BON Quiz, 100% correct answers, latest updated

BON Quiz, 100% correct answers, latest updated 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. 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. 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. 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." 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. B. informs the physician of his concern and requests clarification of the order. A temporary permit to practice nursing issued to a graduate of a board-approved nursing educational program A. is only necessary if the nurse does NOT plan to seek employment in nursing until licensed. B. is required only for candidates for a vocational nursing license. C. allows a GN or GVN to practice independently with no other licensed nurse present in the practice setting. D. may be denied based on a licensure candidate's criminal history. D. may be denied based on a licensure candidate's criminal history. Revisions to the NPA can only occur through A. majority popular vote of all nurses. B. petitions from nursing professional organizations. C. bills passed by the U. S. Congress. D. bills passed by the Texas Legislature. D. bills passed by the Texas Legislature. Within the nurse licensure compact agreement, the party state that is the nurse's primary state of residence is called the nurse's A. place of birth. B. contract state. C. jurisdiction. D. home state. D. home state. One way the board carries out its mission to protect the public is by A. ensuring that each nurse is competent to practice safely. B. mandating student admission requirements for schools of nursing. C. ensuring a positive image of nursing. D. facilitating a nurse's ability to practice in other states. A. ensuring that each nurse is competent to practice safely. A nurse was terminated from three different jobs because he or she was stealing from staff members. The nurse has no pending criminal issues and no criminal history. Though this activity does not involve patients, it may indicate that A. the nurse will repeat similar conduct and exploit patients who trust the nurse to act in their best interest. B. the nurse only steals from fellow employees and would not steal from unsuspecting and vulnerable patients. C. the nurse will delegate tasks to unlicensed assistive personnel that are beyond their scope of practice. D. the nurse is unable to supervise nursing care provided by other licensed nurses. A. the nurse will repeat similar conduct and exploit patients who trust the nurse to act in their best interest. To help a nurse decide if a task is within his or her individual scope of practice, a prudent nurse should A. consider utilizing the Scope of Practice Decision-Making Model. B. obtain a list of tasks a nurse may perform from the BON. C. ask a physician whether the nurse should perform the assigned task. D. engage in the assigned task as long as the nurse has seen someone else perform the task as least once. B. obtain a list of tasks a nurse may perform from the BON. In Texas, advanced practice registered nurses (APRNs) may delegate which of the following to unlicensed assistive personnel? 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. D. Activities of daily living, health maintenance activities, and nursing tasks in compliance with BON Rules 224 and 225 on RN Delegation. A person with a history of a substance use disorder who desires to obtain or retain a license to practice nursing may be required to provide evidence that includes all of the following EXCEPT: A. current sobriety and fitness to practice. B. 45 contact hours of continuing nursing education. C. attendance at Alcoholics Anonymous meetings D. positive employer evaluations. C. attendance at Alcoholics Anonymous meetings The Position Statement 15.27 The Licensed Vocational Nurse Scope of Practice on the board's website outlines that LVNs have a "directed" scope of practice "under supervision." This means that A. the LVN must have a supervisor, as outlined in Rule 217.11, accessible at least telephonically or by some other similar means. B. the LVN must have a registered nurse present at all times while they are providing direct patient care. C. a social worker can be the LVN's resource person but the LVN must still work with other healthcare personnel. D. this is a requirement for hospitals so LVNs that work in long-term care facilities are exempt from having a directed scope of practice. B. the LVN must have a registered nurse present at all times while they are providing direct patient care. According to the NPA, Section 301.452 Grounds for Disciplinary Action, the definition of "intemperate use" includes A. drinking alcohol at a social engagement. B. demonstrating unprofessional conduct and displays of anger against co-workers. C. being on-call or on duty while under the influence of alcohol or drugs. D. improperly administering medications to assigned clients. C. being on-call or on duty while under the influence of alcohol or drugs. According to the NPA section 301.403, the Peer Review Committee must report which of the following to the board? A. Any minor incidents the nurse makes while caring for patients. B. A description of any corrective action taken against the nurse. C. The names and addresses of the Peer Review Committee members. D. An organizational chart that reflects the reported nurse's position in the agency. B. A description of any corrective action taken against the nurse. A nurse is terminated and reported to the BON for committing repeated practice errors. As required in the NPA, the CNO also sends the case to the Incident Based Peer Review (IBPR) Committee because: A. the nurse may convince the committee the errors were not her fault, and the committee can then withdraw the CNO's report to the BON. B. the IBPR Committee can decide to reverse the CNO's decision to terminate the nurse's employment. C. the IBPR Committee may decide to re-orient and re-train the nurse even though she was fired. D. the IBPR Committee is required to review external factors surrounding the practice errors and to report to the facility's Patient Safety Committee as appropriate. D. the IBPR Committee is required to review external factors surrounding the practice errors and to report to the facility's Patient Safety Committee as appropriate. In order for a nurse to appropriately carry out his or her "duty to the patient," the nurse must A. demonstrate strict adherence to professional dress code requirements. B. follow facility policies, whether they are congruent with what the nurse learned in school or not. C. consistently act in the best interest of every patient under the nurse's care. D. achieve a score of 70 percent or better on his or her annual employment performance evaluation. C. consistently act in the best interest of every patient under the nurse's care. A nurse is counseled for questioning a physician's order that made the physician mad. Which of the following documents on the BON web site best explains why the nurse was correct to question a physician's order that the nurse believed could be harmful to a patient? A. Guideline for Nurses Transitioning to a New Practice Setting. B. Statistics on the number of nurses living in each county in Texas. C. Position Statement 15.14 Duty of a Nurse in Any Setting. D. Guideline for LVN Scope of Practice under Board Rule 217.11. C. Position Statement 15.14 Duty of a Nurse in Any Setting. The initial step to invoke Safe Harbor requires that a nurse A. notify the supervisor and submit a written Quick Request for Safe Harbor to the supervisor before accepting the assignment. B. complete a written request to Petition for a Declaratory Order. C. hire an attorney so that all correspondence can be sent through the nurse's legal counsel. D. complete a Licensure Renewal Form, give it to the supervisor, and wait to be notified of the date and time for the peer review hearing. A. notify the supervisor and submit a written Quick Request for Safe Harbor to the supervisor before accepting the assignment. 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 A. Advanced Practice Registered Nurse license. B. Physician Assistant license. C. Vocational Nurse license. D. Registered Nurse license. D. Registered Nurse license. An advanced practice registered nurse in an outpatient clinic could delegate which of the following tasks to an unlicensed clinical staff member? 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. D. Cleansing and dressing a minor leg wound in accordance with step-by-step instructions. Knowing, recognizing, and maintaining professional boundaries of the nurse-patient relationship is a nursing standard. Which of the following is a violation of professional boundaries? A. A nurse borrows money from a patient to repair the nurse's car. B. A nurse accepts a box of candy from the patient and shares it with other staff. C. The patient shares a history of substance abuse that the nurse reports during shift change. D. A nurse reports a patient's communicable disease to the health department. A. A nurse borrows money from a patient to repair the nurse's car. A professional nursing association determines that a nurse cheated on a national certification exam. The association disqualifies the nurse from being eligible to seek certification, and suspends the nurse's membership privileges for the association. According to the NPA Section 301.406, Duty of Professional Associations and Organizations to Report, the professional association A. has authority to mandate that the BON suspend the nurse's license in Texas. B. also has a duty to report the nurse to the BON. C. must publish this disciplinary action against the nurse in the yearly newsletter to its members. D. is required to make a report to local law enforcement authorities as the nurse's deliberate act of cheating may also be considered criminal conduct. B. also has a duty to report the nurse to the BON.