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COMPLETE NEW Texas Nursing Jurisprudence Exam LATEST 2024 COMPLETE ALL VERSION V1 1,2,3,4, Exams of Nursing

COMPLETE NEW Texas Nursing Jurisprudence Exam LATEST 2024 COMPLETE ALL VERSION V1 1,2,3,4,5,6,7,8,9,10 100% REAL AND AUTHENTIC EXAM |VERIFIED UPDATE|BON APPROVED

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Download COMPLETE NEW Texas Nursing Jurisprudence Exam LATEST 2024 COMPLETE ALL VERSION V1 1,2,3,4 and more Exams Nursing in PDF only on Docsity! COMPLETE NEW Texas Nursing Jurisprudence Exam LATEST 2024 COMPLETE ALL VERSION V1 1,2,3,4,5,6,7,8,9,10 100% REAL AND AUTHENTIC EXAM |VERIFIED UPDATE|BON APPROVED EACH TEST CONTAIN 50 QUESTIONS Table of Contents Texas Nursing Jurisprudence Exam With Answers Version 1 (V1) ............................................................. 1 Texas Nursing Jurisprudence Exam With Answers Version 2 (V2) ............................................................. 8 Texas Nursing Jurisprudence Exam With Answers Version 3 (V3) ........................................................... 16 Texas Nursing Jurisprudence Exam With Answers Version 4 (V4) ........................................................... 21 Texas Nursing Jurisprudence Exam With Answers Version 5 (V5) ........................................................... 26 Texas Nursing Jurisprudence Exam With Answers Version 6 (V6) ........................................................... 31 Texas Nursing Jurisprudence Exam With Answers Version 7 (V7) ........................................................... 36 Texas Nursing Jurisprudence Exam With Answers Version 8 (V8) ........................................................... 40 Texas Nursing Jurisprudence Exam With Answers Version 9 (V9) ........................................................... 46 Texas Nursing Jurisprudence Exam With Answers Version 10 (V10) ....................................................... 52 Texas Nursing Jurisprudence Exam With Answers Version 1 (V1) Can a patient successfully sue a doctor if there is no physician-patient relationship? No If there is no prior physician-patient relationship, are you legally obliged to respond to a call from a patient for treatment? No Does being on call give rise to a physician-patient relationship? No How can one terminate a physician-patient relationship, without abandonment if there is ongoing treatment? 30 days written notice; must provide for emergency Does a physician's duty extend to the unborn child or potential victims of an ill patient? Yes What is "proximate cause"? Prove that negligence caused harm and that the cause was not too remote; what is required to hold a defendant liable in a civil lawsuit What are the two components of proximate cause? Cause-in-fact (but-for test) and foreseeability Does an expert witness have to be actively practicing medicine? Yes Does an expert witness have to know standards of care? Yes Does an expert witness have to have enough training to express an opinion on whether standard of care was provided? Yes Is there immunity from civil action in volunteer care? Yes, except gross negligence When can a physician be charged with "assault and battery"? Un-consented surgery or examination or when exceeding the scope of the consent When can a physician be charged with patient abandonment? Unilateral cessation of treatment when continued treatment is necessary What is "strict liability"? Liability that does not depend on actual negligence, but that is based on a breach of a duty to make something safe. This often applies to product liability Are hospitals liable for the actions of a physician? No, unless the hospital employs the physician Who determines in a criminal case if the medical records of a patient should be released? Judge by inspection How many days do you have to release medical records to an attorney? 45 days Can medical records be admitted as evidence in court? What are the requirements? Yes, but only with affidavit What are schedule 1, 2, 3, 4, 5 drugs? Schedule 1—no known use (e.g., heroin); schedule 2—very addictive (morphine, cocaine); schedule 3- 5—less addictive What are dangerous drugs? Prescription drugs other than schedule 1-5 How many DEA registrations do you need if you prescribe drugs? dispense drugs? One to prescribe; a separate registration for each location where you dispense How often do you renew your DEA license? Every 3 years Can you move your office location and then change your DEA? No, need to change BEFORE move Is a DEA registration sufficient to prescribe drugs in Texas? No, also need Department of Public Safety Bureau of Narcotics and Dangerous Drug registration How often do you renew a DPS license? Yearly Do you have to display the DEA and DPS licenses? Not required by any statute. How many days do you have to notify the DPS of any change in your information (name, address, tel., etc.)? 7 days Can you have your DPS suspended and keep your DEA or vice versa? No, they are interconnected For schedules 2-5 drugs, can you just put the number of pills on prescription? No, number and number spelled out Do you have to put intended use on prescription? Yes With how many days of a schedule 2-5 drug can a patient be discharged from the hospital? 