Nursing Jurisprudence and Ethics for Texas Nurses
According to BON Position Statement 15.24 Engaging in Reinsertion of Permanently Placed
Feeding Tubes, it would be within the scope of practice for a nurse to replace a
gastrostomy tube provided that A. the tube has been in place for 8-12 weeks, the nurse has
a physician's order to replace the tube, and the nurse has completed specific competency
training to safely replace the tube. B. the tube has been in place for 8-12 weeks, the facility
policy allows replacement of a tube with a specific physician's order, and the nurse has
not completed the required skills check-off. C. the tube has been in place for 4-6 weeks
and the nurse observed a supervisor completed the procedure. D. the tube has been in
place 4-6 weeks and the nurse as been determined to be competent in reinserting
permanently placed tubes that have an established fistulous tract. - answer-A. the tube
has been in place for 8-12 weeks, the nurse has a physicians to replace the tube, and the
nurse has completed specific competency training to safely replace the tube. The BON
differs from nursing and healthcare specialty associations since the BON A. lobbies for
legislation favorable to the practice of nursing. B. sets criteria for evaluating nursing career
ladders. C. offers liability insurance at discounted rates for members D. protects and
promotes the welfare of the people of Texas - answer-D. protects and promotes the
welfare of the people of Texas. The Standards of Nursing Practice, Board Rule 217.11 state
that the LVN scope of practice includes including doing which of the following with regard
to care plans? A. Initiate the development of a comprehensive nursing care plan
independently B. May not document on the nursing care plan C. Participate in the
modification and development of the nursing care plan. D. Review the nursing care plan
only if directed to do so by the physician. - answer-C. Participate in the modification and
development of the nursing care plan. 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. - answer-A. fulfilling a duty to
keep the patient safe. Nurses often ask the Board about what it means to abandon their
patients. Though the Board does not use this term in the rules, what specific portion of
Board Rule 217.12, Unprofessional Conduct, provides directions for the nurse regarding
job abandonment and conduct that may also be Board-reportable? A. Paragraph (5) B.
Paragraph (7) C. Paragraph (12) D. Paragraph (8) - answer-C. Paragraph (12) Which of the
, following situations is an example of a nurse MAINTAINING appropriate professional
boundaries between the nurse and the client? A nurse 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 "to
check on how he is doing." - answer-A. rewards a patient with a small stuffed mascot of his
favorite football team for progress made in rehabilitation. Am 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. - answer-D. Registered Nurse license. A nurse is caught stealing
narcotics from the automated dispensing machine on the unit and self-injecting these
drugs while on duty. The nurse admits that she is chemically dependent. In this situation,
the NPA requires A. the nurse be reported to the BON. B. the Peer Review Committee to
monitor the nurse's practice. C. the nurse to enroll in the Texas Peer Assistance Program
for Nurses (TPAPN). D. a report to law enforcement. - answer-B. the Peer Review
Committee to monitor the nurse's practice. A nurse was reported to the BON by two
different employers multiple practice errors. The BON may determine that the nurse's
conduct demonstrates a pattern of practice that A. complies with the standard to provide
nursing services without discrimination of the client served. B. violates professional
boundary regulations because the nurse has two employers C. results in immediate
disciplinary action because the second complain validates the first. D. indicates the
nurse's continued practice poses a risk of harm and may endanger a client's life, health, or
safety. - answer-D. indicates the nurse's continued practice poses a risk of harm and may
endanger a client's life, health, or safety. 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 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. - answer-B.
been under the influence of any alcohol or other illegal substance for the last five years.
According to board rule, after a nurse refuses a float assignment and invokes Safe Harbor,
the nurse A. should demand that the supervisor must provide a more appropriate float
According to BON Position Statement 15.24 Engaging in Reinsertion of Permanently Placed
Feeding Tubes, it would be within the scope of practice for a nurse to replace a
gastrostomy tube provided that A. the tube has been in place for 8-12 weeks, the nurse has
a physician's order to replace the tube, and the nurse has completed specific competency
training to safely replace the tube. B. the tube has been in place for 8-12 weeks, the facility
policy allows replacement of a tube with a specific physician's order, and the nurse has
not completed the required skills check-off. C. the tube has been in place for 4-6 weeks
and the nurse observed a supervisor completed the procedure. D. the tube has been in
place 4-6 weeks and the nurse as been determined to be competent in reinserting
permanently placed tubes that have an established fistulous tract. - answer-A. the tube
has been in place for 8-12 weeks, the nurse has a physicians to replace the tube, and the
nurse has completed specific competency training to safely replace the tube. The BON
differs from nursing and healthcare specialty associations since the BON A. lobbies for
legislation favorable to the practice of nursing. B. sets criteria for evaluating nursing career
ladders. C. offers liability insurance at discounted rates for members D. protects and
promotes the welfare of the people of Texas - answer-D. protects and promotes the
welfare of the people of Texas. The Standards of Nursing Practice, Board Rule 217.11 state
that the LVN scope of practice includes including doing which of the following with regard
to care plans? A. Initiate the development of a comprehensive nursing care plan
independently B. May not document on the nursing care plan C. Participate in the
modification and development of the nursing care plan. D. Review the nursing care plan
only if directed to do so by the physician. - answer-C. Participate in the modification and
development of the nursing care plan. 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. - answer-A. fulfilling a duty to
keep the patient safe. Nurses often ask the Board about what it means to abandon their
patients. Though the Board does not use this term in the rules, what specific portion of
Board Rule 217.12, Unprofessional Conduct, provides directions for the nurse regarding
job abandonment and conduct that may also be Board-reportable? A. Paragraph (5) B.
Paragraph (7) C. Paragraph (12) D. Paragraph (8) - answer-C. Paragraph (12) Which of the
, following situations is an example of a nurse MAINTAINING appropriate professional
boundaries between the nurse and the client? A nurse 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 "to
check on how he is doing." - answer-A. rewards a patient with a small stuffed mascot of his
favorite football team for progress made in rehabilitation. Am 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. - answer-D. Registered Nurse license. A nurse is caught stealing
narcotics from the automated dispensing machine on the unit and self-injecting these
drugs while on duty. The nurse admits that she is chemically dependent. In this situation,
the NPA requires A. the nurse be reported to the BON. B. the Peer Review Committee to
monitor the nurse's practice. C. the nurse to enroll in the Texas Peer Assistance Program
for Nurses (TPAPN). D. a report to law enforcement. - answer-B. the Peer Review
Committee to monitor the nurse's practice. A nurse was reported to the BON by two
different employers multiple practice errors. The BON may determine that the nurse's
conduct demonstrates a pattern of practice that A. complies with the standard to provide
nursing services without discrimination of the client served. B. violates professional
boundary regulations because the nurse has two employers C. results in immediate
disciplinary action because the second complain validates the first. D. indicates the
nurse's continued practice poses a risk of harm and may endanger a client's life, health, or
safety. - answer-D. indicates the nurse's continued practice poses a risk of harm and may
endanger a client's life, health, or safety. 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 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. - answer-B.
been under the influence of any alcohol or other illegal substance for the last five years.
According to board rule, after a nurse refuses a float assignment and invokes Safe Harbor,
the nurse A. should demand that the supervisor must provide a more appropriate float
