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NURSING RNSG 2221 jurisprudence QUESTIONS AND 100% CORRECT ANSWERS ( ANSWERS CORRECTLY HIGHLIGHTED IN YELLOW )

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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 CommitteeANSWER 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

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Uploaded on
September 4, 2024
Number of pages
31
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

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NURSING RNSG 2221
h h h




jurisprudence
h QUESTIONS AND 100%h h




CORRECT ANSWERS (
h h




ANSWERS
CORRECTLYHIGHLIG
h h




HTED IN YELLOW )
h h h

,A hnurse hwants hhelp hto hlobby hthe hTexas hLegislature hin hfavor hof ha hbill hthat hwill hhelp
hstaffnurses. hThe hnurse hshould
contact hhis hor hher hnursing hprofessional horganization.


A h nurse h who h contacts h a hphysician h to h clarify h a h medication h order h is
A. fulfilling ha hduty hto hkeep hthe hpatient hsafe.
B. likely h to h detract h from h a h collegial h nurse-physician h relationship.
C. engaging hin haction hthat his hthe hduty hof hthe hpharmacist.
D. not h fulfilling h nursing h tasks h with h other h patients.
When h deciding h what h course h of h action h to h follow, h the h nurse
has ha hduty hto halways hkeep hthe hpatient hsafe.


A hnurse hbelieves hthat hshe hlacks hthe hbasic h knowledge hand hskills h necessary hto
h carry h out h herhinitial h patient h assignment. h The h nurse h invokes h Safe h Harbor h and
h brings h her h Quick h Requesthfor h Safe h Harbor h form h to h her h supervisor. h What h other
h action h is h required h by h the h nurse h whenhrefusing han hassignment?The h nurse h must
hcollaborate h with hthe h supervisor h in han hattemptto hdetermine han halternate hassignment hthat hwill
hnot hviolate hthe hnurse's hduty hto hthe hpatient(s).



An h advanced h practice h registered h nurse h in h an h outpatient h clinic h could
h delegate h whichhofthe hfollowing htasks hto han hunlicensed hclinical hstaff hmember?

ANSWER

A. Administering h intramuscular h (IM) h and h subcutaneous h (SQ) h injections h other h than h insulin.

B. Calling h in h prescription h refills h of h a h PRN h pain h medication h for h which h no h refills h have h been
h authorized.


C. Reviewing hroutine hlaboratory hresults hand hcalling hthe hpatient hto htell hthe hpatient hwhat hthe hresults
hmean.


D. Cleansing hand hdressing ha h minor hleg hwound hin haccordance h with hstep-by-step hinstructions.

If h a h nurse h borrows h money h from h an h elderly h client h to h help h pay h personal h bills,
h this h actwouldhbe

ANSWER

A. physical h abuse h of h the h patient.

B. a h violation h of hprofessional h boundaries.

C. emotional habuse hof hthe hpatient.

D. a hviolation hof h Scope hof h Practice.

An h Incident-Based h Nursing h Peer h Review h Committee

,ANSWER

A. must h make h decisions h about h whether h or h not h a h nurse's h employment h should h be
h terminated, h andhwhether hor hnot hthe hnurse hwill hbe hpaid hfor haccrued hvacation htime.


B. may h include h the h nurse's h supervisor, h charge h nurse, h and h other h management-level h nurses
h whohavehadministrative hauthority hover hthe hnurse.


C. can hprohibit h the hnurse h from hcalling hwitnesses h or hasking hquestions hduring hthe hhearing.

D. must hadhere h to hdue h process hrequirements h for h the h nurse, hunless h the h nurse h has h already
h been h reportedhto h the h board h and h the h committee h is h only h reviewing h the h possible h impact h of
h external h factorson h the h error.




One hof hthe hways hthe hBON hcarries hout hits h mission his hby
ANSWER

A. starting h nursing h schools.

B. projecting hthe hneeds hfor h nurse haides hin hthe hstate.

C. approving h nursing h educational h programs.

D. regulating hwork hsettings h for h nurses.

A hnurse hbelieves hthat hshe hlacks hthe hbasic h knowledge hand h skills h necessary hto
h carry h out hher hinitial hpatient hassignment. hThe hnurse hinvokes hSafe hHarbor hand
hbrings hher hQuickhRequest h for h Safe h Harbor h form h to h her h supervisor. h What
h other h action h is h required h by h thehnurse hwhen hrefusing han hassignment?

ANSWER

A. The hnurse hmust hagree hto haccept hthe hassignment has hthere his hno hvalid hreason hto
hever h refuse hanhassignment.


B. The h nurse h must h go h home h immediately, h as h her h duty h to h any h of h the h patient(s)
h starts h only h afterhtakingreport.


C. The h nurse h must h collaborate h with h the h supervisor h in h an h attempt h to h determine
h an h alternatehassignmentthat hwill hnot hviolate hthe hnurse's hduty hto hthe hpatient(s).


D. The h nurse h must h fax h the h form h to hthe h BON h so h that h the h meeting h can h be h scheduled h within h two
h weeks.

, According hto hBoard hRule h213.29, hCriteria hand hProcedure hRegarding hIntemperate
hUse hand hLack hof hFitness hin hEligibility hand hDisciplinary hMatters, ha hperson
hdesiring hto hobtainhorretain h his h or h her h nursing h license h must h provide h a h sworn
h certificate h to h the h board h that h hehorshe hhas hNOT

ANSWER

A. had h any h alcohol h within h the h last h five h years.

B. been hunder h the hinfluence h of hany h alcohol hor h other hillegal h substance h for hthe h last hfive h years.

C. been h addicted h to h or h treated h for h the h use h of h alcohol hor h any h other h drug h in h the h last h five h years.

D. been h in h the h hospital h for h any h type h of h surgery h within h the h last h five h years.




In h Texas, h advanced h practice h registered h nurses h (APRNs) h may h delegate h which h of h the
hfollowing hto hunlicensed hassistive hpersonnel?

ANSWER

A. APRNs h can h delegate h anything h a h physician h would h delegate, h as h APRNs h are h educated h to
h engage h in h somehaspects hof hmedical hdiagnosis hand hmedical hmanagement.


B. Medical hdiagnosis hand hnursing hassessment hin hcompliance hwith hBON hRules h224 hand
h225 hon hRNhdelegation.


C. Advanced h practice h skills h that h the h APRN h learned h in h his h or h her h advanced h practice
h nursing h programhofstudy.


D. Activities h of h daily h living, h health h maintenance h activities, h and h nursing h tasks h in
h compliance h withhBONRules h224 hand h225 hon hRN hDelegation.


Which hof hthe hfollowing hsituations his han hexample hof ha hnurse hMAINTAINING
happropriateprofessional h boundaries h between h the h nurse h and h the h client? h A h nurse

ANSWER

A. rewards ha hpatient hwith ha hsmall hstuffed hmascot hof hhis hfavorite hfootball hteam hfor
hprogress hmadehinrehabilitation.


B. responds h less h frequently h to h a h demanding hpatient's h call h light.

C. shares h personal h information h regarding h her h recent h bankruptcy h because h the h patient h seems
h genuinelyhinterested.

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