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BON QuizImplement measures to promote a safe environment for clients and others describes B. The employer's requirement for safe staffing levels. The purpose of the Position Statements, guidelines and other documents
in the Nursing Practice section of the BON webpage is to guide nurses in B. making decisions related to their patient care assignments. Which of the following is an example of the nurse maintaining professional boundaries of the nurse-client relationship? C. Sharing candy from a patient with other staff and telling them the source of the candy. 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 C. It depends. The nurse may be protected, but only if the nurse can prove that the client was in an unsafe situation. 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 C. an unacceptable practice due to the lack of a licensed nurse who is physically present and readily available to directly supervise the GVN. An Incident-Based Nursing Peer Review Committee 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. 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 D. protections for a nurse who requests a peer review determination. A nurse whose license has expired A. may not practice until the license has been renewed. 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 A. The nurse cannot be disciplined by the BON or discriminated against by the employer. Board cases involving eligibility or disciplinary issues that are resolved through a board agreed order A. are public records and accessible on the BON's web page. One purpose of the BON's Position Statements and Guidelines is to provide 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. In a nurse-patient relationship, the most vulnerable patients are those who are A. under anesthesia or sedation. The mission of the BON supersedes C. the interests of individuals, the profession, or special interest groups. According to the Standards of Nursing Practice, Board Rule 217.11, a comprehensive nursing assessment D. can be completed only by a registered nurse. Why does the BON require nurses to disclose that they have been diagnosed with, treated for, or hospitalized with certain mental illnesses? B. Nurses diagnosed with these disorders may lack fitness to practice nursing safely and may require a period of monitored practice by the BON. Which of the following actions by a nurse would comply with the Standards of Nursing Practice in Board Rule 217.11? C. Documenting an aspect of nursing care provided to a patient after the fact by following facility policy for making a "late entry. 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 D. the BON's rule concerning good professional character. A nurse fears that administration of a medication as ordered would place a patient at risk of harm. The nurse would fulfill his duty to the patient if
the nurse B. informs the physician of his concern and requests clarification of the order. A temporary permit to practice nursing issued to a graduate of a board-approved nursing educational program D. may be denied based on a licensure candidate's criminal history. Revisions to the NPA can only occur through D. bills passed by the Texas Legislature. Within the nurse licensure compact agreement, the party state that is the
nurse's primary state of residence is called the nurse's One way the board carries out its mission to protect the public is by A. ensuring that each nurse is competent to practice safely. A nurse was terminated from three different jobs because 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. To help a nurse decide if a task is within his
or her individual scope of practice, a prudent nurse should B. obtain a list of tasks a nurse may perform from the BON. In Texas, advanced practice registered nurses (APRNs) may delegate which of the following to unlicensed assistive personnel? D. Activities of daily living, health maintenance activities, and nursing tasks in compliance with BON Rules 224 and 225 on RN Delegation. A person with a history of 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: C. attendance at Alcoholics Anonymous meetings 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 B. the LVN must have a registered nurse present at all times while they are providing direct patient care. According to the NPA, Section 301.452 Grounds for Disciplinary Action, the definition of "intemperate use" includes C. being on-call or on duty while under the influence of alcohol or drugs. According to the NPA section 301.403, the Peer Review Committee must report which
of the following to the board? B. A description of any corrective action taken against the nurse. 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: 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. In order for a nurse to appropriately carry out his or her "duty to the patient," the nurse must C. consistently act in the best interest of every patient under the nurse's care. 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 C. Position Statement 15.14 Duty of a Nurse in Any Setting. The initial step to invoke Safe Harbor requires that a nurse A. notify the supervisor and submit a written Quick Request for Safe Harbor to the supervisor before accepting the assignment. 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 D. Registered Nurse license. An advanced practice registered nurse in an outpatient clinic could delegate which of the following tasks to an unlicensed clinical staff member? D. Cleansing and dressing a minor leg wound in accordance with step-by-step instructions. 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. A nurse borrows money from a patient to repair the nurse's car. 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. Acco B. also has a duty to report the nurse to the BON. A DON terminates a nurse's employment after the nurse reports unsafe conditions to the
facility's licensing entity. Whistleblower protection would apply to the nurse B. if the accusations were made in good faith. Conduct by a nurse that is subject to reporting to the BON includes all of the following EXCEPT: B. conduct that constitutes a single minor incident in compliance with Board Rule 217.16, Minor Incidents. The BON differs from nursing and healthcare specialty associations since the BON D. protects and promotes the welfare of the people of Texas. According to Rule 217.12(1), Unprofessional Conduct, one example of an unsafe practice includes failing to D. manage client records properly. 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? C. Participate in the modification and development of the nursing care plan. 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 C. has become overly involved and is at risk of committing a boundary violation. 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 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 A. current sobriety and fitness to practice. According to BON Position Statement 15.24 Nurses 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. In the NPA, "conduct subject to reporting" includes A. conduct that causes a person to suspect that the nurse's practice is impaired by chemical dependency or drug or alcohol abuse. When an applicant for a nursing license receives a final conviction for first degree murder, the NPA mandates that the applicant C. will not be eligible to apply for an initial nursing license until five years after being released from community supervision or parole. 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. What do the standards of practice provide nurses with quizlet?Quality of Practice - enhance quality of nursing.. Education - attain knowledge.. Professional Practice Evaluation - evaluate one's own nursing practice.. Collegiality - interact with peers and colleagues.. Collaboration - partner with patient, family and others to provide care.. Ethics - adhere to ANA Code of Ethics.. When nursing assignments to LVNs and RNs The Board Rules 217.11 standards of nursing practice require the nurse in a supervisory position to take into consideration?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: A. the educational preparation of each licensed nurse.
What standard of practice from the Texas Board of Nursing Rule 217.11 Did you implement and how?Rule 217.11, Standards of Nursing Practice, requires that when assignments are made, both the charge nurse and the staff nurse take into consideration client safety, as well as the educational preparation, knowledge, skills, and physical and emotional abilities of the individual licensed nurse to whom a given ...
Which of the following statements best describes the Texas Board of Nursing position statements?Which of the following statements best describes the Texas Board of Nursing Position Statements? The Position Statements are a collection of guidelines designed to help nurses position patients for different procedures.
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