Jurisprudence TBON exam questions and answers

mission of BON the mission of the Board of Nursing is to protect the welfare of the people of Texas. The Board does that by helping nurses stay in the know about their duty to provide safe, competent care to patients and by making sure each nurse who holds a license to practice is competent to practice safely. role of texas legislature The Board represents the people of Texas by ensuring that licensed nurses meet minimum standards of safe practice. Professional nursing associations represent their members in legislative, political, and policy matters. Nursing associations also provide leadership in other areas, such as efforts to improve working conditions and benefits for nurses. requirements for liscensure obligation for continuing competency (CE). All nurses with an active Texas license are required to demonstrate continuing competency for relicensure. Each nurse reactiviating an inactive or delinquent license must also submit verification of 20 hours of CE completed in the two years prior to reactivation. The Board does not approve CE, but it does require nurses to have it and it does audit them to ensure they obtain it. The continuing competency rules for license renewal are found in Rule 216. nurses compact information on the licensure compact in NPA 304 and Rule 220. What information MUST be on your name badge? Select all that apply. A. Name B. Employer C. Licensure level D. Eye color E. Nickname Name, Licensure level Part of the mission of the Texas Board of Nursing is to protect nurses from unfair employment practices. TRUE FALSE FALSE The Board of Nursing can lobby the Texas Legislature to enact laws that help nurses in their profession. TRUE FALSE FALSE criminal behavior disclosure must disclose convictions deferred adjudications probabted sentences domestic offenses categories of ethical conduct honesty, accountability, trustworthiness, reliability, and integrity guidelines for recognizing good professional character Rule 213.27 'duty to the patient' Nurses must be aware of their actions and feelings within the therapeutic relationship, identify the invisible boundaries, and act in the best interest of the patient When you apply for or renew a license, you only have to disclose criminal convictions. TRUE FALSE. FALSE- Always refer to Board rules to determine what must be disclosed. According to Rule 217.12 (6)(D), boundary violations include but are not limited to what kinds of exploitative behavior? Select all apply. Sexual behavior Emotional behavior Financial behavior All of the above ALL OF THE ABOVE- Always refer to Board rules to determine what must be disclosed. It's okay to borrow money from a rich patient as long as you pay back the loan in a timely and honorable manner TRUE FALSE FALSE- It is a boundary violation to borrow money from a patient. scope of practice rule 217.11 standards of nursing practice most important rule Six-Step Decision-Making Model for Determining Nursing Scope of Practice First, ask yourself if the activity is consistent with the NPA and Board rules. Second: Is the activity appropriately authorized? Third: Is it supported by nursing research or scope of practice statements by national nursing organizations? Fourth: Do you possess the required knowledge and competency to carry out the act? Fifth: Would a reasonable and prudent nurse perform this activity in this setting? And sixth: Are you prepared to assume accountability for the patient's safe care and outcome? You can rely on your employer and doctors to let you know what acts fall within your scope of practice. TRUE FALSE FALSE- Board rules and resources will help you determine what is within your scope of practice. Who cannot supervise the nursing practice of an LVN? RNs LVNS with more than two years of experience correct Dentists LVN- LVNs cannot be supervisors for vocational nursing practice. Which standard of practice does NOT apply to all nurses? Knowledge of and ability to conform to Board rules Ability to delegate tasks Advocate for patient safety Ability to delegate tasks- Ability to delegate does not apply to all nurses. Peer review is a rule that's been in effect since 1987. It was started because nurses wanted the opportunity to monitor themselves, apart from and before the Board's review. serperate from board review Incident-Based Peer Review relates to an incident reported after the fact by a nurse or facility, while Safe Harbor Peer Review relates to an application made by a nurse to seek safe harbor before he or she accepts an assignment minor incidents in NPA 301.401 (2): "conduct that does not indicate that the continuing practice of nursing by an affected nurse poses a risk of harm to the client or other person." And information guiding which incidents need to be reported to the Board is contained in Rule 217.16, regarding "Minor Incidents." due process Due process rights include provisions that the facility must have policies in place about peer review, and that the Peer Review Committee must comply with requirements. Furthermore, a nurse must receive notice regarding the review, and the nurse will have opportunity to respond to that notice. And finally, a nurse may hire his or her own attorney, will get feedback after the decision, and will have a chance to respond to the decision Safe Harbor tries to balance duty to patient with protection of the nurse's license. It allows nurses to accept assignments, and do the best patient care they are capable of, without fear of licensure action by the Board if they accidentally commit a practice error. What is one purpose of Incident-Based Peer Review? To single out bad nurses and remove them from the profession To make an example of hospitals with the highest incident errors To determine if a nurse's conduct requirese a report to the Board. To determine if a nurse's conduct requirese a report to the Board.- One purpose of Incident-Based Peer Review is to determine if a nurse's conduct requires a report to the Board. Peer Review Committees post monthly reports highlighting their actions. TRUE FALSE FALSE- The peer review process is confidential. What is one purpose of Safe Harbor Peer Review? To protect a nurse from Board licensure sanctions while he or she proceeds to work a shift with less than optimal staffing To protect a nurse form the unfair reporting habits of their coworkers To provide a nurse means of requesting a pay raise That is correct. Safe Harbor Peer Review protects nurses while they accept assignments under less than ideal circumstances. To protect a nurse from Board licensure sanctions while he or she proceeds to work a shift with less than optimal staffing