jurisprudence questions and complete answers

A nurse wants help to lobby the Texas Legislature in favor of a bill that will help staff nurses. The nurse should contact his or her nursing professional organization. A nurse who contacts a physician to clarify a medication order is A. fulfilling a duty to keep the patient safe. B. likely to detract from a collegial nurse-physician relationship. C. engaging in action that is the duty of the pharmacist. D. not fulfilling nursing tasks with other patients. When deciding what course of action to follow, the nurse has a duty to always keep the patient safe. A nurse believes that she lacks the basic knowledge and skills necessary to carry out her initial patient assignment. The nurse invokes Safe Harbor and brings her Quick Request for Safe Harbor form to her supervisor. What other action is required by the nurse when refusing an assignment?The nurse must collaborate with the supervisor in an attempt to determine an alternate assignment that will not violate the nurse's duty to the patient(s). An advanced practice registered nurse in an outpatient clinic could delegate which of the following tasks to an unlicensed clinical staff member? ANSWER A. Administering intramuscular (IM) and subcutaneous (SQ) injections other than insulin. B. Calling in prescription refills of a PRN pain medication for which no refills have been authorized. C. Reviewing routine laboratory results and calling the patient to tell the patient what the results mean. D. Cleansing and dressing a minor leg wound in accordance with step-by-step instructions. If a nurse borrows money from an elderly client to help pay personal bills, this act would be ANSWER A. physical abuse of the patient. B. a violation of professional boundaries. C. emotional abuse of the patient. D. a violation of Scope of Practice. An Incident-Based Nursing Peer Review Committee ANSWER A. must make decisions about whether or not a nurse's employment should be terminated, and whether or not the nurse will be paid for accrued vacation time. B. may include the nurse's supervisor, charge nurse, and other management-level nurses who have administrative authority over the nurse. C. can prohibit the nurse from calling witnesses or asking questions during the hearing. D. must adhere to due process requirements for the nurse, unless the nurse has already been reported to the board and the committee is only reviewing the possible impact of external factors on the error. One of the ways the BON carries out its mission is by ANSWER A. starting nursing schools. B. projecting the needs for nurse aides in the state. C. approving nursing educational programs. D. regulating work settings for nurses. A nurse believes that she lacks the basic knowledge and skills necessary to carry out her initial patient assignment. The nurse invokes Safe Harbor and brings her Quick Request for Safe Harbor form to her supervisor. What other action is required by the nurse when refusing an assignment? ANSWER A. The nurse must agree to accept the assignment as there is no valid reason to ever refuse an assignment. B. The nurse must go home immediately, as her duty to any of the patient(s) starts only after taking report. C. The nurse must collaborate with the supervisor in an attempt to determine an alternate assignment that will not violate the nurse's duty to the patient(s). D. The nurse must fax the form to the BON so that the meeting can be scheduled within two weeks. According to Board Rule 213.29, Criteria and Procedure Regarding Intemperate Use and Lack of Fitness in Eligibility and Disciplinary Matters, a person desiring to obtain or retain his or her nursing license must provide a sworn certificate to the board that he or she has NOT ANSWER A. had any alcohol within the last five years. B. been under the influence of any alcohol or other illegal substance for the last five years. C. been addicted to or treated for the use of alcohol or any other drug in the last five years. D. been in the hospital for any type of surgery within the last five years. In Texas, advanced practice registered nurses (APRNs) may delegate which of the following to unlicensed assistive personnel? ANSWER A. APRNs can delegate anything a physician would delegate, as APRNs are educated to engage in some aspects of medical diagnosis and medical management. B. Medical diagnosis and nursing assessment in compliance with BON Rules 224 and 225 on RN delegation. C. Advanced practice skills that the APRN learned in his or her advanced practice nursing program of study. D. Activities of daily living, health maintenance activities, and nursing tasks in compliance with BON Rules 224 and 225 on RN Delegation. Which of the following situations is an example of a nurse MAINTAINING appropriate professional boundaries between the nurse and the client? A nurse ANSWER A. rewards a patient with a small stuffed mascot of his favorite football team for progress made in rehabilitation. B. responds less frequently to a demanding patient's call light. C. shares personal information regarding her recent bankruptcy because the patient seems genuinely interested. D. is personally attracted to a patient and calls and visits him on her days off "to check on how he is doing." An advertisement for a "licensed nurse" states the following as routine job responsibilities: "Must work independently without supervision; have expertise in developing nursing care plans, including establishing appropriate nursing diagnoses for assigned patients; and, must be able to complete comprehensive nursing assessments." Based on these responsibilities, this advertisement would require, at a minimum, the nurse to hold a valid RN When a nurse commits a crime outside of the workplace, the BON's concern relates to whether the nurse may ANSWER A. discuss the crime with his or her colleagues. B. involve other nurses in the criminal behavior. C. repeat the same misconduct against a patient. D. lie to his or her family about the criminal behavior. Conduct by a nurse that is subject to reporting to the BON includes all of the following EXCEPT: conduct that constitutes a single minor incident in compliance with Board Rule 217.16, Minor Incidents. Any person who wishes to report and or file a complaint against a nurse regarding possible violations of the board rules should rint a complaint form from the BON web page under the Disciplinary Action section, complete as much of the information as possible, and mail or fax the form to the BON. Halfway through her shift, a nurse is told she will be getting several patient admissions. The nurse is fearful that she cannot provide safe care for so many patients. What initial steps must the nurse take if she decides to invoke Safe Harbor? Discuss patient safety with the supervisor and invoke Safe Harbor. The BON rules, located in Title 22 of the Texas Administrative Code, help implement and reflect ANSWER A. the standards of nursing care developed by various nursing specialty and professional organizations. B. the statutes passed by the legislature relating to nursing found in Texas Occupations Code, including the NPA. C. the steps necessary to complete the NCLEX exam application. D. the process necessary to be promoted to higher positions in nursing in different practice settings.