Questions and Answers
What is the best decision for the Incident Based Peer Review Committee to make regarding the nurse's actions?
What type of license is required to utilize the two BON rules on delegation to unlicensed personnel?
The BON rules in Title 22 of the Texas Administrative Code help implement and reflect?
In the scenario where a school district contracts an RN to teach staff about blood glucose monitoring, the RN is?
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To help a nurse decide if a task is within his or her individual scope of practice, a prudent nurse should?
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A nurse's history of substance use disorder or mental illness is relevant to nursing licensure because it may indicate?
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When the BON considers imposing disciplinary action, it is most concerned with the nurse consistently?
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Rule 216 related to Continuing Competency requires nurses to complete?
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Why does the Chief Nursing Officer (CNO) send a case to the Incident Based Peer Review (IBPR) Committee when a nurse is terminated for practice errors?
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While an LVN has a 'directed' scope of practice, this is NOT true for an RN. This means that the RN?
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Which of the following activities would violate a provision of the NPA and Board Rule 217.11(2), Standards of Nursing Practice, related to the practice of nursing by an LVN?
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The integrated pattern of personal, academic, and occupational behaviors indicating an individual consistently conforms to the Nursing Practice Act and the Board's rules relates to?
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In the scenario where a nurse reports a physician for breaking sterile technique, which statement is accurate?
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The board's Disciplinary Sanction Policy on Sexual Misconduct explains that?
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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?
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The identity of a person submitting a complaint against a nurse to the BON is kept confidential?
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A nurse was arrested for making death threats and admitted to a psychiatric facility. The BON is likely to consider this conduct as grounds for disciplinary action due to?
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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?
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In Texas, advanced practice registered nurses (APRNs) may delegate which of the following to unlicensed assistive personnel?
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According to BON Position Statement 15.24, what is required for a nurse to replace a gastrostomy tube?
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How does the BON differ from nursing and healthcare specialty associations?
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What does Board Rule 217.11 state regarding LVN scope of practice in care plans?
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If a nurse contacts a physician to clarify a medication order, what is the nurse fulfilling?
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What specific portion of Board Rule 217.12 concerns job abandonment?
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Which situation exemplifies a nurse maintaining appropriate professional boundaries?
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Which nursing license is required based on advertised job responsibilities?
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What is required by the NPA when a nurse is caught stealing narcotics and admits to chemical dependency?
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When a nurse is reported for multiple practice errors, what may the BON determine?
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To maintain nursing license eligibility, what must a person provide according to Board Rule 213.29?
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After a nurse refuses a float assignment and invokes Safe Harbor, what is required?
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What happens when an applicant for a nursing license has a final conviction for first degree murder?
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What evidence might a person with a substance use disorder need to provide?
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A nursing error that contributes to patient harm cannot be considered minor if:
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If a nurse is terminated from jobs for stealing, what may this indicate?
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What occurs if a BON investigator cannot notify a nurse of formal charges?
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What do the functions of the BON include?
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What should a nurse do if they commit a minor incident?
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Which statement correctly reflects Board Rule 217.20 regarding Safe Harbor Peer Review?
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Why was the nurse correct to question a medication order?
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What identification must each nurse wear while interacting with the public?
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Which patients are the most vulnerable in a nurse-patient relationship?
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What constitutes 'conduct subject to reporting' in the NPA?
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Which resource would help a nurse determine their scope of practice?
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What must a nurse do if they suspect a medication order is inaccurate?
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When assigning nursing tasks to other LVNs and RNs, which factor is NOT considered?
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What must a person do to legally practice nursing in Texas?
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What constitutes 'patient abandonment' according to the BON?
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What eligibility question must nurses answer for licensure renewal?
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Chart audits find the following errors committed by a nurse with observed __________ behavior at work.
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Study Notes
Nursing Procedures and Responsibilities
- A nurse can replace a gastrostomy tube after 8-12 weeks if they have a physician's order and completed specific competency training.
- The Board of Nursing (BON) protects the welfare of Texas residents and differs from associations that may lobby for nursing legislation.