7 days; only if the drug was already rx in the hospital Yes, just like other meds Can a physician buy and rebottle? Any exceptions? No, except for rural areas (less than 5000 population of town or 2500 of municipality, closest pharmacy > 15 miles) To give anesthesia, how often do you have to register with the board? Every 2 years What life support competency do surgeons and anesthesiologists need? ACLS, PALS, or board-approved course How many and what competency levels of healthcare providers do you need in all settings? At least 2 physicians with advanced competency How many days do you have to report office-based anesthesia-related complications? 15 days What is considered an anesthesia-related complication? Admission to hospital within 24 hours or death within 72 hours What is considered intractable pain? Pain where cause of pain cannot be removed and where relief or cure has not been found Can a hospital forbid a physician to give dangerous drugs or controlled substances for treatment of intractable pain? No Can the board take disciplinary action against a physician for giving dangerous or controlled substances to a patient with intractable pain? No What must the physician document prior to treatment of intractable pain? Understanding between physician and patient about treatment; dose, type, frequency of medication; consultation with psychologist, psychiatrist, addictions expert Can you guarantee that a drug will work? No Who can be part of a confidential communication? Persons involved, furthering interest of the patient, and those participating in diagnosis or treatment, e.g., patients, doctors, translators, nurses, etc Is the billing record confidential? No, billing record is NOT part of medical record In a criminal proceeding, is the physician-patient privilege communication confidential? NO (except for mental health records); judicial ruling should be obtained In a criminal proceeding, are records of alcohol and drug abuse confidential? Yes Does the physician confidentiality apply to court or administrative proceedings brought by the patient against a physician? No Can the physician violate confidentiality if he/she thinks he or someone else is in danger? Yes, must report that to law enforcement agency (NOT for mental health) What information must a release of medical records include? Type of records, reason, and person to whom to release How many days (hospital) or business days (physician) does a hospital/physician have to provide medical records when they are requested? Physician has 15 business days, hospital has 15 days What is "therapeutic privilege," when can it be used, who has access to the information, and what is the protocol the physician must follow? Can you "break" confidentiality in order to tell a spouse that his/her spouse is HIV positive? Yes Can you break confidentiality to tell a partner about notification program?. Yes Are blood bank records confidential? Yes If a blood bank finds a donor with an infectious disease, can they call other blood banks and tell them the name of donor and the disease?Edition. They can tell name of donor, NOT disease If a blood bank finds that blood outbound to hospitals is HIV positive, can they call the hospitals and give name of donor? Type of disease? They can tell name of disease, NOT donor For statistical purposes, can a blood bank give out medical records? Names? Yes, but not names or other identifying information Is genetic information confidential? Yes Can patients have access to the results of their genetic testing? Yes What kind of crime is the unauthorized release of records? Misdemeanor Texas Nursing Jurisprudence Exam With Answers Version 3 (V3) Can the Texas Medical Board (TMB) show preference to a specific school of medicine such as medicine v. osteopathy? No What does the Medical Practice Act (MPA) regulate? The practice of medicine Who does the MPA apply to? Physicians (MD, DO), PAs, and acupuncturists Does the MPA apply to the armed forces and federal public health? Can they moonlight? It does NOT apply to a federal job, they can NOT moonlight outside the federal setting Does the MPA apply to emergency assistance if there is NO charge of money? If there is money charged or billed? NO if no charge; YES if money is charged Are medical students in "board-approved schools" subject to the MPA? No Does the MPA prohibit self-care? No Does the MPA apply to physicians in contiguous states? NO (physicians from nearby states can only order care for patients in hospice or nursing homes) How many people are on the TMB? Who appoints them? Who must confirm them? 19 members, appointed by the governor, confirmed by the senate Can the board subpoena people and records? Who can serve a subpoena? YES, subpoenas can be served by board investigator or sent by certified mail How often does the Department of Public Safety (DPS; state police) check on physicians and report to the board? Quarterly What are acceptable methods to tell the public on how to register a complaint to the TMB? In what languages? Where can a physician include this info? By phone (direct number and 1-800 number) or by mail; posted sign, on registration forms or bill; in English and Spanish How often must the TMB disseminate updated information? What info is included? 2 times per year; info includes disciplinary action, board activities and functions, changes to the MPA and attorney general opinions Are disciplinary orders private or public? Public Are the following included in the physician profile? 