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Texas BON study guide, BON Quiz, Jurisprudence Comprehensive
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Texas BON study guide, BON Quiz, Jurisprudence Comprehensive
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Texas BON study guide, BON Quiz,Jurisprudence Comprehensive
6 Step decision making progress - ANSWER-1. is the act consistent w/ the NPA & BON
rules, positions, statements & guidelines?
2. is the activity appropriately authorized by valid order/ protocol and in accordance w/
established policies & procedures?
3. is the act supported by research reported in nsg & health related literature or in scope
of practice statements by national nursing organizations?
4. do u possess the req knowledge and have you demonstrated the competency
required to carry out this actively safely?
5. would a reasonable and prudent nurse perform the activity in this setting?
6. are you prepared to assume accountability for the provision of safe care and the
outcome of the care rendered?
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 - ANSWER-the case proceed and the board's charges be deemed to be true.
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
A. dependent upon the nurse having liability insurance.
B. if the accusations were made in good faith.
C. if he or she cannot afford legal counsel.
D. after a peer review committee determination. - ANSWER-B. if the accusations were
made in good faith.
A graduate vocational nurse (GVN) with current temporary authorization to practice is in
a practice setting where no other licensed nurse is physically present. This situation
would best be described as
A. an acceptable practice due to the nursing shortage and the recent school experience
of the GVN.
B. an acceptable practice if a supervising nurse is telephonically available to supervise
and advise the GVN.
C. an unacceptable practice due to the lack of a licensed nurse who is physically
present and readily available to directly supervise the GVN.
D. an unacceptable practice because there must be a physician present in the practice
setting to supervise the GVN. - ANSWER-C. an unacceptable practice due to the lack of
a licensed nurse who is physically present and readily available to directly supervise the
GVN.
,A LVN learns that a facility licensing law requires that a registered nurse always perform
a specific task related to admission of new patients. The LVN understands that this
means he or she - ANSWER-may not perform the task, as the RN level of licensure is
necessary to perform the task
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. - ANSWER-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
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
A. advises the patient of the situation and proceeds only with the patient's consent.
B. informs the physician of his concern and requests clarification of the order.
C. documents the rationale in the nurse's notes of the patient's medical record.
D. requests that the physician release the nurse from responsibility. - ANSWER-B.
informs the physician of his concern and requests clarification of the order.
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?
A. No, the nurse is not protected in this example. The nurse must always follow any
directive from his or her boss.
B. No, the nurse is not protected in this example as the employer can terminate the
nurse for any reason at any time.
C. It depends. The nurse may be protected, but only if the nurse can prove that the
client was in an unsafe situation.
D. Yes, the nurse is protected from negative employment action for reporting a situation
that exposed the client to substantial risk of harm. This is known as "whistleblower
protections." - ANSWER-C. It depends. The nurse may be protected, but only if the
nurse can prove that the client was in an unsafe situation.
A nurse injects a medication by IV (intravenous) Push instead of IM (intramuscular) as
ordered by the physician. The patient goes into cardiac arrest and dies as a result of
this medication error. The nurse has worked at the facility for 15 years and this is his
first error. A correct determination by the Peer Review Committee would be that -
ANSWER-the error is subject to reporting because it contributed to the death of a
patient
A nurse is assisting a physician when she witnesses the physician break sterile
technique and use a contaminated instrument to finish the procedure. The nurse reports
, the physician to the Texas Medical Board. Which of the following statements is accurate
in relation to this scenario?
A. The nurse cannot be disciplined by the BON or discriminated against by the
employer.
B. The nurse has no recourse if the physician gets angry and terminates her
employment.
C. If the facility terminates the nurse's employment, the BON can provide the nurse with
legal advice.
D. The nurse must inform the physician of any reports the nurse files. - ANSWER-A.
The nurse cannot be disciplined by the BON or discriminated against by the employer.
A nurse is attracted to a patient and insists on being assigned to care for this patient
every shift she works. As a result there are reports of the nurse not completing other
assignments. In this example the nurse
A. is merely demonstrating caring behaviors.
B. is ensuring continuity of care.
C. has become overly involved and is at risk of committing a boundary violation.
D. is acting appropriately in maintaining a therapeutic nurse-patient relationship. -
ANSWER-C. has become overly involved and is at risk of committing a boundary
violation.
A nurse is counseled for questioning a physician's order that made the physician mad.
Which of the following documents on the BON web site best explains why the nurse
was correct to question a physician's order that the nurse believed could be harmful to a
patient?
A. Guideline for Nurses Transitioning to a New Practice Setting.
B. Statistics on the number of nurses living in each county in Texas.
C. Position Statement 15.14 Duty of a Nurse in Any Setting.
D. Guideline for LVN Scope of Practice under Board Rule 217.11. - ANSWER-C.
Position Statement 15.14 Duty of a Nurse in Any Setting.
A nurse is counseled for questioning a physician's order that made the physician mad.
Which of the following documents on the BON web site best explains why the nurse
was correct to question a physician's order that the nurse believed could be harmful to a
patient? - ANSWER-Position Statement 15.14 Duty of a Nurse in Any Setting
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:
A. the nurse may convince the committee the errors were not her fault, and the
committee can then withdraw the CNO's report to the BON.
B. the IBPR Committee can decide to reverse the CNO's decision to terminate the
nurse's employment.
C. the IBPR Committee may decide to re-orient and re-train the nurse even though she
was fired.
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