TexasmNursingmJurisprudencemExam mQuestions

TexasmNursingmJurisprudencemExam mQuestions andm mCorrectmAnswersm m AccordingmtomthemCNOmpracticemstandard:mprofessionalmstandards,mrevisedm2002,mwhichmonemofmthemf ollowingmdescriptionsmbestmreflectsmthemstandardmstatementmrelatedmtom"accountability"?m- manswer>>>Eachmnursemismaccountablemtomthempublicmandmresponsiblemformmeetingmlegislativemrequir ementsmansmthemstandardsmofmthemprofession Amphysicianmcallsminmamtelephonemordermformpainmmedication.mThemphysicianmismnotminmthemfacility.mSho uldmthemnursemacceptmthemorder?m-manswer>>>Yes,mbecausemthemphysicianmismnotmphysicallympresent What'smthemCNO'smmandate?m-manswer>>>Tomprotectmthempublicsminterest ThemconsentmandmcapacitymboardmhasmfoundmMr.mSilvamincapablemofmmakingmdecisions.mHismnephew,m whomismhismsubstitutemdecisionmmaker,mhasmgivenmconsentmtomstartmthemapplicationmformplacementminm LTC.mMr.mSilvamwishesmtomstayminmhismhome.mAccordingmtomthemhealthmcaremconsentmactm1996,mwhichmo nemofmthemfollowingmstatementsmismtruem?m- manswer>>>Mr.mSilvasmnephewmhasmthemauthoritymtommakemthemplacementmdecision Whichmofmthemfollowingmstatementsmismtrue?m- manswer>>>Themregulatedmhealthmprofessionsmactm1991mandmthemnursingmactm1991mbothmregulatemth emnursingmprofession Anm80myearmoldmnursingmhomemresidentmwithmadvancedmAlzheimer'smdiseasemrequiresmminormsurgery .mWhichmofmthemfollowingmindividualsmshouldmsignmthemconsentmformhismoperation?m- manswer>>>Thempersonmnamedmasmhismpowermofmattorneymformpersonalmcare Amnursemdisagreesmwithmamclientsmdecisionmtomterminatemampregnancymformgeneticmreasonsmandmwishe smtomdiscontinuemnursingmcare.mWhatmshouldmthemnursemdomfirst?m- manswer>>>Consultmwithmamnursingmcolleaguemtomclarifymthemnursesmownmvalues Whatmismincludedminmthemmandatorymrequirementsmformnursesmwhomaremrandomlymselectedmtomparticipat eminmCNOsmqualitymassurancemprogram?m-manswer>>>Peermassessment 1 / 3

Duringmthemlunchmbreak,mamnursemobservedmamcolleaguemdrinkingmseveralmalcoholicmbeverages.mLatermi nmthemday,mthemcolleaguemismobservedmloudlymlaughingmandmslurringmwordsmwhenminteractingmwithmclie nts.mHowmwouldmCNOmmostmlikelymassessmthismtypemofmbehaviour?m-manswer>>>Incompetence Gladysmhasmdecidedmtomresumemnursingmpracticemaftermresigningmfrommthemprofessionmtomraisemamfam ily.mAftermanminterview,mshemwasmsuccessfulminmobtainingmampositionmatmamlocalmLTCmfacility.mCanmgladys mbeginmworkingmasmamnurse?m- manswer>>>No,mbecausemgladysmrequiresmcurrentmregistrationmwithmthemCNO AccordingmtomCNO,mnursesmmustmobtainmexplicitmconsentmformwhichmofmthemfollowingmactions?m- manswer>>>Providingmactivitiesmofmdailymliving Whommaymdeterminemcapacitymformthempurposemofmthemsubstitutemdecisionsmact,m1992?m- manswer>>>Amtrainedmcapacitymassessor Amclientmsituationmarisesmthatmmaympresentmanmethicalmissue.mWhatmismthemfirstmthingmthemnursemmustmd o?m-manswer>>>Determinemthemclientsmwishes Whichmofmthemfollowingmstatementsmbestmdescribesmthem"client"minmthemcontextmofmthemtherapeuticmn ursemclientmrelationship?m-manswer>>>Anmindividual,mfamily,mgroupmormcommunity Anmoccupationalmhealthmnursemrevealsmtomammanagermthatmonemofmtheirmprobationarymemployeesmism pregnant.mWhat,mifmanything,mismwrongmwithmthismaction?m- manswer>>>Nothing,mthemnursemhasmactedminmgoodmfaithmtomprotectmthismemployee Consistentmwithmthemhealthmcaremconsentmact,m1996,mwhenmismamnursemrequiredmtomobtainmconsentmt omtreatment?m- manswer>>>Providingmnursingmservicesmtomanmillm8myearmoldminmamcommunitymhealthmcenter Whatmismonempartmofmthemdefinitionmofm"mprofessionalmmisconduct"masmdefinedmbymthemhealthm professionsmproceduralmcode?m- manswer>>>Guiltymofmanmoffencemrelevantmtomthemmembersmsuitabilitymtompractice 2 / 3

Whenmcanmamnursemdiscontinuemnursingmservicesmformamcognitivelymimpairedmclientmwithoutmresulting minmprofessionalmmisconduct?m-manswer>>>Ifmreplacementmservicesmhavembeenmarranged Amnursemismoverheardmsayingm"yourmbreastsmlookmgreatminmthatmshirt"mtomamclient.mThemclientmsmilesman dmwalksmaway.mIsmthismsexualmabuse?m- manswer>>>Yes,mbecausemthemcommentmwasmofmamsexualmnature Whatmismamkeymelementmofminformedmconsent?m- manswer>>>Themclientmreceivesmresponsesmtomrequestsmformadditionalminformationmaboutmtreatmen t AccordingmtomthemCNOmpracticemstandard;methics,mwhatmismamcomponentmofmthemdefinitionmofmthemethi calmvaluesmofm"truthfulness"?m-manswer>>>Speakingmormactingmwithoutmintendingmtomdeceive Amnursemismassignedmamclientmwithoutmcomplicationsmfollowingmamtherapeuticmabortion,mwhichmisminmdi rectmconflictmwithmthemnursesmvaluesmandmreligiousmbeliefs.mWhatmactionmshouldmthemnursemtakeminmth ismsituation?m-manswer>>>Findmanothermnursemtomcaremformthemclient AnmRPNmandmanmRPmpracticemcollaboratively.mThemNPmhasmwrittenmanmoffermformacetaminophenm(Tylen ol)mformpain.mWhatmismthemRPNsmresponsibility?m-manswer>>>Administermthemmedicationmasmordered Amnursemwitnessesmanothermnursemtakingmamclientsmpersonalmitemsmfrommthemclientsmroom.mWhatmismt hemfirstmactionmthemnursemshouldmtake?m-manswer>>>Speakmtomthemnursemregardingmthemmatter Whichmofmthemfollowingmstatementsmdescribesmthemethicalmvaluemrelatedmtom"privacymandmconfidentiality

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