1. ethnic origin 2. CME 3. years in practice 4. Medicaid participation 5. misdemeanors 6. felonies What is the "health professions council"? Council of various professionals that establishes a central telephone complaint system (800- number) Does the TMB have to notify a physician when a complaint is filed? Are there exceptions? How often do the parties get updated on proceedings? Yes, within 30 days, except if it would interfere with the investigation; updates are quarterly When does the TMB release complaint information to the hospital? Upon written request Who investigates issues of "medical competency"? An expert physician panel appointed by the board consisting of physicians ONLY What do medical malpractice carriers have to report to the TMB regarding malpractice? Within what time limit? Who punishes them if they do not report? What does a physician without insurance have to report and when? Is there a difference for NPDB/HCQIA? Within 30 days from a complaint being filed in a lawsuit, settlement; noninsured MDs have to self-report within 30 days; any payment must be reported to NPDB by HCQIA requirements Restrictive action by the TMB: Within what time limit must the board tell the hospital? Tell Medicare? Tell the secretary of health & professional societies & complainant? Next working day for hospitals; in writing for all within 30 days. Restrictive action by the TMB: How often must the board make public notices about disciplinary orders? 2 times per year. Restrictive action by the TMB: Must the board report crimes found during investigations? Yes, to the law enforcement. Restrictive action by the TMB: Within how many days must the board report to the NPDB? 30 days. Restrictive action by the TMB: Within how many days must a court report to the board about convictions, felonies, and misdemeanors and addiction issues be filed? 30 days. Are TMB reports confidential? Yes Texas Nursing Jurisprudence Exam With Answers Version 4 (V4) Who can the NPDB give info to? How about to patients? How about statistical data? Hospitals, self-requesting physicians, board, other state or federal agencies, attorneys; for statistical purposes if no identity disclosed When is it not illegal to perform a third-trimester abortion? To prevent mother's death, if unborn has severe irreversible brain damage When is it not illegal to perform an abortion on a minor? In emergency and with court order Is sexual contact between a physician and patient OK if the patient consents? NO, the disparity of power does not allow consent Why is it unprofessional to initially prescribe drugs over the Internet? Did not verify identity of patient, no physician coverage or follow-up guaranteed How can you terminate care to a patient? 30 day notice, certified letter, available for emergencies during that time, give alternative physicians What prescriptions does a physician need to keep records on? Dangerous drugs? Controlled substances? Samples? Samples and dangerous drugs as part of medical record; for schedule 3-5 records and log; for schedule 2 separate log and records; keep record for 2 years; do inventory on schedule drugs every 2 years Can the board administer monetary penalties? Yes What happens to his/her license if a physician goes to prison? TMB is required to suspend How many malpractice claims within what time period automatically open a board investigation? 3 within 5 years How many people from the TMB are necessary to temporarily suspend a license? President appoints a 3-member panel; can be done by phone Is self-reporting addiction a disciplinary action? Is a rehabilitation order a disciplinary order? No; no, it is the only nondisciplinary order Is probation a disciplinary order? Who cannot be put on probation? Yes; sex offenders, felons, prisoners, or if the physician is a threat to public Can the TMB make a physician give a refund? What is the maximum amount of refund? Yes; cannot be more than the amount paid What is monitoring? Continued oversight of the board for subjects on disciplinary orders Who is part of an informal hearing and what is it? Members of the board, at least one of whom is a public member, physician, his/her attorney; a means to settle a case without an administrative hearing When do you go to formal hearings? What is the SOAH? Is it part of the TMB? Who holds the hearings? Who is participating? Must the TMB follow the ruling of the administrative law judge? If no settlement reached after informal hearing; state office of administrative hearing; no; board members, physician, attorneys, and administrative law judge; NO, they do not have to follow the judge's ruling Where can a physician file an appeal? Within what time period? Can he practice in the interim? Circuit court Travis county, within 30 days after final board decision; physician cannot practice in interim Can the TMB panel serve a subpoena to a physician? Yes Can the physician get his file? Yes, with written request, within 30 days What can optometrists prescribe? Eye ointments Can anybody be a surgical assistant? Do they need a license? Yes; yes, if they identify themselves as licensed, otherwise, no Can a physician delegate the taking of X-rays to noncertified technicians? Yes Can they do bone density? Nuclear tests? CT? Skull X-ray? Bone density, skull, spine, extremities, abdomen, chest; NOT CT, nuclear test, etc