Nursing Jurisprudence and Ethics for Texas Nurses Q & A

Nursing Jurisprudence and Ethics for Texas Nurses Q & A In a nurse-patient relationship, the most vulnerable patients are those who are A. under anesthesia or sedation. B. wearing a patient or exam gown. C. undergoing ...

Nursing Jurisprudence and Ethics for Texas Nurses Q & A In a nurse-patient relationship, the most vulnerable patients are those who are A. under anesthesia or sedation. B. wearing a patient or exam gown. C. undergoing chemotherapy. D. using an interpreter. 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. B. the occurrence of 2 minor incidents within a twelve month period in a facility with no nursing peer review. C. mandatory overtime resulting in sixteen consecutive hours worked. D. a nurse who disagrees with the supervisor over a patient assignment. Which of the following resources on the BON web page would assist a nurse in determining his or her scope of nursing practice? A. Disciplinary Action: Individual's Report to the BON. B. Memorandum of Understanding between the BON and the Texas State Board of Pharmacy. C. The continuing competency into sheet. D. Scope of Practice Decision-Making Model. If a nurse has reason to believe a medication order is inaccurate or contraindicated, the Standards of Nursing Practice require the nurse to do all of the following EXCEPT: A. consult with the ordering practitioner to clarify the order. B. give the medication as ordered and document concerns in the medical record. C. tell the ordering practitioner if the nurse decide not to give the medication. D. collaborate with other members f the health care team for more information about the medication and why it was ordered. 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. B. the experience of each licensed nurse. C. the state where the nurse was licensed. D. the physical and emotional ability of each licensed nurse. A person may not practice or offer to practice professional or vocational nursing in Texas unless the person A. graduates from a board-approved nursing educational program in Texas. B. completes at least 500 hours of clinical practice inn his or her nursing educational program. C. demonstrates basic nursing skills on the Nursing Competency Skills List. D. holds a license as required by the NPA. 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 A. true. The nurse must work the entire currently posted work schedule before he can quit his present job. B. true. It would be "patient abandonment" if the nurse does not complete the current schedule. The nurse could be reported to the BON. C. 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. D. false. The nurse only has to work for two more weeks of the schedule before he can quit. The BON rules regarding licensure renewal require the nurse to answer eligibility questions concerning which of the following with regard to the previous two-year licensure cycle A. whether the nurse has completed hours of continuing education. B. whether the nurse has a current CPR card. C. whether the nurse has any criminal background that must be revealed. D. whether the nurse has been fired from employment in the past two years. Chart audits find the following 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 A. the nurse needs remedial education in how to document the rationale for and response to PRN pain medications. B. the nurse must be reported to the Texas Medical Board for signing out medications without a valid physician's order for controlled substances. C. the nurse should be terminated from employment at the facility for stealing drugs. D. 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.