NURSING JURISPRUDENCE AND
ETHICS FOR TEXAS NURSES
According57to57BON57Position57Statement5715.2457Engaging57in57Reinsertion57of57Perm
anently57Placed57Feeding57Tubes,57it57would57be57within57the57scope57of57practice57for57
a57nurse57to57replace57a57gastrostomy57tube57provided57that
A.57the57tube57has57been57in57place57for578-
1257weeks,57the57nurse57has57a57physician's57order57to57replace57the57tube,57and57the57
nurse57has57completed57specific57competency57training57to57safely57replace57the57tube.
B.57the57tube57has57been57in57place57for578-
1257weeks,57the57facility57policy57allows57replacement57of57a57tube57with57a57specific57ph
ysician's57order,57and57the57nurse57has57not57completed57the57required57skills57check-
off.
C.57the57tube57has57been57in57place57for574-
657weeks57and57the57nurse57observed57a57supervisor57completed57the57procedure.
D.57the57tube57has57been57in57place574-
657weeks57and57the57nurse57as57been57determined57to57be57competent57in57reinserting57
permanently57placed57tubes57that57have57an57established57fistulous57tract.57-57answer--
A.57the57tube57has57been57in57place57for578-
1257weeks,57the57nurse57has57a57physicians57to57replace57the57tube,57and57the57nurse57
has57completed57specific57competency57training57to57safely57replace57the57tube.
The57BON57differs57from57nursing57and57healthcare57specialty57associations57since57the
57BON
A.57lobbies57for57legislation57favorable57to57the57practice57of57nursing.
B.57sets57criteria57for57evaluating57nursing57career57ladders.
C.57offers57liability57insurance57at57discounted57rates57for57members
D.57protects57and57promotes57the57welfare57of57the57people57of57Texas57-57answer--
D.57protects57and57promotes57the57welfare57of57the57people57of57Texas.
The57Standards57of57Nursing57Practice,57Board57Rule57217.1157state57that57the57LVN57s
cope57of57practice57includes57including57doing57which57of57the57following57with57regard57
to57care57plans?
A.57Initiate57the57development57of57a57comprehensive57nursing57care57plan57independen
tly
B.57May57not57document57on57the57nursing57care57plan
, C.57Participate57in57the57modification57and57development57of57the57nursing57care57plan.
D.57Review57the57nursing57care57plan57only57if57directed57to57do57so57by57the57physician.
57-57answer--
C.57Participate57in57the57modification57and57development57of57the57nursing57care57plan.
A57nurse57who57contacts57a57physician57to57clarify57a57medication57order57is
A.57fulfilling57a57duty57to57keep57the57patient57safe.
B.57likely57to57detract57from57a57collegial57nurse-physician57relationship.
C.57engaging57in57action57that57is57the57duty57of57the57pharmacist.
D.57not57fulfilling57nursing57tasks57with57other57patients.57-57answer--
A.57fulfilling57a57duty57to57keep57the57patient57safe.
Nurses57often57ask57the57Board57about57what57it57means57to57abandon57their57patients.5
7Though57the57Board57does57not57use57this57term57in57the57rules,57what57specific57portio
n57of57Board57Rule57217.12,57Unprofessional57Conduct,57provides57directions57for57the57
nurse57regarding57job57abandonment57and57conduct57that57may57also57be57Board-
reportable?
A.57Paragraph57(5)
B.57Paragraph57(7)
C.57Paragraph57(12)
D.57Paragraph57(8)57-57answer--C.57Paragraph57(12)
Which57of57the57following57situations57is57an57example57of57a57nurse57MAINTAINING57a
ppropriate57professional57boundaries57between57the57nurse57and57the57client?
57A57nurse
A.57rewards57a57patient57with57a57small57stuffed57mascot57of57his57favorite57football57tea
m57for57progress57made57in57rehabilitation.
B.57responds57less57frequently57to57a57demanding57patient's57call57light.
C.57shares57personal57information57regarding57her57recent57bankruptcy57because57the57
patient57seems57genuinely57interested.
D.57is57personally57attracted57to57a57patient57and57calls57and57visits57him57on57her57days
57off57"to57check57on57how57he57is57doing."57-57answer--
A.57rewards57a57patient57with57a57small57stuffed57mascot57of57his57favorite57football57tea
m57for57progress57made57in57rehabilitation.
Am57advertisement57for57a57"licensed57nurse"57states57the57following57as57routine57job57
responsibilities.57"Must57work57independently57without57supervision,57have57expertise57i
n57developing57nursing57care57plans,57including57establishing57appropriate57nursing57dia
gnoses57for57assigned57patients,57and,57must57be57able57to57complete57comprehensive5
7nursing57assessments."57Based57on57these57responsibilities,57this57advertisement57wou
ld57require,57at57a57minimum,57the57nurse57to57hold57a57valid
A.57Advanced57Practice57Registered57Nurse57license.
