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?
The initial step to invoke Safe Harbor requires that a nurse:
Based on the responsibilities outlined in a licensed nurse job advertisement, what is the minimum required license?
Which of the following tasks could an advanced practice registered nurse delegate to an unlicensed clinical staff member?
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Which of the following actions violates professional boundaries in the nurse-patient relationship?
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According to the NPA Section 301.406, what duty does a professional nursing association have when a nurse cheats on a certification exam?
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Whistleblower protection would apply to a nurse who reports unsafe conditions if:
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Conduct by a nurse that is subject to reporting to the BON includes all of the following EXCEPT:
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What is one key difference between the BON and nursing specialty associations?
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According to Rule 217.12(1), Unprofessional Conduct, which of the following is an example of an unsafe practice?
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Which activity falls within the LVN scope of practice according to the Standards of Nursing Practice, Board Rule 217.11?
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In which situation has a nurse become overly involved and at risk of committing a boundary violation?
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Stealing valuables from a patient may involve which of the following conduct?
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A person with a history of chemical dependency who wants a nursing license may need to provide evidence of:
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According to BON Position Statement 15.24, when can a nurse replace a gastrostomy tube?
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In the NPA, which conduct is subject to reporting?
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What is the policy for an applicant receiving a final conviction for first degree murder concerning their nursing license?
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Which situation exemplifies a nurse maintaining appropriate professional boundaries with a client?
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Implement measures to promote a safe environment for clients and others describes
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The purpose of the Position Statements, guidelines and other documents in the Nursing Practice section of the BON webpage is to guide nurses in
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Which of the following is an example of the nurse maintaining professional boundaries in the nurse-client relationship?
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Does the nurse have protection from negative employment action for reporting the above incident to the appropriate authorities?
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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
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An Incident-Based Nursing Peer Review Committee
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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
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A nurse whose license has expired may practice until the license has been renewed.
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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?
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Board cases involving eligibility or disciplinary issues that are resolved through a board agreed order
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One purpose of the BON's Position Statements and Guidelines is to provide
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In a nurse-patient relationship, the most vulnerable patients are those who are
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The mission of the BON supersedes
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According to the Standards of Nursing Practice, Board Rule 217.11, a comprehensive nursing assessment
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Why does the BON require nurses to disclose that they have been diagnosed with certain mental illnesses?
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Which of the following actions by a nurse would comply with the Standards of Nursing Practice in Board Rule 217.11?
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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
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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
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A temporary permit to practice nursing issued to a graduate of a board-approved nursing educational program
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Revisions to the NPA can only occur through
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Within the nurse licensure compact agreement, the party state that is the nurse's primary state of residence is called the nurse's
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One way the board carries out its mission to protect the public is by
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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
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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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In Texas, advanced practice registered nurses (APRNs) may delegate which of the following to unlicensed assistive personnel?
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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:
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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
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According to the NPA, Section 301.452 Grounds for Disciplinary Action, the definition of "intemperate use" includes
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According to the NPA section 301.403, the Peer Review Committee must report which of the following to the board?
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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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Description
Test your knowledge on the implementation of safety measures within nursing practice. This quiz covers essential concepts including safe staffing levels and the employer's responsibilities in maintaining a safe environment. Perfect for nursing students and professionals alike.