Page 10 nursing.elitecme.com Complete Your CE Test Online - Click Here Š Š Texas Board of Nursing. (2013d). Texas administrative code. Retrieved from http://www.bon.texas. gov/rr_current/217-11.asp. Š Š Texas Secretary of State. (2016). Search results: Nurse practice act. Retrieved from http://www.sos. state.tx.us/search.shtml?dropXSL=&pr=default&prox=page&rorder=500&rprox=500&rdfreq=500&r wfreq=500&rlead=500&sufs=0&order=r&rdepth=0&query=nurse+practice+act TEXAS NURSING: JURISPRUDENCE AND ETHICS Self-Evaluation Exercises Select the best answer for each question and check your answers at the bottom of the page. You do not need to submit this self-evaluation exercise with your participant sheet. 1. The primary goal of the Nurse Practice Act is to: a. Establish ethical parameters of practice. b. Provide healthcare employers with rules for nursing conduct. c. To protect the public from harm. d. To differentiate RN from LVN education and training. 2. Individual state boards of nursing have the authority to: a. Interpret the law as it pertains to the practice of nursing throughout the United States. b. Develop rules and regulations that can exceed the law. c. Approve both nurse and physician education programs. d. Describe the grounds for discipline against a nurse’s license. 3. According to the Texas BON, all of the following statements about professional nursing are true EXCEPT: a. Professional nursing involves the supervision or teaching of nurses. b. Professional nursing involves the prescription of therapeutic and corrective measures. c. Professional nursing involves the maintenance of health or prevention of illness. d. The development of the nursing care plan. 4. All aspects of Texas BON roles and responsibilities focus on: a. Establishing schools for the education of nurses. b. Facilitating the delivery of safe and effective nursing care. c. Differentiating the roles and responsibilities of various members of the nursing department in healthcare facilities. d. Evaluating nurses’ knowledge of the Texas NPA. 5. Karen has always admired her nurse manager, Jennifer. Jennifer has many years of experience as a critical care nurse and has earned the respect of her staff. Lately, however, Jennifer has been distracted and has difficulty making decisions. One morning, Jennifer arrives late to work, wearing the same clothes she had on the day before, and smelling faintly of alcohol. She is also unsteady on her feet. According to standards of nursing practice, Karen should: a. Tell Jennifer to stay in her office all day. b. Meet with her peers to decide how to deal with the problem. c. Report Jennifer since her nursing practice is impaired. d. Refer Jennifer for alcohol abuse counseling. 6. Marie is a newly licensed RN who works on the evening shift. When reviewing physician orders, she finds that a physician has written an order for an increase in an antihypertensive medication for one of his clients. The ordered dose dangerously exceeds established normal range. Marie prepares to call the physician for clarification, but is stopped by a colleague who has been an RN for many years. This nurse tells Marie, “Don’t call that guy. He’ll just yell and report you to administration. Just wait until morning and let the nurse manager handle it.” The patient won’t die because of one skipped higher dose.” Marie should: a. Call the physician for clarification. b. Ask her supervisor to handle the problem. c. Call the pharmacy and ask the pharmacist to notify the physician. d. Continue to administer the medication at the former dose. 7. According to the Texas BON position statements, nurses: a. May not carry out orders from a physician’s assistant. b. Are forbidden from using social media. c. May use the American Psychiatric Association Diagnoses to determine medical diagnoses. d. Are able to perform laser therapy with the appropriate education, knowledge, and experience. 8. Mark is an LVN who is also a full time student enrolled in a BSN program. In order to help meet expenses, Mark would like to find part-time work at a local long-term care facility. At this time, there are no LVN openings, but there is a position available as a nursing assistant. Mark decides to accept the position as a nursing assistant until there is an LVN vacancy. Which of the following statements pertaining to Mark’s work as a nursing assistant is correct? a. Mark is held to the level of education and competency of an LVN. b. It is illegal for mark to work as a nursing assistant. c. When working as a nursing assistant mark is held only to the standards of a nursing assistant. d. As a full time student, Mark is held to the competency of an RN. 9. All of the following statements about nursing practice in the state of Texas are correct EXCEPT: a. LVNs may insert PICC lines after receiving appropriate education and training. b. Nurses may carry out pharmacists’ orders for DTM management, as long as the orders originate from a written protocol authorized by a physician. c. All nurses have an obligation to protect their client’s privacy and confidentiality. d. Nurses may carry out physician orders relayed by a PA and/ or which originate from a protocol between the PA and the physician. 10. Theresa is an RN who works on a surgical unit in a large urban medical center. One of her clients, Mr. Manning, is recovering from hip replacement surgery performed several days ago. He has made excellent progress and is scheduled for discharge tomorrow. This client has a reputation as a “complainer.” On the morning of discharge, a nursing assistant approaches Theresa and tells her that Mr. Manning is complaining of feeling dizzy and “not right.” Theresa is very busy and tells the nursing assistant to take Mr. Manning’s vital signs. Theresa forgets about Mr. Manning. Several hours later, she enters Mr. Manning’s room to find him confused and unable to move his right side. He is rushed to the intensive care unit, where is diagnosed with a massive stroke and suffers permanent disability. His family files a lawsuit and names Theresa as one of the plaintiffs. Which of the following statements accurately describes Theresa’s role in the malpractice suit? a. The nursing assistant was the person who discovered the problem and is responsible, not Theresa. b. There is no link to Theresa’s actions and harm done to the client. c. Theresa has breached her duty to Mr. Manning. d. There is no evidence of damages to the client. Answers: 1.C , 2.D, 3.B ,4.B, 5.C, 6.A, 7.D, 8.A, 9.A, 10.C