NURS 4528- jurisprudence exam-with 100% verified answers-2024-2025 .docx, Exams of Nursing

Download NURS 4528- jurisprudence exam-with 100% verified answers-2024-2025 .docx and more Exams Nursing in PDF only on Docsity! NURS 4528-  jurisprudence exam-with 100% verified answers-2024-2025 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 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. 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. 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 A. Advanced Practice Registered Nurse license. B. Physician Assistant license. C. Vocational Nurse license. D. Registered Nurse license. 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 patient ANSWER 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. 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 asupervisory 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. D.up to the nurse manager to determine whether or not to report the nurse to the BON for alleged violations of the NPA and board rules. A nurse is attracted to a patient and insists on being assigned to care for this patient every shift she works. As a result there are reports of the nurse not completing other assignments. In this example the nurse ANSWER A.is merely demonstrating caring behaviors. B. is ensuring continuity of care. C. has become overly involved and is at risk of committing a boundary violation. D.is acting appropriately in maintaining a therapeutic nurse-patient relationship. A nurse assesses a patient, makes a medical diagnosis of "hypertension," and determines which specific anti-hypertensive medication (including dose, route, and frequency) is appropriate for this patient. The nurse then writes a prescription for an anti-hypertensive medication and instructs the patient to have it filled at a pharmacy of her choice. ANSWER A.the nurse must have completed a bachelor of science in nursing program (BSN). B. the nurse must be authorized by the BON as an advanced practice registered nurse with prescriptive authority in a role and population focus appropriate for the patients being treated. C.the nurse can have any level of licensure; however, if the nurse is an LVN, the LVN can only engage in the conduct described in the example if the LVN practices under a physician's delegation. D.The nurse at any level of licensure must complete five hours of continuing education in pharmacology for each licensure renewal period. Rule 216 related to Continuing Competency requires nurses to complete ANSWER A. 20 contact hours of continuing education within two years preceding license renewal. According to Board Rule 217.3(a), Temporary Authorization to Practice, a new graduate, either a graduate vocational nurse (GVN) or a graduate professional nurse (GN), is required to avoid ANSWER B. being placed in a supervisory or charge position, and working in any independent practice setting. One purpose of the BON's Position Statements and Guidelines is to provide ANSWER B. guidance to help the nurse apply the NPA and board rules to a given situation so that the nurse can make appropriate decisions that promote safe nursing practice. 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? ANSWER A.Paragraph (5). B. Paragraph (7). C.Paragraph (12).—quizletI found D.Paragraph (8). 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 ANSWER A. violence against a person. B. theft of property. C. illicit drug use. D. lying and falsification. According to Rule 217.12(1), Unprofessional Conduct, one example of an unsafe practice includes failing to ANSWER C. arrive at work on time twice during the last month. A temporary permit to practice nursing issued to a graduate of a board-approved nursing educational program ANSWER A.is only necessary if the nurse does NOT plan to seek employment in nursing until licensed. B. is required only for candidates for a vocational nursing license. C.allows a GN or GVN to practice independently with no other licensed nurse present in the practice setting. D.may be denied based on a licensure candidate's criminal history. When the BON considers imposing disciplinary action, it is most concerned with the nurse consistently ANSWER A.acting in the best interest of clients. B. following medical directives for patient care. C.following the policies and procedures in the employing agency. D.acting in the best interest of the physician. A nurse would be fulfilling his or her duty to safeguard patients from harm if the nurse: recognizes that a patient's condition is deteriorating, acts to stabilize the patient, and reports the patient's status to the physician. Nurse. C. Certified Nurse Aide. D. Certified Medication Aide. A nurse whose license has expired ANSWER A.may not practice until the license has been renewed. B. has a 14-day grace period in which to renew. C.may practice if documentation is cosigned by another nurse. D.will have his or her license revoked by the BON. The board's Disciplinary Sanction Policy on Sexual Misconduct explains that ANSWER B. sexual misconduct towards patients or in the workplace raises questions regarding the nurse's ability to provide safe, competent care. A nurse witnesses another nurse slap a long-term care facility resident for refusing to take his medications. There is no Peer Review Committee in this practice setting, so the correct action to be taken by the nurse who saw the abuse is to B. Registered ANSWER B. report it to the Director of Nursing and leave further action to the discretion of the DON. 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 heis doing." 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. According to the NPA Section 301.406, Duty of Professional Associations and Organizations to Report, the professional association ANSWER B. also has a duty to report the nurse to the BON. Board Rule 217.11, Standards of Nursing Practice, requires the nurse to "Implement measures to prevent exposure to infectious pathogens and communicable conditions." This is a standard that ANSWER A.applies to nurses working with patients with infectious diseases. B. is the basis for use of personal protective equipment. C.applies to all licensed nurses in Texas. D.can be waived in home health settings. The best method of notifying the BON about reportable violations by a nurse of the NPA and board rules is to ANSWER B. complete the reporting form on the BON website though you may remain anonymous and not provide a signature. According to Nursing Practice Frequently Asked Questions (FAQs) on the BON web page, a LVN whose duties include being on-call to triage patient concerns telephonically would be ANSWER A. exceeding his or her scope of practice because it requires the LVN to perform comprehensive (RN-level) nursing assessments on patients potentially experiencing unpredictable and unstable conditions. B. practicing within his or her scope of practice provided the LVN completed a ten- hour post-licensure course on comprehensive telephonic nursing assessments. C. practicing within his or her scope of practice if an ER physician trains the LVN to make independent medical judgment and how to perform medical screening exams. D. exceeding his or her scope of practice UNLESS a registered nurse is on-call and telephonicallyavailable to "back up" the LVN, and the RN is ultimately responsible for the decisions made by the LVN. Pending the results of the licensing examination, the GN or GVN must ANSWER A.wait 2 weeks before accepting a charge nurse role. When