Podcast
Questions and Answers
Which of the following documents on the BON website best explains why the nurse was correct to question a physician's order?
Which of the following documents on the BON website best explains why the nurse was correct to question a physician's order?
- Guideline for LVN Scope of Practice under Board Rule 217.11
- Guideline for Nurses Transitioning to a New Practice Setting
- Statistics on the number of nurses living in each county in Texas
- Position Statement 15.14 Duty of a Nurse in Any Setting (correct)
The initial step to invoke Safe Harbor requires that a nurse:
The initial step to invoke Safe Harbor requires that a nurse:
- Complete a written request to Petition for a Declaratory Order
- Complete a Licensure Renewal Form, give it to the supervisor, and wait to be notified of the date and time for the peer review hearing
- Notify the supervisor and submit a written Quick Request for Safe Harbor to the supervisor before accepting the assignment (correct)
- Hire an attorney so that all correspondence can be sent through the nurse's legal counsel
Based on the responsibilities outlined in a licensed nurse job advertisement, what is the minimum required license?
Based on the responsibilities outlined in a licensed nurse job advertisement, what is the minimum required license?
- Advanced Practice Registered Nurse license
- Registered Nurse license (correct)
- Vocational Nurse license
- Physician Assistant license
Which of the following tasks could an advanced practice registered nurse delegate to an unlicensed clinical staff member?
Which of the following tasks could an advanced practice registered nurse delegate to an unlicensed clinical staff member?
Which of the following actions violates professional boundaries in the nurse-patient relationship?
Which of the following actions violates professional boundaries in the nurse-patient relationship?
According to the NPA Section 301.406, what duty does a professional nursing association have when a nurse cheats on a certification exam?
According to the NPA Section 301.406, what duty does a professional nursing association have when a nurse cheats on a certification exam?
Whistleblower protection would apply to a nurse who reports unsafe conditions if:
Whistleblower protection would apply to a nurse who reports unsafe conditions if:
Conduct by a nurse that is subject to reporting to the BON includes all of the following EXCEPT:
Conduct by a nurse that is subject to reporting to the BON includes all of the following EXCEPT:
What is one key difference between the BON and nursing specialty associations?
What is one key difference between the BON and nursing specialty associations?
According to Rule 217.12(1), Unprofessional Conduct, which of the following is an example of an unsafe practice?
According to Rule 217.12(1), Unprofessional Conduct, which of the following is an example of an unsafe practice?
Which activity falls within the LVN scope of practice according to the Standards of Nursing Practice, Board Rule 217.11?
Which activity falls within the LVN scope of practice according to the Standards of Nursing Practice, Board Rule 217.11?
In which situation has a nurse become overly involved and at risk of committing a boundary violation?
In which situation has a nurse become overly involved and at risk of committing a boundary violation?
Stealing valuables from a patient may involve which of the following conduct?
Stealing valuables from a patient may involve which of the following conduct?
A person with a history of chemical dependency who wants a nursing license may need to provide evidence of:
A person with a history of chemical dependency who wants a nursing license may need to provide evidence of:
According to BON Position Statement 15.24, when can a nurse replace a gastrostomy tube?
According to BON Position Statement 15.24, when can a nurse replace a gastrostomy tube?
In the NPA, which conduct is subject to reporting?
In the NPA, which conduct is subject to reporting?
What is the policy for an applicant receiving a final conviction for first degree murder concerning their nursing license?
What is the policy for an applicant receiving a final conviction for first degree murder concerning their nursing license?
Which situation exemplifies a nurse maintaining appropriate professional boundaries with a client?
Which situation exemplifies a nurse maintaining appropriate professional boundaries with a client?
Implement measures to promote a safe environment for clients and others describes
Implement measures to promote a safe environment for clients and others describes
The purpose of the Position Statements, guidelines and other documents in the Nursing Practice section of the BON webpage is to guide nurses in
The purpose of the Position Statements, guidelines and other documents in the Nursing Practice section of the BON webpage is to guide nurses in
Which of the following is an example of the nurse maintaining professional boundaries in the nurse-client relationship?
Which of the following is an example of the nurse maintaining professional boundaries in the nurse-client relationship?
Does the nurse have protection from negative employment action for reporting the above incident to the appropriate authorities?
Does the nurse have protection from negative employment action for reporting the above incident to the appropriate authorities?
