TX NJE - Texas Nursing Jurisprudence Professional and Unprofessional Conduct Questions and Answers

Question 1

A nurse takes a photo of a patient's unique tattoo on their arm, ensuring no face or other identifying marks are visible, and posts it on a private social media page for fellow nurses with the caption, "Check out this cool ink I saw at work today!" According to Texas Board of Nursing (BON) Rule 217.12, this action is considered:

Accepted Answer

A violation of professional boundaries and potentially unprofessional conduct.

Answer

Acceptable professional conduct, as the patient's identity was protected.

Answer

A minor indiscretion that does not rise to the level of a reportable offense.

Answer

Permissible only if the nurse obtained specific written consent for social media posting.

Question 2

Which of the following behaviors, observed in a colleague, would most clearly constitute unprofessional conduct under Texas BON Rule 217.12 and require reporting?

Accepted Answer

Frequently volunteering to administer narcotic medications for other nurses' patients.

Answer

Having a single glass of wine during an off-duty lunch break, several hours before their shift begins.

Answer

Complaining about fatigue due to working frequent overtime shifts.

Answer

Discussing a desire to change specialties to a less stressful environment.

Question 3

According to the Texas Board of Nursing, all of the following actions are considered violations of professional boundaries EXCEPT:

Accepted Answer

Accepting a box of chocolates from a grateful patient upon their discharge from the hospital.

Answer

Loaning a patient money to pay for their prescription co-payment.

Answer

Selling skincare products from a multi-level marketing company to a patient during a home health visit.

Answer

Entering into a romantic relationship with a current patient's sibling whom the nurse met at the bedside.

Question 4

An LVN is hired at a clinic. During the hiring process, they fail to mention that their license is currently under a Board-ordered stipulation that prohibits them from administering narcotics. When asked by the clinic manager to administer a controlled substance, what is the LVN's professional responsibility according to the NPA and BON Rules?

Accepted Answer

Refuse the assignment and immediately and accurately disclose the license stipulation to the manager.

Answer

Administer the medication as ordered to avoid revealing the stipulation.

Answer

Ask another nurse to administer the medication without providing a reason.

Answer

Resign from the position immediately without explanation.

Question 5

A Registered Nurse on a busy unit delegates the task of ambulating a stable post-operative patient to an Unlicensed Assistive Person (UAP). The RN provides clear instructions on technique and weight-bearing status. Later, the RN observes the UAP struggling to assist the patient, who appears dizzy. According to Rule 217.11, Standards of Nursing Practice, what is the RN's most critical next action?

Accepted Answer

Immediately intervene to ensure the patient's safety.

Answer

Document the UAP's poor performance in the patient's chart.

Answer

Report the UAP to the charge nurse at the end of the shift.

Answer

Instruct the UAP to return the patient to bed and try again later.

Question 6

Under Texas BON Rule 217.11, Standards of Nursing Practice, a nurse's duty to a client includes clarifying any order or treatment the nurse has reason to believe is inaccurate or contraindicated. What is the primary purpose of this standard?

Accepted Answer

To act as a patient advocate and prevent harm.

Answer

To challenge the physician's authority.

Answer

To protect the nurse from liability.

Answer

To ensure accurate billing for procedures.