Nursing Jurisprudence and Ethics for Texas Nurses Practice Exam

Which of the following activities would violate a provision of the NPA and Board Rule 217.11(2), Standards of Nursing Practice, relating to the practice of nursing by a LVN?

1. Assisting in the evaluation of a client's response to nursing interventions

2. Collaborating with the RN to revise the nursing care plans for assigned clients

3. Making assignments to other licensed nurses and to unlicensed assistive personnel when working in a supervisory position

4. Practicing in any setting without an appropriate practice supervisor who is at least telephonically available

The correct answer is: Assisting in the evaluation of a client's response to nursing interventions

The correct answer is that practicing in any setting without an appropriate practice supervisor who is at least telephonically available would violate a provision of the Nursing Practice Act (NPA) and Board Rule 217.11(2), which outlines the standards of nursing practice for Licensed Vocational Nurses (LVNs). LVNs are required to practice under the supervision of a Registered Nurse (RN) or another appropriate supervisor, ensuring that they have guidance and support during their nursing practice. This provision is in place to protect both the patients and the nurses, promoting the delivery of safe and effective care. Without the proper supervision, an LVN could be operating outside the legal and ethical standards established to ensure patient safety and uphold the quality of nursing practice. The other activities listed, such as assisting in the evaluation of a client's response to nursing interventions and collaborating with the RN on nursing care plans, are within the scope of practice for an LVN. Additionally, making assignments to other licensed nurses and unlicensed personnel, when in a supervisory capacity, is permitted as it falls under the responsibilities that LVNs can assume within the structure of healthcare team dynamics, as long as it does not compromise patient safety and care standards.