Board of Nursing Exam with complete solutions

nurse practice act - Answer- -written in 1909 by Texas legislature -defines scope of nursing practice -establishes the Board; gives it the authority to make rules about professional nursing -only Legislature can amend the Nurse Practice Act -gives the State Board authority to make rules scope of nursing practice - Answer- What can an RN do? What can an LVN do? What can an advanced practice nurse do? What can a nurse delegate? Can a nurse take orders from a PA? purpose of the nurse practice act - Answer- to protect the public functions of the board of nursing - Answer- 1. regulate nursing practice 2. license nurses 3. approve nursing education programs (pre-licensure) members of the board of nursing - Answer- -appointed by the governor -confirmed by the senate 13 representatives of the board of nursing - Answer- 2 RNs, 3 LVNs, 3 nursing faculty (ADN, BSN, LVN), 4 consumers to whom is the board responsible? - Answer- 1. the public 2. current and potential licensees 3. the government board of nursing - Answer- -responsible to public -does not have jurisdiction in workplace matters -prohibited from lobbying legislature professional organizations (ANA, TNA) - Answer- -responsible to their members -serve interest of professional nurses and health care -can lobby legislature and governor licensure - Answer- -a privilege afforded to qualified individuals -allows qualified persons to offer special skills to the public -provides legal guidelines to protect the public minimum requirements of licensure - Answer- -minimal education requirements established by the state -NCLEX exam required by every state for RN and LVN licensure -declaratory order sent to Texas BON if necessary why does a nurse go before the BON? - Answer- 1. peer review 2. lawsuit brought by a plaintiff 3. complaints that the NPA has been violated peer review - Answer- -evaluation of a practice in an atmosphere of collegiality -process improvement method -reviews only RNs -3/4 members are RNs -only RNs vote -if possible include one nurse familiar with practice area being reviewed -afford due process peer review-criteria for reporting - Answer- 1. exposed or is likely to expose a patient to risk of harm 2. failed to adequately care for a patient 3. engaged in unprofessional conduct 4. failed to conform to standards of professional nursing practice 5. likely to be impaired by chemical dependency or mental illness what agencies must have a peer review committee? - Answer- agencies that employ 10 or more nurses smaller agency - Answer- - <10 RNs -manager keeps records and reports directly to the Board due process - Answer- -nurse gives written notice -PRC to meet not >30 days from notice -description of events -contact person on PRC -date, time, and place of PRC -at least 15 days to review documents minor incidents - Answer- -potential risk of physical, emotional, or financial harm is low -one time event -nurse shows conscientious approach -nurse has knowledge and skills to practice safely -situation in which event occurred (ICU critical vs. floor non critical patient situation) -presence of contributing circumstances (process issues, system issue contributing) report to board must include - Answer- -name of nurse being reported -incident/conduct being reported -PRC findings and recommendations -any additional information the BNE should require malpractice - Answer- a type of conduct that fallows below the minimal standard of care of the community at the time in question-Civil Law Lunsford v. Board of Nurse Examiners - Answer- -firmly established the idea of the nurse's duty is first to the patient and to no other entity -Landmark case board of nursing role 22 - Answer- RN has a duty to evaluate the status of patient and to institute appropriate nursing care to stabilize the condition and prevent complications how do nurses stay current? - Answer- 1. Texas BON Bulletin 2. workshops 3. professional presentations 4. contact the board 5. Texas BON