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
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
An Incident-Based Nursing Peer Review Committee
An Incident-Based Nursing Peer Review Committee
A nurse may not be reported to the BON for either appropriately invoking Safe Harbor or for advising another nurse of their right to invoke Safe Harbor. These are
A nurse may not be reported to the BON for either appropriately invoking Safe Harbor or for advising another nurse of their right to invoke Safe Harbor. These are
A nurse whose license has expired may practice until the license has been renewed.
A nurse whose license has expired may 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 in relation to this scenario?
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?
Board cases involving eligibility or disciplinary issues that are resolved through a board agreed order
Board cases involving eligibility or disciplinary issues that are resolved through a board agreed order
One purpose of the BON's Position Statements and Guidelines is to provide
One purpose of the BON's Position Statements and Guidelines is to provide
In a nurse-patient relationship, the most vulnerable patients are those who are
In a nurse-patient relationship, the most vulnerable patients are those who are
The mission of the BON supersedes
The mission of the BON supersedes
According to the Standards of Nursing Practice, Board Rule 217.11, a comprehensive nursing assessment
According to the Standards of Nursing Practice, Board Rule 217.11, a comprehensive nursing assessment
Why does the BON require nurses to disclose that they have been diagnosed with certain mental illnesses?
Why does the BON require nurses to disclose that they have been diagnosed with certain mental illnesses?
Which of the following actions by a nurse would comply with the Standards of Nursing Practice in Board Rule 217.11?
Which of the following actions by a nurse would comply with the Standards of Nursing Practice in Board Rule 217.11?
The integrated pattern of personal, academic, and occupational behaviors that indicate an individual conforms to the requirements of the Nursing Practice Act and the Board's rules relates to
The integrated pattern of personal, academic, and occupational behaviors that indicate an individual conforms to the requirements of the Nursing Practice Act and the Board's rules relates to
A nurse fears that administration of a medication as ordered would place a patient at risk. The nurse would fulfill his duty to the patient if the nurse
A nurse fears that administration of a medication as ordered would place a patient at risk. The nurse would fulfill his duty to the patient if the nurse
A temporary permit to practice nursing issued to a graduate of a board-approved nursing educational program
A temporary permit to practice nursing issued to a graduate of a board-approved nursing educational program
Revisions to the NPA can only occur through
Revisions to the NPA can only occur through
Within the nurse licensure compact agreement, the party state that is the nurse's primary state of residence is called the nurse's
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
One way the board carries out its mission to protect the public is by
A nurse was terminated from three different jobs because he or she was stealing from staff members. Though this activity does not involve patients, it may indicate that
A nurse was terminated from three different jobs because he or she was stealing from staff members. Though this activity does not involve patients, it may indicate that
To help a nurse decide if a task is within his or her individual scope of practice, a prudent nurse should
To help a nurse decide if a task is within his or her individual scope of practice, a prudent nurse should
In Texas, advanced practice registered nurses (APRNs) may delegate which of the following to unlicensed assistive personnel?
In Texas, advanced practice registered nurses (APRNs) may delegate which of the following to unlicensed assistive personnel?
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:
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:
The Position Statement 15.27 The Licensed Vocational Nurse Scope of Practice outlines that LVNs have a "directed" scope of practice under supervision. This means that
The Position Statement 15.27 The Licensed Vocational Nurse Scope of Practice outlines that LVNs have a "directed" scope of practice under supervision. This means that
According to the NPA, Section 301.452 Grounds for Disciplinary Action, the definition of "intemperate use" includes
According to the NPA, Section 301.452 Grounds for Disciplinary Action, the definition of "intemperate use" includes
According to the NPA section 301.403, the Peer Review Committee must report which of the following to the board?
According to the NPA section 301.403, the Peer Review Committee must report which of the following to the board?
A nurse is terminated and reported to the BON for committing repeated practice errors. The CNO also sends the case to the Incident-Based Peer Review Committee because:
A nurse is terminated and reported to the BON for committing repeated practice errors. The CNO also sends the case to the Incident-Based Peer Review Committee because:
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Study Notes
Safe Environment and Nurse Responsibilities
- The employer is required to ensure safe staffing levels to promote a safe environment for clients and others.
- Nurses must make decisions related to patient care assignments based on guidelines provided by the BON.
