Texas Nursing Jurisprudence Exam Questions and Answers, Exams of Nursing

Download Texas Nursing Jurisprudence Exam Questions and Answers and more Exams Nursing in PDF only on Docsity! NURSING JURISPRUDENCE EXAM Questions and Answers Latest Update 2024 Primary resources for state law - correct answers ✅Texas Board of Nursing Nursing Practice Acts Nursing Jurisprudence - correct answers ✅Rules/Ethics/Morals and how the nurses function in a healthcare setting. Texas Nurse Practice Acts - correct answers ✅301 -BON, , defines responsibility for regulating nursing education, licensure and practice 303 -Regulates nursing peer review 304 -Relates to nursing Licensure compact Texas BON Mission Statement - correct answers ✅Protect and promote welfare of the people of Texas by ensuring that each person holding a license as a nurse is competent to practice safely. -Protects the interest of the public Chapter 301 NPA - correct answers ✅How board is appointed General powers/duties License requirements/renewal Practice by holder Reporting violations and patient care concerns Prohibited practices/disciplinary actions Other penalties and enforcement previsions Anesthesia in outpatient settings Corrective action proceeding Pass NCLEX Pass NJE with 75%>, NPA/BON rules, 50Q Disclosure of Criminal Behavior - correct answers ✅Must report any past criminal behavior or pending charges -Minor class C misdemeaners excluded (parking tickets, speeding tickets, jaywalking) Five Categories of Trust by BON - correct answers ✅Honesty Accountability Trustworthiness Reliability Integrity Good Professional Character - correct answers ✅Distinguish right from wrong Think and act rationally Keep promises and honor obligations Be accountable for own behavior Promptly disclose facts that could enhance health of pt. and protect from harm Professional Boundaries - correct answers ✅Must recognize/maintain professional boundaries -Do or say nothing that can't be documented Violations -Physical, Sexual, Emotional, Financial exploitation Nursing Peer Review - correct answers ✅Separate from BON review Confidential (incident based or Safe harbor) -Rule 217.19-PR and Whistleblower -Rule 217.20-SH PR and Whistle blower protections Incident Based Peer Review - correct answers ✅Any facility employing 10+ must have one Referral starts with error/incident PR without administrators Fact finding mission Eval. of paractice in atmosphere of collegiality Determine if incident merit or should be to BON RN Standards - correct answers ✅Make Nursing Dx Develop nursing care plan Eval. pt response to care Perform Comprehensive assessment Delegate tasks to UAP Practice independently w/in NPA board rules Edu. to care for all pt's stable and unstable LVN Standards - correct answers ✅Participate in planning of nursing care Assist in evaluationg pt repsonse to tx Minor Incident - correct answers ✅Conduct that does not indicate the nurses continuing to practice professional nursing poses a risk fo harm to the pt. or other person Exclusion to Minor Incident Rule - correct answers ✅A nurse involved in a MI does not need to reported to BOn unless... -Creates sig. risk fo physical, emotinal, financial harm -Lacks a consiencious approach for accontability -Lacks knowl. and compet. and not easily remediat -Pattern of multiple minor incidents -5 minor incidents in a 12 month period must bereported to peer review NEVER a Minor Incident - correct answers ✅Error contributed to pt. death/serious harm Criminal conduct Serious violation (theft, faud, pt. abuse, exploiting) Impairment/suspected impairment by chem. dep. IBPR Due Process Rights - correct answers ✅Facility must have policies in place for PR PR committee must comply with req. Nuse must receive notice/ opportunity to review documents/submit a response Nurse may hire own attorney Nurse will get feedback after decision Nurse will have a chance to respond Safe Harbor Peer Review - correct answers ✅Allows a nurse to accept an assignment and provide best care without fear of licensure action if there is a practice error. -Does not protect civil rights -Before refusing assignment must recog. pt is 1st May refuse an assignemt if lack basic knowlege/ability to render care Safe Harbor - correct answers ✅Must be invoked BEFORE care given Or anytime assignment has changed and pt may be in harm -Must notify in writing -Supervisor can't refuse -May use quick req form to make initial req. -Comprehensive request must be completed before leaving work setting Quick Request Form - correct answers ✅Written on blank piece of paper but must include -Name/Signature -Date/Time of request -Location of where it is to be completed -Name of person making assignent -Brief expalnation of why safe harbor is being req. Chain after Safe Harbor Nurse completion - correct answers ✅Nurse supervisor/administrator who gave assignm. Nurse adminstrator Peer Review Committee 3rd- state concern to person making assignment, brainstorm ways to modify 4th- Listen to response Disciplinary Action - correct answers ✅Chemical Dependency Alcohol Dependency Mental Illness Even some prescription drugs Red Flags - correct answers ✅Lack of energy Frequent absenses Spike in pt. need for pain meds Lateness to work Red Eyes No/unusal documentaion Frequently stands behind other nurses signing out meds Unprofessional Conduct - correct answers ✅Drug Diversion Unsafe practice Failure to pay student loans Dismissal peer assistance program Drug related actions Criminal conduct Board Process for investigating complaints - correct answers ✅Nurse notified of investigation and invited to respond Investigator gathers and reviews evidence Decision made by board Nurse's responsibility during investigation - correct answers ✅Respond promptly to all requests Keep contact information current Fee free to contact investigator Do not ignore any mail from BON Types of Nurse Remediation - correct answers ✅Remedial education -Classes specific to issue Supervision -Work under direct/indirect supervis. Work environment -stable environment not home health Losing license is not uncommon Filing a complaint against another nurse - correct answers ✅Any violation of BON rules needs to be reported Must be written/signed by person making report Include ID of nurse being reported Contain any additional info required All complaint information is confidential Duty to pt. and mandatory reporting req. Failure to report violation!