NURSING RNSG 2221 jurisprudence QUESTIONS AND 100% CORRECT

ANSWERS

A nurse wants help to lobby the Texas Legislature in favor of a bill that will help staffnurses. 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 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.

When deciding what course of action to follow, the nurse

has a duty to always keep the patient safe.

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 attemptto determine an

alternate assignment that will not violate the nurse's duty to the patient(s).

An advanced practice registered nurse in an outpatient clinic could delegate which ofthe

following tasks to an unlicensed clinical staff member?

ANSWER

A.Administering intramuscular (IM) and subcutaneous (SQ) injections other than insulin.

B.Calling in prescription refills of a PRN pain medication for which no refills have been

authorized.

C.Reviewing routine laboratory results and calling the patient to tell the patient what the results

mean.

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

If a nurse borrows money from an elderly client to help pay personal bills, this actwould be

ANSWER

A.physical abuse of the patient.

B. a violation of professional boundaries.

C.emotional abuse of the patient.

D.a violation of Scope of Practice.

An Incident-Based Nursing Peer Review Committee

ANSWER

A. must make decisions about whether or not a nurse's employment should be

terminated, andwhether or not the nurse will be paid for accrued vacation time.

B. may include the nurse's supervisor, charge nurse, and other management-level

nurses whohave administrative authority over the nurse.

C. can prohibit the nurse from calling witnesses or asking questions during the hearing.

D. must adhere to due process requirements for the nurse, unless the nurse has already

been reported to the board and the committee is only reviewing the possible impact of

external factorson the error.

One of the ways the BON carries out its mission is by

ANSWER

A.starting nursing schools.

B.projecting the needs for nurse aides in the state.

C. approving nursing educational programs.

D.regulating work settings for nurses.

A nurse believes that she lacks the basic knowledge and skills necessary to carry outher 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?

ANSWER

A. The nurse must agree to accept the assignment as there is no valid reason to ever

refuse anassignment.

B. The nurse must go home immediately, as her duty to any of the patient(s) starts only

after takingreport.

C. The nurse must collaborate with the supervisor in an attempt to determine an alternate

assignmentthat will not violate the nurse's duty to the patient(s).

D. The nurse must fax the form to the BON so that the meeting can be scheduled within two

weeks.

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 orretain his or her

nursing license must provide a sworn certificate to the board that he orshe has NOT

ANSWER

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.

In Texas, advanced practice registered nurses (APRNs) may delegate which of thefollowing to

unlicensed assistive personnel?

ANSWER

A.APRNs can delegate anything a physician would delegate, as APRNs are educated to engage

in someaspects of medical diagnosis and medical management.

B.Medical diagnosis and nursing assessment in compliance with BON Rules 224 and

225 on RNdelegation.

C.Advanced practice skills that the APRN learned in his or her advanced practice nursing

program ofstudy.

D.Activities of daily living, health maintenance activities, and nursing tasks in compliance

with BONRules 224 and 225 on RN Delegation.

Which of the following situations is an example of a nurse MAINTAINING appropriate

professional boundaries between the nurse and the client? A nurse

ANSWER

A. rewards a patient with a small stuffed mascot of his favorite football team for progress

made inrehabilitation.

B. responds less frequently to a demanding patient's call light.

C. shares personal information regarding her recent bankruptcy because the patient seems

genuinelyinterested.