation in Hawaii. B. the nurse will have to retake the NCLEX licensure exam to be licensed in Texas since his nursing license in Hawaii was revoked. C. the nurse may not be able to get a job until employers find out why his license was revoked in Hawaii. D. the nurse may not be able to obtain licensure in Texas until he addresses the conduct that caused his license to be revoked. According to the NPA section 301.403, the Peer Review Committee must report which of the following to the board? ANSWER A. Any minor incidents the nurse makes while caring for patients. B. A description of any corrective action taken against the nurse. C. The names and addresses of the Peer Review Committee members. D. An organizational chart that reflects the reported nurse's position in the agency. A professional nursing association determines that a nurse cheated on a national certification exam. The association disqualifies the nurse from being eligible to seek certification, and suspends the nurse's membership privileges for the association. [Show More]

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