A nurse wants help to lobby the Texas Legislature in favor of a bill that will help staff nurses. The nurse should contact his or her nursing professional organization. A nurse who contacts a physician to clarify a medication order is A. fulfilling a duty to keep the patient safe. B. likely to detr...
,A hnurse hwants hhelp hto hlobby hthe hTexas hLegislature hin hfavor hof ha hbill hthat hwill hhelp
hstaffnurses. hThe hnurse hshould
contact hhis hor hher hnursing hprofessional horganization.
A h nurse h who h contacts h a hphysician h to h clarify h a h medication h order h is
A. fulfilling ha hduty hto hkeep hthe hpatient hsafe.
B. likely h to h detract h from h a h collegial h nurse-physician h relationship.
C. engaging hin haction hthat his hthe hduty hof hthe hpharmacist.
D. not h fulfilling h nursing h tasks h with h other h patients.
When h deciding h what h course h of h action h to h follow, h the h nurse
has ha hduty hto halways hkeep hthe hpatient hsafe.
A hnurse hbelieves hthat hshe hlacks hthe hbasic h knowledge hand hskills h necessary hto
h carry h out h herhinitial h patient h assignment. h The h nurse h invokes h Safe h Harbor h and
h brings h her h Quick h Requesthfor h Safe h Harbor h form h to h her h supervisor. h What h other
h action h is h required h by h the h nurse h whenhrefusing han hassignment?The h nurse h must
hcollaborate h with hthe h supervisor h in han hattemptto hdetermine han halternate hassignment hthat hwill
hnot hviolate hthe hnurse's hduty hto hthe hpatient(s).
An h advanced h practice h registered h nurse h in h an h outpatient h clinic h could
h delegate h whichhofthe hfollowing htasks hto han hunlicensed hclinical hstaff hmember?
ANSWER
A. Administering h intramuscular h (IM) h and h subcutaneous h (SQ) h injections h other h than h insulin.
B. Calling h in h prescription h refills h of h a h PRN h pain h medication h for h which h no h refills h have h been
h authorized.
C. Reviewing hroutine hlaboratory hresults hand hcalling hthe hpatient hto htell hthe hpatient hwhat hthe hresults
hmean.
D. Cleansing hand hdressing ha h minor hleg hwound hin haccordance h with hstep-by-step hinstructions.
If h a h nurse h borrows h money h from h an h elderly h client h to h help h pay h personal h bills,
h this h actwouldhbe
ANSWER
A. physical h abuse h of h the h patient.
B. a h violation h of hprofessional h boundaries.
C. emotional habuse hof hthe hpatient.
D. a hviolation hof h Scope hof h Practice.
An h Incident-Based h Nursing h Peer h Review h Committee
,ANSWER
A. must h make h decisions h about h whether h or h not h a h nurse's h employment h should h be
h terminated, h andhwhether hor hnot hthe hnurse hwill hbe hpaid hfor haccrued hvacation htime.
B. may h include h the h nurse's h supervisor, h charge h nurse, h and h other h management-level h nurses
h whohavehadministrative hauthority hover hthe hnurse.
C. can hprohibit h the hnurse h from hcalling hwitnesses h or hasking hquestions hduring hthe hhearing.
D. must hadhere h to hdue h process hrequirements h for h the h nurse, hunless h the h nurse h has h already
h been h reportedhto h the h board h and h the h committee h is h only h reviewing h the h possible h impact h of
h external h factorson h the h error.
One hof hthe hways hthe hBON hcarries hout hits h mission his hby
ANSWER
A. starting h nursing h schools.
B. projecting hthe hneeds hfor h nurse haides hin hthe hstate.
C. approving h nursing h educational h programs.
D. regulating hwork hsettings h for h nurses.
A hnurse hbelieves hthat hshe hlacks hthe hbasic h knowledge hand h skills h necessary hto
h carry h out hher hinitial hpatient hassignment. hThe hnurse hinvokes hSafe hHarbor hand
hbrings hher hQuickhRequest h for h Safe h Harbor h form h to h her h supervisor. h What
h other h action h is h required h by h thehnurse hwhen hrefusing han hassignment?
ANSWER
A. The hnurse hmust hagree hto haccept hthe hassignment has hthere his hno hvalid hreason hto
hever h refuse hanhassignment.
B. The h nurse h must h go h home h immediately, h as h her h duty h to h any h of h the h patient(s)
h starts h only h afterhtakingreport.
C. The h nurse h must h collaborate h with h the h supervisor h in h an h attempt h to h determine
h an h alternatehassignmentthat hwill hnot hviolate hthe hnurse's hduty hto hthe hpatient(s).
D. The h nurse h must h fax h the h form h to hthe h BON h so h that h the h meeting h can h be h scheduled h within h two
h weeks.
, According hto hBoard hRule h213.29, hCriteria hand hProcedure hRegarding hIntemperate
hUse hand hLack hof hFitness hin hEligibility hand hDisciplinary hMatters, ha hperson
hdesiring hto hobtainhorretain h his h or h her h nursing h license h must h provide h a h sworn
h certificate h to h the h board h that h hehorshe hhas hNOT
ANSWER
A. had h any h alcohol h within h the h last h five h years.
B. been hunder h the hinfluence h of hany h alcohol hor h other hillegal h substance h for hthe h last hfive h years.
C. been h addicted h to h or h treated h for h the h use h of h alcohol hor h any h other h drug h in h the h last h five h years.
D. been h in h the h hospital h for h any h type h of h surgery h within h the h last h five h years.
In h Texas, h advanced h practice h registered h nurses h (APRNs) h may h delegate h which h of h the
hfollowing hto hunlicensed hassistive hpersonnel?
ANSWER
A. APRNs h can h delegate h anything h a h physician h would h delegate, h as h APRNs h are h educated h to
h engage h in h somehaspects hof hmedical hdiagnosis hand hmedical hmanagement.
B. Medical hdiagnosis hand hnursing hassessment hin hcompliance hwith hBON hRules h224 hand
h225 hon hRNhdelegation.
C. Advanced h practice h skills h that h the h APRN h learned h in h his h or h her h advanced h practice
h nursing h programhofstudy.
D. Activities h of h daily h living, h health h maintenance h activities, h and h nursing h tasks h in
h compliance h withhBONRules h224 hand h225 hon hRN hDelegation.
Which hof hthe hfollowing hsituations his han hexample hof ha hnurse hMAINTAINING
happropriateprofessional h boundaries h between h the h nurse h and h the h client? h A h nurse
ANSWER
A. rewards ha hpatient hwith ha hsmall hstuffed hmascot hof hhis hfavorite hfootball hteam hfor
hprogress hmadehinrehabilitation.
B. responds h less h frequently h to h a h demanding hpatient's h call h light.
C. shares h personal h information h regarding h her h recent h bankruptcy h because h the h patient h seems
h genuinelyhinterested.
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