Professional Boundaries in Nurse-Client Relationships
- Sharing candy from a patient with staff while disclosing its source exemplifies maintaining professional boundaries.
- Accepting gifts or inviting former patients to personal events breaches professional behavior norms.
Reporting Concerns and Whistleblower Protections
- Nurses may face negative employment actions after reporting unsafe situations, but can be protected under whistleblower laws if they prove significant risk existed.
- Accurate reporting of misconduct, such as a physician compromising sterile technique, shields nurses from potential disciplinary actions by the BON.
Nursing Licensure and Practice Requirements
- Nurses cannot practice without a current and renewed license; expired licenses prohibit practice.
- Graduate vocational nurses must be supervised by a licensed nurse physically present in the practice setting.
Governance and Oversight
- Nursing peer review committees must uphold due process for nurses facing employment termination.
- Board agreed orders related to disciplinary actions are public records accessible online.
Ability to Practice Safely
- The BON requires nurses to disclose mental health diagnoses to ensure fitness for safe practice.
- The comprehensive nursing assessment per nursing standards must be completed only by a registered nurse.
Delegation and Scope of Practice
- Advanced practice registered nurses (APRNs) can delegate specific nursing tasks in compliance with BON rules.
- Due to substance abuse history, individuals may need to show evidence of sobriety and additional qualifications to be licensed.
Disciplinary Actions and Ethical Responsibilities
- A nurse with a history of theft, even if not related to patients, raises concerns about potential exploitation of vulnerable patients.
- Documentation of nursing care should follow facility policy, especially for late entries.
Safe Harbor Procedures
- Nurses invoking Safe Harbor must notify supervisors before accepting assignments they deem unsafe.
- Guidelines affirm the nurse's duty to question potentially harmful physician orders, emphasizing patient safety.
Heart of Nursing Practice Standards
- Nurses must consistently act in the best interest of patients, adhering to the Nursing Practice Act (NPA).
- The home state is defined as the primary residence of the nurse within the Nurse Licensure Compact agreement.
Legal and Legislative Framework
- Amendments to the Nursing Practice Act (NPA) occur only through bills passed by the Texas Legislature.
- Peer review committees are responsible for reporting corrective actions to the BON concerning nurses' practice issues.### Delegation of Tasks
- Advanced practice registered nurses can delegate tasks to unlicensed staff in outpatient settings.
- Cleansing and dressing a minor leg wound can be delegated if following step-by-step instructions.
Professional Boundaries
- Maintaining professional boundaries is crucial in nurse-patient relationships.
- Borrowing money from a patient is a clear violation of these boundaries.
Reporting Obligations
- Professional nursing associations are required to report unethical behavior to the Board of Nursing (BON).
- Disqualification from certification can result from cheating on exams.
Whistleblower Protection
- Whistleblower protection applies to nurses reporting unsafe conditions if made in good faith.
Conduct Subject to Reporting
- Not all conduct is subject to reporting; minor incidents compliant with Board rules are exceptions.
- Serious violations include abuse, fraud, or actions leading to patient harm.
BON Responsibilities
- The BON's primary obligation is to protect the welfare of the public.
- Unlike nursing associations, BON does not lobby for legislation or offer liability insurance.
Unsafe Nursing Practices
- Failing to manage client records properly is an example of unsafe nursing practice.
Care Plan Participation
- Licensed Vocational Nurses (LVNs) may participate in modifying and developing nursing care plans.
Boundary Violations
- A nurse excessively involved with a patient risks violating professional boundaries.
Theft as Unprofessional Conduct
- Stealing from patients, including valuables, constitutes theft and unprofessional conduct.
Evidence of Sobriety
- Individuals with a history of substance abuse must provide evidence of current sobriety to obtain or retain a nursing license.
Replacement of Feeding Tubes
- Nurses can replace gastrostomy tubes only if certain conditions are met, including competency training and physician's orders.
Reporting Impaired Practice
- Conduct indicating potential impairment due to substance abuse must be reported.
Eligibility for Nursing License
- Applicants with serious convictions, such as first-degree murder, must wait five years post-release from supervision to apply for a nursing license.
Maintaining Professional Boundaries
- Appropriate actions include rewarding patients for progress, while sharing personal issues or visiting patients outside work violates boundaries.
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