a staff nurse attempts to invoke Safe Harbor, more nurses are floated to the unit to provide adequate staffing. The supervisor then tells the nurse "You must withdraw your request for Safe Harbor. It is no longer valid because we fixed the problem." Does this statement accurately reflect the Safe Harbor rule? ANSWER A. Yes. If the issue that caused the nurse to request Safe Harbor is resolved, the nurse cannot askthe Peer Review Committee to review it. B. Yes. The supervisor is correct and the nurse can be reported to the board if he or she refuses to withdraw the request for Safe Harbor. C. No. Resolving the immediate issue does not invalidate the request. It is the nurse's choice whether or not to continue with the request for a Peer Review Committee decision. A nurse is assisting a physician when she witnesses 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? ANSWER A.The nurse cannot be disciplined by the BON or discriminated against by the employer. B. The nurse has no recourse if the physician gets angry and terminates her employment. C.If the facility terminates the nurse's employment, the BON can provide the nurse with legal advice. D.The nurse must inform the physician of any reports the nurse files. A nurse's history of substance use disorder or mental illness is relevant to nursing licensure as it may indicate ANSWER A. the nurse's current lack of fitness for duty. 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 ANSWER A.true. The nurse must work the entire currently posted work schedule before he can quit his present job. B. 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. An Incident-Based Peer Review Committee ANSWER D. may make a determination as to whether or not a nurse should be terminated from employment for practice-related nursing errors. NO SE SI ESTA BIEN !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! A nurse was reported to the BON by two different employers regarding multiple practice errors. The BON may determine that the nurse's conduct demonstrates a pattern of practice that ANSWER 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 complaint 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. QUESTION The functions of the BON include ANSWER A.regulating the education, licensure, and practice of nurses in Texas to ensure the safety of the public. B. lobbying members of the Texas Legislature to pass bills that are favorable to nurses. C.evaluating student D.advising currently licensed nurses about potential employment opportunities throughout the state. While a LVN has a "directed" scope of practice, this is NOT true for a RN. This means that the RN ANSWER D. is permitted to practice nursing independently within the RN's scope of practice. The Position Statement 15.27 The Licensed Vocational Nurse Scope of Practice on the board's website outlines that LVNs have a "directed" scope of practice "under supervision." This means that ANSWER A. the LVN must have a supervisor, as outlined in Rule 217.11, accessible at least telephonically or by some other similar means. In the NPA, "conduct subject to reporting" includes ANSWER A. conduct that causes a person to suspect that the nurse's practice is impaired by chemical dependency or drug or alcohol abuse. 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 ANSWER D. the BON's rule concerning good professional character. 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. 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. 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 to take into consideration all of the following EXCEPT: ANSWER C. the state where the nurse was licensed. Which of the following statements correctly reflects Board Rule 217.20 regarding the Safe Harbor Peer Review? ANSWER 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 places patients at risk of harm. A graduate vocational nurse (GVN) with current temporary authorization to practice is in a practice setting where no other licensed nurse is physically present. This situation would best be described as ANSWER C. an unacceptable practice due to the lack of a licensed nurse who is physically present and readily available to directly supervise the GVN. A nurse finds an elderly woman helpless and alone after the unlicensed caretaker quit without notifying the agency. The nurse is then fired for reporting the caretaker for possible abuse and neglect. Does the nurse have protection from negative employment action for reporting the above incident to the appropriate authorities? A. No, the nurse is not protected in this example. The nurse must always follow any directive from his or her boss. B. No, the nurse is not protected in this example as the employer can terminate the nurse for any reason at any time. C. It depends. The nurse may be protected, but only if the nurse can prove that the client was in an unsafe situation. D. Yes, the nurse is protected from negative employment action for reporting a situation that exposed the client to substantial risk of harm. This is known as "whistleblower protections." 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 record have been returned to the BON office as being "undeliverable or not at this address." Since the investigator has been unable to communicate with the nurse about the BON's formal charges, Board Rule 213.16(i) on Practice and Procedure requires that D. Yes, the nurse is protected from negative employment action for reporting a situation that exposed the client to substantial risk of harm. This is known as "whistleblower protections." The Scope of Practice Decision-Making Model does NOT require a nurse to consider ANSWER D. familiarity of the patient and family with the procedure being implemented. In order for a nurse to appropriately carry out his or her "duty to the patient," the nurse must ANSWER A.demonstrate strict adherence to professional dress code requirements. B. follow facility policies, whether they are congruent with what the nurse learned in school or not. C.consistently act in the best interest of every patient under the nurse's care. IDK THO LOLZ D.achieve a score of 70 percent or better on his or her annual employment performance evaluation. 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 B. Practicing in any setting without an appropriate practice supervisor who is at least telephonically available. The purpose of the Position Statements, guidelines and other documents in the Nursing Practice section of the BON webpage is to guide nurses in ANSWER B. making decisions related to their patient care assignments. According to Board Rule 213.27, Good Professional Character, which of the following actions by a nurse demonstrates that the nurse possesses good professional character? ANSWER B. The nurse realizes that he or she has given a medication to the wrong patient and immediately notifies the physician and documents the medication in the patient's chart. When an applicant for a nursing license receives a final conviction for first degree murder, the NPA mandates that the applicant ANSWER the case proceed and the board's charges be deemed to be true. 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 A. the nurse not obtaining treatment when symptoms first occurred. B. lack of fitness to practice which may impose a risk to patients. C. the likeliness the nurse would have the diagnoses for life. D. exposing patients or the public to a communicable disease. 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.