Do they need to be licensed or registered by the boards? Yes, they need registration What is the difference between a partnership and a limited liability partnership? The limited liability partnership can limit individual liability white partner A is liable for the acts of partner B We have an expert-written solution to this problem! Who can incorporate in Texas? Can physicians practice through corporations? Dentists, PT but NOT MD; MD cannot practice through corporation Are there any corporations that can employ physicians? Yes, Certified Nonprofit Healthcare Corporation Who can grant a title of Certified Nonprofit Healthcare Corporation? TMB What are 5 important characteristics of Certified Nonprofit Healthcare Corporations? Must conduct scientific research, support education, improve capabilities to study and teach, deliver health care to the public, instruct public in medical science, public health Can hospitals provide "physician guarantees"? How do the finances work? Physicians can contract with hospitals but are not employees; guarantees paid for availability, billing, etc Are there federal anti-kickback laws? Yes What does the health care insurance portability and accountability act do to federal anti- kickback provisions? Applies to all federal health care insurances = all insurances Do the anti-kickback laws apply only to Medicare and Medicaid? No Does federal anti-kickback law apply only to patient referrals? No Does this law apply only to giving money as a kickback? Who is punished, giver or taker? No, any money or monetary value; both are punished What kind of crime is a violation of anti-kickback law, and what is the penalty for physicians and hospitals? Felony; up to $250,000 for individuals and $500,000 for institutions What are safe harbors in anti-kickback law? Give examples. Acts NOT in violation of anti-kickback regulation; e.g., space and equipment rental, sale of practice, discounts, etc Are STARK laws federal? Yes Texas Nursing Jurisprudence Exam With Answers Version 5 (V5) What is a STARK law? Can you refer to family? Anti-self-referral law; no What is the difference between STARK 1 and STARK 2? Stark 1 applies to laboratories, Stark 2 to PT, OT services, etc What is the CIVIL FALSE CLAIMS act? Is it state or federal? How long has it been around? What does it prohibit? Submitting false claims to government for payment; federal law since War Between the States Does Texas prohibit remuneration in exchange for referral volume? Yes, prohibition on the solicitation of patients What kind of crime is it to tamper with Texas Medical Board documents? Class A Misdemeanor Barratry—what is it? Is it illegal? Contacting prospective patients in attempts to solicit them; it is illegal Who can be part of a medical peer review committee? Physicians, health care workers, anybody in the hospital Does physician competency include membership in societies, participation in education, participation in group plans? No Who makes rules (by laws) for hospitals? The governing body Can a hospital reject an orthopedist because he is a DO and not an MD? No Can a hospital deny you privileges because you don't accept HMOs? Participate in other hospitals? No Who makes the final decision in a hospital to grant or deny privileges to a physician? Governing body Does the hospital have to get a report from the NPDB about physicians prior to granting privileges? Yes, initially and every 2 years; if they don't, they are liable How many days does the board have to give data to a hospital requesting it? 15 days How often must a physician update his core credentials? How many days does he have to provide corrections? Yearly; corrections within 30 days If on active duty, when restrictions of minor removed, for communicable disease, if pregnant for counseling, and addiction treatment Does the Consent to Medical Treatment Act apply to "incapacitated" individuals? Does it apply to psychiatry patients? Yes; yes, but not for patients in FREE-STANDING psychiatric hospitals Who can be a surrogate decision maker? What are the requirements? Spouse, adult child, majority of children, parents, or a person identified by patient before becoming incapacitated Can surrogate decision maker consent to voluntary inpatient psych treatment? ECT treatment? Appoint another surrogate decision maker? Not psych treatment, not ECT, cannot appoint another decision maker What are 3 examples of "advanced directive"? Directive to physician, out-of-hospital DNR, medical power of attorney How many witnesses do you need, and what are the witness requirements for advanced directives? 2 witnesses, one cannot be related, beneficiary, attending physician or hospital employee Can a directive to a physician be oral or must it be in writing? Can be verbal and must be documented in chart with names of witnesses Does an advanced directive have to be notarized? No How many witnesses for an oral directive? 