- Licensed Vocational Nurses (LVNs) may participate in the modification and development of nursing care plans but cannot initiate them independently.
- Contacting a physician to clarify medication orders is part of a nurse's duty to ensure patient safety.
- Job abandonment is addressed under Board Rule 217.12, specifically in Paragraph (12).
Professional Boundaries and Ethics
- A nurse maintains appropriate professional boundaries by rewarding progress in rehabilitation rather than personalizing the relationship.
- For certain responsibilities, a nurse requires a Registered Nurse license, signifying the minimum competencies needed.
- Upon admitting to substance dependence, the nurse must be monitored by a Peer Review Committee, according to the NPA.
Safety and Patient Care
- Continuous practice errors reported to the BON may indicate risk to patient safety.
- A nurse with a first-degree murder conviction must wait five years post-release from supervision to apply for a nursing license.
- A report to the BON isn’t required for minor incidents unless they pose significant risks to patients.
Licensing and Reporting
- Nurses must be aware of the implications of questioning a physician's orders, supported by the Position Statement 15.14 highlighting their duty to patient safety.
- Practicing nursing in Texas necessitates holding a valid nursing license; an applicant must comply with specific education and licensing criteria.
- Quitting a job at the end of a shift is not considered patient abandonment, countering potential misconceptions.
Continuing Education and Competence
- Nurses must answer questions about any criminal background during the licensure renewal process, impacting their eligibility.
- The BON's rules advocate for accountability regarding narcotic management, requiring action if practices indicate impairment or substance use issues.
Scope of Practice
- Registered Nurses (RNs) are necessary for delegating tasks to unlicensed personnel, ensuring that patient care standards are maintained.
- The BON enforces statutes from the Texas Occupations Code, shaping the nursing profession's operational standards and practice laws.
Instructional Roles in Nursing
- An RN is contracted to teach staff how to monitor blood glucose levels, demonstrating the application of nursing expertise outside direct patient care contexts.### Nurse Delegation and Scope of Practice
- RN is responsible for training staff to monitor blood glucose effectively.
- A prudent nurse evaluates tasks against the Scope of Practice Decision-Making Model.
- The Board of Nursing (BON) provides a list of tasks specific to nursing practice.
Substance Use and Nursing Licensure
- A nurse's history of substance use disorder is crucial for evaluating fitness for duty.
- Disciplinary actions from BON focus on the nurse's ability to serve clients' best interests.
Continuing Competency and Education Requirements
- Rule 216 mandates RNs to complete 20 contact hours of continuing education biennially.
Incident Based Peer Review (IBPR)
- CNO must report practice errors to the IBPR Committee, which evaluates external factors impacting care.
RN Practice Autonomy
- Unlike LVNs, RNs can practice independently within their designated scope.
Violations of Nursing Practice
- Practicing without a qualified supervisor is a violation of nursing standards for LVNs.
Professional Character and Ethical Standards
- Adherence to the Nursing Practice Act reflects on an individual’s professional character.
Reporting Ethical Violations
- Nurses are protected from discipline for reporting ethical breaches, such as observing a physician violating sterile technique.
Sexual Misconduct Policy
- Sexual misconduct is a critical concern; it questions the nurse's ability to provide safe care.
Professional Boundaries
- Nurses borrowing money from patients significantly breach professional boundaries.
Confidentiality in Complaints
- The identity of individuals filing complaints against nurses remains confidential throughout the investigation.
Mental Health and Fitness for Practice
- Conduct raising concerns regarding fitness to practice, such as making threats, may trigger disciplinary actions.
Chemical Dependency and Licensing
- Individuals with chemical dependency histories must demonstrate current sobriety and fitness to practice for licensure.
APRN Delegation Authority
- In Texas, APRNs can delegate daily activities and health maintenance tasks to unlicensed assistive personnel according to BON rules.
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Description
Test your knowledge on the legal and ethical guidelines relevant to nursing practice in Texas. This quiz focuses on key position statements and scope of practice as defined by the Board of Nursing. Prepare to engage with complex scenarios involving nursing ethics and jurisprudence.