NJE Test

why does the bon require nurses to disclose that they have been diagnosed with, treated for, or hospitalized with certain mental illnesses?

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 resources on the bon web page would assist a nurse in determining his or her scope of nursing practice?

The continuing competency info sheet

if a nurse borrows money from an elderly client to help pay personal bills, this act would be

a violation of professional boundaries.

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

been under the influence of any alcohol or other illegal substance for the last five years.

conduct by a nurse that is subject to reporting to the bon includes all of the following except:

conduct that constitutes a single minor incident in compliance with Board Rule 217.16, Minor Incidents.

in order for a nurse to appropriately carry out his or her "duty to the patient," the nurse must

consistently act in the best interest of every patient under the nurse's care.

according to nursing practice frequently asked questions (faqs) on the bon web page, a lvn whose duties include being on-call to triage patient concerns telephonically would be

exceeding his or her scope of practice UNLESS a registered nurse is on-call and telephonically available to "back up" the LVN, and the RN is ultimately responsible for the decisions made by the LVN.

when deciding what course of action to follow, the nurse

has a duty to always keep the patient safe

a person may not practice or offer to practice professional or vocational nursing in texas unless the person

holds a license as required by the NPA.

a DON terminates a nurse's employment after the nurse reports unsafe conditions to the facility's licensing entity. whistleblower protection would apply to the nurse

if the accusations were made in good faith.

a nurse was reported to the bon by two different employers regarding multiple practice errors. the bon may determine that the nurse's conduct demonstrates a pattern of practice that

indicates the nurse's continued practice poses a risk of harm and may endanger a client's life, health, or safety.

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

informs the physician of his concern and requests clarification of the order.

the purpose of the position statements, guidelines and other documents in the nursing practice section of the bon webpage is to guide nurses in

making decisions related to their patient care assignments.

according to rule 217.12(1), unprofessional conduct, one example of an unsafe practice includes failing to

manage client records properly.

a nurse whose license has expired

may not practice until the license has been renewed.

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:

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.

the board has adopted disciplinary sanction policies regarding all of the following except

Guaranteed student loan

pending the results of the licensing examination, the gn or gvn must

Temporary Authorization to Practice, mandates that the new graduate who has been authorized to practice as either a GVN or GN pending the results of the licensing examination must work under the direct supervision of a licensed nurse.

when a staff nurse attempts to invoke safe harbor, more nurses are floated to the unit to provide adequate staffing. the supervisor then tells the nurse "you must withdraw your request for safe harbor. it is no longer valid because we fixed the problem." does this statement accurately reflect the safe harbor rule?

Yes, the above statement accurately reflects the Safe Habor rule.

while interacting with the public in a nursing role, each nurse must wear a clearly legible insignia (such as a name badge) that identifies the nurse as

a registered nurse or a licensed vocational nurse

a nurse who commits an error that is a minor incident

need not be reported to the BON unless the nurse's conduct created a significant risk of physical, emotional, or financial harm to the client.

the functions of the bon include

regulating the education, licensure, and practice of nurses in Texas to ensure the safety of the public.

which of the following situations is an example of a nurse maintaining appropriate professional boundaries between the nurse and the client?

rewards a patient with a small stuffed mascot of his favorite football team for progress made in rehabilitation

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

the Peer Review Committee to monitor the nurse's practice.

a bon investigator in the enforcement division collected evidence that supports the bon's formal charges against a nurse regarding violations of the npa and board rules. attempts to notify the nurse via standard and certified mail at the nurse's last address of record have been returned to the bon office as being "undeliverable or not at this address." since the investigator has been unable to communicate with the nurse about the bon's formal charges, board rule 213.16(i) on practice and procedure requires that

the case proceed and the board's charges be deemed to be true.

a nurse had his license revoked by the bon in hawaii. when the nurse moves to texas and applies for a nursing license in texas, the most likely result will be that

the nurse may not be able to obtain licensure in Texas until he addresses the conduct that caused his license to be revoked.

when making nursing assignments to other lvns and rns, the board rule 217.11 standards of nursing practice, requires the nurse in a supervisory position to take into consideration all of the following except:

the physical and emotional ability of each licensed nurse.

the bon rules, located in title 22 of the texas administrative code, help implement and reflect

the process necessary to be promoted to higher positions in nursing in different practice settings

in a nurse-patient relationship, the most vulnerable patients are those who are

under anesthesia or sedation.

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?

It depends. The nurse may be protected, but only if the nurse can prove that the client was in an unsafe situation.

according to the npa section 301.403, the peer review committee must report which of the following to the board?

A description of any corrective action taken against the nurse.

which of the following actions by a nurse is not considered "conduct subject to reporting" to either a peer review committee or to the bon?

A nurse who clocks in ten minutes late for his or her shift on a routine basis.

an advanced practice registered nurse in an outpatient clinic could delegate which of the following tasks to an unlicensed clinical staff member?

Cleansing and dressing a minor leg wound in accordance with step-by-step instructions.

action by a nurse that would constitute unprofessional conduct according to board rule 217.12 unprofessional conduct describes which of the following?

Failing to repay a guaranteed student loan

the BON differs from nursing and healthcare specialty associations since the BON

Protects and promotes the welfare of the people of Texas

board rule 217.11, standards of nursing practice, requires the nurse to "implement measures to prevent exposure to infectious pathogens and communicable conditions." this is a standard that

Standards Applicable to All Nurses. All vocational nurses, registered nurses and registered nurses with advanced practice

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?

Paragraph (12)

according to the standards of nursing practice, board rule 217.11, lvns have a "directed" scope of practice. of the following categories of providers, which of the following is an appropriate nursing practice supervisor for the lvn?

Physician

which of the following activities would violate a provision of the npa and board rule 217.11(2), standards of nursing practice, relating to the practice of nursing by a lvn?

Practicing in any setting without an appropriate practice supervisor who is at least telephonically available.

a nurse believes that she lacks the basic knowledge and skills necessary to carry out her initial patient assignment. the nurse invokes safe harbor and brings her quick request for safe harbor form to her supervisor. what other action is required by the nurse when refusing an assignment?

The nurse must collaborate with the supervisor in an attempt to determine an alternate assignment that will not violate the nurse's duty to the patient(s).

when a nurse commits a crime outside of the workplace, the bon's concern relates to whether the nurse may

the nurse may perform the same act in the workplace.

a nurse assesses a patient, makes a medical diagnosis of "hypertension," and determines which specific anti-hypertensive medication (including dose, route, and frequency) is appropriate for this patient. the nurse then writes a prescription for an anti-hypertensive medication and instructs the patient to have it filled at a pharmacy of her choice.

the nurse must be authorized by the BON as an advanced practice registered nurse with prescriptive authority in a role and population focus appropriate for the patients being treated

chart audits find the following practice errors committed by a nurse with observed impaired behavior at work: no physician orders for narcotics signed out by the nurse, and no documentation that the nurse either administered or wasted the narcotics. the best decision for the incident based peer review committee to make is that

the nurse must be reported to the BON because of the combination of practice errors with possible practice impairment due to substance use or abuse

according to bon position statement 15.24 nurses 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

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

when an applicant for a nursing license receives a final conviction for first degree murder, the npa mandates that the applicant

will not be eligible to apply for an initial nursing license until five years after being released from community supervision or parole.