2 How long is a directive good for? No limit, until revoked What are the 3 ways to revoke an advance directive? Written, oral, or VOID across the pages When a directive is orally revoked, what should the physician do with it? Destroy or write note on verbal revocation or write VOID across pages What happens if a physician disagrees with the directive given to him? Does not have to follow; can request ethics or medical committee with 48-hour notification for all parties What is the transfer registry? Directory of physicians or hospitals willing to accept patients in transfer who have advanced directives Is "mercy killing" allowed in Texas? No Who must sign an "out-of-hospital DNR"? Can it be verbal? Are witnesses needed? Attending physician, patient, and two witnesses; yes/no; yes/no What is the effect of an "out-of-hospital DNR"? Legally binding; patient's wishes written as a physician order If a patient's family disagrees with a patient's decision, what can they do? Must apply for temporary guardianship under Texas probate code If you see a DNR device on a patient but have not seen the form, is that enough not to give treatment? Yes, DNR device is enough Can an incompetent patient revoke their DNR? Yes Should this form accompany patients on transfers? Texas Nursing Jurisprudence Exam With Answers Version 6 (V6) Yes What kind of treatment can the power of attorney NOT consent to? Admission to mental health institution, ECT, psychosurgery, abortion, neglect of minimal treatment (nutrition, hydration, comfort measures) Does the power of attorney have an expiration date? No, unless specified What happens if on the expiration date the patient is incompetent? It is continued until patient becomes competent again, then expires Who cannot be the power of attorney? Principal health care provider or residential care provider or employee of those Does the power of attorney have access to the patient's medical records? Yes When can you withhold treatment to an infant? If chronically and irreversibly comatose or terminally ill and further treatment would be futile Can you withhold nutrition/hydration from a terminally ill infant? No Is the mental health directive an advanced directive act? Yes, but with differences What are the requirements for mental health directive? What are requirements for witnesses? Age 18 or not a legal minor, not incapacitated; 2 witnesses both of who cannot be related, beneficiaries, attending physician, or employees of hospital Does a mental health directive have an expiration date? Yes, 3 years or until revoked What happens if on the expiration date of a mental health directive, the patient is incapacitated? It continues until competent When can you use restraints? When can you use behavioral measures? If there is danger of harm to self or others and other measures have failed; never Does the donor have rights of a parent in artificial insemination? Does the husband? Donor NO, husband YES What prenatal maternal tests must a physician check? HIV, hepB, syphilis How many times must a physician check prenatal maternal tests? Twice; upon first examination and on admission for delivery Within what time period does insurance have to pay for newborn hearing screen? When do they have to pay for follow-up care with regard to hearing? From birth until 30 days; up to 2 years of age For what time period must an insurance cover a mother + newborn? 48 hours normal delivery, 96 hours C-section; longer for complicated delivery Who must review immunization history? Every physician Until when must insurance pay for immunizations? Up to age 6 Who must submit the birth certificate? Physician, midwife, or person attending birth How many days do you have to submit the birth certificate? 5 days What kind of crime is it if you don't submit a birth certificate? Misdemeanor What kind of crime is it if you submit false data on a birth certificate? Felony 3rd degree How old or young must a baby be in order for a care provider to be able to take possession of an abandoned baby? 60 days Can any money transaction be done during an adoption? Yes; only to cover expenses When is a person considered dead? Cardiac and respiratory functions cease to exist When is a ventilated person considered dead? Irreversible cessation of brain function What is the time of death for ventilated people? At time of determined brain death For your ventilated person, do you pronounce death before or after you turn off ventilator? Before Who can pronounce somebody dead? MD, PA, NP, RN Who must file the death certificate? Person in charge of interment How many days does the physician have to fill it out once it is given to him/her? 5 days for MD to fill out medical portion, 10 days to send in death certificate Do fetuses require death certificates? If 350 grams or more or 20 weeks or older Sudden infant death syndrome (SIDS) applies to children ages or younger 1 year In SIDS, is an autopsy required? Yes To whom and how fast must you report SIDS? To a justice of the peace, medical examiner, or other proper official immediately Who pays for autopsy in SIDS? State Texas Nursing Jurisprudence Exam With Answers Version 7 (V7) If at the time of death the physician knows that the patient had a communicable disease, what must be done to the body? Report to TDSHS and tag body to indicate caution required due to communicable disease The death of a child under ____ years must be reported. 6 years Whom do you report it to? Medical examiner or justice of the peace What must the medical examiner do for the death of a child under 6 years? Hold inquest How many days must have passed since the person was last seen in order to issue a "certificate of death by catastrophe"? 