Texas BON study guide, BON Quiz,
Jurisprudence| (Answered) 100%
Verified
A nurse who contacts a physician to clarify a medication order is
fulfilling a duty to keep the patient safe.
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
the case proceeds and the board's charges be deemed to be true.
When the BON considers imposing disciplinary action, it is most concerned with the
nurse consistently
acting in the best interest of clients
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
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.
Which of the following would indicate that an applicant for licensure is likely to possess
the good professional character necessary to hold a nursing license in Texas?
the applicant provides satisfactory evidence that he/she has not committed a violation of
the Nursing Practice Act or a Board rule
Which of the following statements correctly reflects Board Rule 217.20 regarding the
Safe Harbor Peer Review?
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
The identity of a person submitting a complaint against a nurse to the BON is kept
confidential
throughout the entire investigation process
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.
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
,Revisions to the NPA can only occur through
bills passed by the Texas Legislature
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
the LVN must have a registered nurse present at all times while they are providing
direct patient care
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 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?
Position Statement 15.14 Duty of a Nurse in Any Setting
Chart audits find the following practice 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
the nurse must be reported to the BON because of the combination of practice errors
with possible practice impairment due to substance use or abuse
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
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
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
protections for a nurse who requests a peer review determination
One way the board carries out its mission to protect the public is by
ensuring that each nurse is competent to practice safely
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
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
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
, Which of the following is an example of the nurse maintaining professional boundaries
of the nurse-client relationship?
Sharing candy from a patient with other staff and telling them the source of the candy
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 whose license has expired
may not practice until the license has been renewed
In a nurse-patient relationship, the most vulnerable patients are those who are
under anesthesia or sedation.
Action by a nurse that would constitute unprofessional conduct according to Board Rule
217.12 Unprofessional Conduct describes which of the following?
Failing to repay a guaranteed student loan
A nurse injects a medication by IV (intravenous) Push instead of IM (intramuscular) as
ordered by the physician. The patient goes into cardiac arrest and dies as a result of
this medication error. The nurse has worked at the facility for 15 years and this is his
first error. A correct determination by the Peer Review Committee would be that
the error is subject to reporting because it contributed to the death of a patient
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
a registered nurse or a licensed vocational nurse
When deciding what course of action to follow, the nurse
has a duty to always keep the patient safe
A LVN learns that a facility licensing law requires that a registered nurse always perform
a specific task related to admission of new patients. The LVN understands that this
means he or she
may not perform the task, as the RN level of licensure is necessary to perform the task
Which of the following resources on the BON web page would assist a nurse in
determining his or her scope of nursing practice?
The continuing competency info sheet
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 best method of notifying the BON about reportable violations by a nurse of the NPA
and board rules is to
complete the reporting form on the BON website though you may remain anonymous
and not provide a signature
To help a nurse decide if a task is within his or her individual scope of practice, a
prudent nurse should
obtain a list of tasks a nurse may perform from the BON
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:
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
Jurisprudence| (Answered) 100%
Verified
A nurse who contacts a physician to clarify a medication order is
fulfilling a duty to keep the patient safe.
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
the case proceeds and the board's charges be deemed to be true.
When the BON considers imposing disciplinary action, it is most concerned with the
nurse consistently
acting in the best interest of clients
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
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.
Which of the following would indicate that an applicant for licensure is likely to possess
the good professional character necessary to hold a nursing license in Texas?
the applicant provides satisfactory evidence that he/she has not committed a violation of
the Nursing Practice Act or a Board rule
Which of the following statements correctly reflects Board Rule 217.20 regarding the
Safe Harbor Peer Review?
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
The identity of a person submitting a complaint against a nurse to the BON is kept
confidential
throughout the entire investigation process
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.
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
,Revisions to the NPA can only occur through
bills passed by the Texas Legislature
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
the LVN must have a registered nurse present at all times while they are providing
direct patient care
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 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?
Position Statement 15.14 Duty of a Nurse in Any Setting
Chart audits find the following practice 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
the nurse must be reported to the BON because of the combination of practice errors
with possible practice impairment due to substance use or abuse
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
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
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
protections for a nurse who requests a peer review determination
One way the board carries out its mission to protect the public is by
ensuring that each nurse is competent to practice safely
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
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
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
, Which of the following is an example of the nurse maintaining professional boundaries
of the nurse-client relationship?
Sharing candy from a patient with other staff and telling them the source of the candy
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 whose license has expired
may not practice until the license has been renewed
In a nurse-patient relationship, the most vulnerable patients are those who are
under anesthesia or sedation.
Action by a nurse that would constitute unprofessional conduct according to Board Rule
217.12 Unprofessional Conduct describes which of the following?
Failing to repay a guaranteed student loan
A nurse injects a medication by IV (intravenous) Push instead of IM (intramuscular) as
ordered by the physician. The patient goes into cardiac arrest and dies as a result of
this medication error. The nurse has worked at the facility for 15 years and this is his
first error. A correct determination by the Peer Review Committee would be that
the error is subject to reporting because it contributed to the death of a patient
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
a registered nurse or a licensed vocational nurse
When deciding what course of action to follow, the nurse
has a duty to always keep the patient safe
A LVN learns that a facility licensing law requires that a registered nurse always perform
a specific task related to admission of new patients. The LVN understands that this
means he or she
may not perform the task, as the RN level of licensure is necessary to perform the task
Which of the following resources on the BON web page would assist a nurse in
determining his or her scope of nursing practice?
The continuing competency info sheet
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 best method of notifying the BON about reportable violations by a nurse of the NPA
and board rules is to
complete the reporting form on the BON website though you may remain anonymous
and not provide a signature
To help a nurse decide if a task is within his or her individual scope of practice, a
prudent nurse should
obtain a list of tasks a nurse may perform from the BON
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:
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
