BON Quiz 2023 with complete solutions

Implement measures to promote a safe environment for clients and others describes A. The nurse's ability to invoke Safe Harbor. B. The employer's requirement for safe staffing levels. C. The nurse's duty to the patient. D. The employer's requirement to ensure the workplace meets OSHA safety standards. - Answer- B. The employer's requirement for safe staffing levels. The purpose of the Position Statements, guidelines and other documents in the Nursing Practice section of the BON webpage is to guide nurses in A. presenting a professional demeanor in a work setting. B. making decisions related to their patient care assignments. C. obtaining specialty certification. D. preparing for the NCLEX exam. - Answer- B. making decisions related to their patient care assignments. Which of the following is an example of the nurse maintaining professional boundaries of the nurse-client relationship? A. Accepting a $100 gift from the family of a hospitalized patient. B. Inviting the patient to come to dinner at her home after the patient is discharged. C. Sharing candy from a patient with other staff and telling them the source of the candy. D. Providing her personal cell phone number to the patient. - Answer- C. Sharing candy from a patient with other staff and telling them the source of the candy. A nurse finds an elderly woman helpless and alone after the unlicensed caretaker quit without notifying the agency. The nurse is then fired for reporting the caretaker for possible abuse and neglect. Does the nurse have protection from negative employment action for reporting the above incident to the appropriate authorities? A. No, the nurse is not protected in this example. The nurse must always follow any directive from his or her boss. B. No, the nurse is not protected in this example as the employer can terminate the nurse for any reason at any time. C. It depends. The nurse may be protected, but only if the nurse can prove that the client was in an unsafe situation. D. Yes, the nurse is protected from negative employment action for reporting a situation that exposed the client to substantial risk of harm. This is known as "whistleblower protections." - Answer- C. It depends. The nurse may be protected, but only if the nurse can prove that the client was in an unsafe situation. 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. an acceptable practice due to the nursing shortage and the recent school experience of the GVN. B. an acceptable practice if a supervising nurse is telephonically available to supervise and advise the GVN. C. an unacceptable practice due to the lack of a licensed nurse who is physically present and readily available to directly supervise the GVN. D. an unacceptable practice because there must be a physician present in the practice setting to supervise the GVN. - Answer- C. an unacceptable practice due to the lack of a licensed nurse who is physically present and readily available to directly supervise the GVN. An Incident-Based Nursing Peer Review Committee 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. - Answer- 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. A nurse may not be reported to the BON, may not have his or her license sanctioned by the BON, and may not be suspended or terminated from his or her employment for either appropriately invoking Safe Harbor or for advising another nurse of their right to invoke Safe Harbor. These are A. criteria for determining a minor incident. B. rules that apply to RNs and not LVNs. C. criteria for determining safe staffing. D. protections for a nurse who requests a peer review determination. - Answer- D. protections for a nurse who requests a peer review determination. A nurse whose license has expired A. may not practice until the license has been renewed. B. has a 14-day grace period in which to renew. C. may practice if documentation is cosigned by another nurse. D. will have his or her license revoked by the BON. - Answer- A. may not 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. The nurse cannot be disciplined by the BON or discriminated against by the employer. B. The nurse has no recourse if the physician gets angry and terminates her employment. C. If the facility terminates the nurse's employment, the BON can provide the nurse with legal advice. D. The nurse must inform the physician of any reports the nurse files. - Answer- A. The nurse cannot be disciplined by the BON or discriminated against by the employer. Board cases involving eligibility or disciplinary issues that are resolved through a board agreed order A. are public records and accessible on the BON's web page. B. are not subject to open records requests or accessible to the public. C. do not have to be sent to the nurse's last known employer or to the nurse. D. do not follow the nurse if the nurse decides to move to another state. - Answer- A. are public records and accessible on the BON's web page. One purpose of the BON's Position Statements and Guidelines is to provide A. step-by-step instructions to help the nurse complete complex tasks in the nurse's specialty area of nursing practice. B. guidance to help the nurse apply the NPA and board rules to a given situation so that the nurse can make appropriate decisions that promote safe nursing practice. C. information on employment opportunities, advanced training, and malpractice insurance discounts available through various professional nursing organizations. D. a specific list of tasks that a nurse can or cannot perform based on federal government guidelines. - Answer- B. guidance to help the nurse apply the NPA and board rules to a given situation so that the nurse can make appropriate decisions that promote safe nursing practice. 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. - Answer- A. under anesthesia or sedation. The mission of the BON supersedes A. the licensing rules for acute care hospitals. B. the regulations for federal agencies. C. the interests of individuals, the profession, or special interest groups. D. the state laws that apply to medical supply services, medical facilities, and physicians. - Answer- C. the interests of individuals, the profession, or special interest groups. According to the Standards of Nursing Practice, Board Rule 217.11, a comprehensive nursing assessment A. focuses only on one aspect of the patient's status and nursing care needs. B. requires the nurse to make a medical diagnosis. C. can be initiated by a licensed vocational nurse and co-signed later by a registered nurse. D. can be completed only by a registered nurse. - Answer- D. can be completed only by a registered nurse. Why does the BON require nurses to disclose that they have been diagnosed with, treated for, or hospitalized with certain mental illnesses? A. Nurses diagnosed with these disorders are required to not practice in psychiatric settings due to their mental health issues. B. Nurses diagnosed with these disorders may lack fitness to practice nursing safely and may require a period of monitored practice by the BON. C. Nurses with these diagnoses are likely to cross professional boundaries. D. The BON just needs the information for statistical tracking of how many nurses have mental health issues. - Answer- B. Nurses diagnosed with these disorders may lack fitness to practice nursing safely and may require a period of monitored practice by the BON. Which of the following actions by a nurse would comply with the Standards of Nursing Practice in Board Rule 217.11? A. Documenting the medication administration route as intramuscular (IM) (as per physician order) when the nurse accidently administered the medication intravenously (IV). B. Omitting healthcare information on a patient record at the patient's request. C. Documenting an aspect of nursing care provided to a patient after the fact by following facility policy for making a "late entry." D. Documenting a colleague's assessment findings as your own. - Answer- C. Documenting an aspect of nursing care provided to a patient after the fact by following facility policy for making a "late entry." The integrated pattern of personal, academic, and occupational behaviors that indicate an individual is able to consistently conform his/her conduct to the requirements of the Nursing Practice Act and the Board's rules relates to A. course requirements of the BON prior to entering nursing school. B. an educational background in liberal arts that complements the nursing profession. C. the Florence Nightingale Pledge. D. the BON's rule concerning good professional character. - Answer- D. the BON's rule concerning good professional character. A nurse fears that administration of a medication as ordered would place a patient at risk of harm. The nurse would fulfill his duty to the patient if the nurse A. advises the patient of the situation and proceeds only with the patient's consent. B. informs the physician of his concern and requests clarification of the order. C. documents the rationale in the nurse's notes of the patient's medical record. D. requests that the physician release the nurse from responsibility. - Answer- B. informs the physician of his concern and requests clarification of the order.