ETHICS FOR TEXAS NURSES
According57to57BON57Position57Statement5715.2457Engaging57in57Reinsertion57of57Perm
anently57Placed57Feeding57Tubes,57it57would57be57within57the57scope57of57practice57for57
a57nurse57to57replace57a57gastrostomy57tube57provided57that
A.57the57tube57has57been57in57place57for578-
1257weeks,57the57nurse57has57a57physician's57order57to57replace57the57tube,57and57the57
nurse57has57completed57specific57competency57training57to57safely57replace57the57tube.
B.57the57tube57has57been57in57place57for578-
1257weeks,57the57facility57policy57allows57replacement57of57a57tube57with57a57specific57ph
ysician's57order,57and57the57nurse57has57not57completed57the57required57skills57check-
off.
C.57the57tube57has57been57in57place57for574-
657weeks57and57the57nurse57observed57a57supervisor57completed57the57procedure.
D.57the57tube57has57been57in57place574-
657weeks57and57the57nurse57as57been57determined57to57be57competent57in57reinserting57
permanently57placed57tubes57that57have57an57established57fistulous57tract.57-57answer--
A.57the57tube57has57been57in57place57for578-
1257weeks,57the57nurse57has57a57physicians57to57replace57the57tube,57and57the57nurse57
has57completed57specific57competency57training57to57safely57replace57the57tube.
The57BON57differs57from57nursing57and57healthcare57specialty57associations57since57the
57BON
A.57lobbies57for57legislation57favorable57to57the57practice57of57nursing.
B.57sets57criteria57for57evaluating57nursing57career57ladders.
C.57offers57liability57insurance57at57discounted57rates57for57members
D.57protects57and57promotes57the57welfare57of57the57people57of57Texas57-57answer--
D.57protects57and57promotes57the57welfare57of57the57people57of57Texas.
The57Standards57of57Nursing57Practice,57Board57Rule57217.1157state57that57the57LVN57s
cope57of57practice57includes57including57doing57which57of57the57following57with57regard57
to57care57plans?
A.57Initiate57the57development57of57a57comprehensive57nursing57care57plan57independen
tly
B.57May57not57document57on57the57nursing57care57plan
, C.57Participate57in57the57modification57and57development57of57the57nursing57care57plan.
D.57Review57the57nursing57care57plan57only57if57directed57to57do57so57by57the57physician.
57-57answer--
C.57Participate57in57the57modification57and57development57of57the57nursing57care57plan.
A57nurse57who57contacts57a57physician57to57clarify57a57medication57order57is
A.57fulfilling57a57duty57to57keep57the57patient57safe.
B.57likely57to57detract57from57a57collegial57nurse-physician57relationship.
C.57engaging57in57action57that57is57the57duty57of57the57pharmacist.
D.57not57fulfilling57nursing57tasks57with57other57patients.57-57answer--
A.57fulfilling57a57duty57to57keep57the57patient57safe.
Nurses57often57ask57the57Board57about57what57it57means57to57abandon57their57patients.5
7Though57the57Board57does57not57use57this57term57in57the57rules,57what57specific57portio
n57of57Board57Rule57217.12,57Unprofessional57Conduct,57provides57directions57for57the57
nurse57regarding57job57abandonment57and57conduct57that57may57also57be57Board-
reportable?
A.57Paragraph57(5)
B.57Paragraph57(7)
C.57Paragraph57(12)
D.57Paragraph57(8)57-57answer--C.57Paragraph57(12)
Which57of57the57following57situations57is57an57example57of57a57nurse57MAINTAINING57a
ppropriate57professional57boundaries57between57the57nurse57and57the57client?
57A57nurse
A.57rewards57a57patient57with57a57small57stuffed57mascot57of57his57favorite57football57tea
m57for57progress57made57in57rehabilitation.
B.57responds57less57frequently57to57a57demanding57patient's57call57light.
C.57shares57personal57information57regarding57her57recent57bankruptcy57because57the57
patient57seems57genuinely57interested.
D.57is57personally57attracted57to57a57patient57and57calls57and57visits57him57on57her57days
57off57"to57check57on57how57he57is57doing."57-57answer--
A.57rewards57a57patient57with57a57small57stuffed57mascot57of57his57favorite57football57tea
m57for57progress57made57in57rehabilitation.
Am57advertisement57for57a57"licensed57nurse"57states57the57following57as57routine57job57
responsibilities.57"Must57work57independently57without57supervision,57have57expertise57i
n57developing57nursing57care57plans,57including57establishing57appropriate57nursing57dia
gnoses57for57assigned57patients,57and,57must57be57able57to57complete57comprehensive5
7nursing57assessments."57Based57on57these57responsibilities,57this57advertisement57wou
ld57require,57at57a57minimum,57the57nurse57to57hold57a57valid
A.57Advanced57Practice57Registered57Nurse57license.
