TEXAS NURSING JURISPRUDENCE AND ETHICS FOR TEXAS NURSES FINAL TEST

TEXAS NURSING JURISPRUDENCE AND ETHICS FOR TEXAS NURSES FINAL TEST 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 A. 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. B. 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. C. the tube has been in place for 4-6 weeks and the nurse observed a supervisor completed the procedure. D. 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 A. lobbies for legislation favorable to the practice of nursing. B. sets criteria for evaluating nursing career ladders. C. offers liability insurance at discounted rates for members D. 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 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. - CORRECT ANSWER-A. fulfilling a duty to keep the patient safe. 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? A. Paragraph (5) B. Paragraph (7) C. Paragraph (12) D. 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 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." - 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 that A. complies with the standard to provide nursing services without discrimination of the client served. B. violates professional boundary regulations because the nurse has two employers C. results in immediate disciplinary action because the second complain validates the first. D. indicates the nurse's continued practice poses a risk of harm and may endanger a client's life, health, or safety. - CORRECT ANSWER-D. indicates the nurse's continued practice poses a risk of harm and may endanger a client's life, health, or safety. 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 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. - CORRECT ANSWER-B. been under the influence of any alcohol or other illegal substance for the last five years. According to board rule, after a nurse refuses a float assignment and invokes Safe Harbor, the nurse A. should demand that the supervisor must provide a more appropriate float assignment. B. is required to communicate with the supervisor and must accept the assignment as given. C. must accept an alternate assignment even if it still beyond the nurse's scope of practice. D. must collaborate with the supervisor to determine a safe assignment. - CORRECT ANSWER-D. must collaborate with the supervisor to determine a safe assignment. When an applicant for a nursing license receives a final conviction for first degree murder, the NPA mandates that the applicant A. will be required to complete an ethics and jurisprudence course annually B. will have to pay $1000 as part of the initial license application process. C. will not be eligible to apply for an initial nursing license until five years after being released from community supervision or parole. D. must provide three letters of reference from law enforcement or parole officers and successful retake the NCLEX exam. - CORRECT ANSWER-C. will not be eligible to apply for an initial nursing license until five years after being released from community supervision or parole. A person with a history f a substance use disorder who desires to obtain or retain a license to practice nursing may be required to provide evidence that includes all of the following EXCEPT: A. current sobriety and fitness to practice. B. 45 contact hours of continuing nursing education. C. attendance at Alcoholics Anonymous meetings. D. positive employer evaluations - CORRECT ANSWER-C. attendance at Alcoholics Anonymous meetings. A nursing error that contributes to the death or serious harm of a patient 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 patent 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. - CORRECT ANSWER-C. cannot be considered a minor incident, even if the nurse appears to have the knowledge and skills to practice safely. A nurse was terminated from three different jobs beause he or she was stealing from staff members. The nurse has no pending criminal issues and no criminal history. Though this activity does not involve patients, it may indicate that A. the nurse will repeat similar conduct and exploit patients who trust the nurse to act in their best interest. B. the nurse only steals from fellow employees and would not steal from unsuspecting and vulnerable patients. C. the nurse will delegate tasks to unlicensed assistive personnel that are beyond their scope of practice. D. the nurse is unable to supervise nursing care provided by other licensed nurses. - CORRECT ANSWER-A. the nurse will repeat similar conduct and exploit patients who trust the nurse to act in their best interest. A BON investigator in the enforcement division collected evidence that supports the BON's formal charges against a nurse regarding violations of the NPA and board rules. Attempts to notify the nurse via standard and certified mail at the nurse's last address of