10 days Can you issue a certificate of death by catastrophe for a minor? Yes, with affidavit What is the difference between an inquest and an autopsy? Inquest is investigation only into causes of death, autopsy is postmortem body examination Who does the inquest after the death of a child under 6 years old? Medical examiner or justice of the peace Who has rights to consent to autopsy? In what order? Spouse, child, court or guardian, parent, next of kin, any person assuming custody If a person higher in hierarchy is not available, can the next person down consent to autopsy? No If a member of a class (1 out of 4 children) consents to autopsy but the other 3 do not agree, can they still do the autopsy? Yes, only one needs to consent What kind of crime is it if you assist in suicide and patient does not die? What if patient dies? Class C misdemeanor, if patient dies felony How many witnesses do you need to donate an organ if there is no will? 2 witnesses, signed Who has the power to donate the organ of a dead person? Spouse, child, parent, siblings, guardian, any authorized person How can you revoke an organ gift? Do you have to tell the donee? Yes; no Can you pronounce the death and transplant an organ in the same patient? Is an employer liable for the sexual misconduct of a current or previous worker with a current or discharged or ex-patient? Yes, if employer has knowledge of past sexual exploitation or fails to inquire over the last five years of employment What is considered "emotional dependence"? Lack of emotional dependence of the patient on the therapist is a defense that can be raised in an action brought by a former patient Is it a defense that the sexual misconduct was consented? Off the premises? Outside treatment sessions? No, no, no Who are the 2 agencies that should receive a report in cases of sexual misconduct? State licensing board and prosecuting attorney of the county where the alleged offense occurred When to report sexual misconduct? What offense is failure to report? Within 30 days; misdemeanor If you are examining a patient with a communicable disease, what is your duty? Duty to instruct on prevention of reinfection, spread, and necessity to treat Who has to report communicable diseases? Physician, dentist, veterinarian, chiropractor What sort of situations must be reported? Documented or suspected infection, exotic diseases, outbreaks Texas Nursing Jurisprudence Exam With Answers Version 8 (V8) Can an employee in the office do the reporting? Yes, if designated by physician If a physician reports a communicable disease, does the hospital also have to report it? Yes, both If you treat a patient with a communicable disease that dies, what are your 2 responsibilities and within what time frame? Report death immediately and put toe tag on What kind of crime is nonreporting communicable disease? Class B misdemeanor If you are a police officer, firefighter, etc., can you make somebody have an HIV test if you think you might have been exposed? Who do you call? Yes, request TDH Is the police officer, etc., required to be tested himself/herself? No If an employee is exposed, can the hospital check if the person is harboring an infective agent? Yes, to HepB, C, HIV What diseases must they test for? Hep B, C, HIV Do they need the patient's consent? No Who must report occupational exposure? Does that include labs? Physicians, labs, health care workers; labs must report abnormal lead levels What occupational exposure must be reported? Asbestosis, silicosis Do you have to report birth defects? Yes Which diseases have to be reported immediately? Diphtheria, measles, anthrax, pertussis, hemophilus, plague, rabies, SARS, smallpox, yellow fever, etc Which diseases must microbiology labs report immediately? Vancomycin-resistant staph, VRE, HIV, neisseria meningitis Can you make somebody have HIV test? What are the 4 exceptions? No, unless during pregnancy, criminal proceedings, accidental exposure, consented What kind of crime is it if you force somebody to take an HIV test? Misdemeanor A Does HIV testing consent have to be written? No Do you have to sign an HIV consent if you have signed a consent for treatment? No Do you need consent for lab testing after accidental exposure? No Does a physician have to contact the partner notification program if a patient is HIV positive and the physician suspects sexual activity? Yes Can a health care worker with exudative lesions or weeping dermatitis participate in direct patient care or handling of medical equipment? No If you are a health care worker that has HIV or hepB or HbeAg, can you perform invasive procedures that are "exposure-prone"? What are the 2 requirements? No, unless patient has been educated and has sought expert panel What if you do invasive procedures that are not exposure-prone, and you are positive for HIV, HepB or HbeAg? Do you need to inform? No need to inform Can you force rapists to undergo HIV and HepC tests? Yes Which neoplasm must be reported to the cancer registry? All Which traumatic injuries must be reported? To whom? Who is responsible to report? Spinal cord, traumatic brain, anoxia including near-drowning; to TDH; physician Do you have to report overdosing and gunshot wounds? How fast? Who are the 2 people who can report that? Yes; immediately; by physician or hospital administrator or official What kind of offense is nonreporting of traumatic injuries, overdoses or gunshot wounds? In hospital-owned ambulance or air transport, or patient is in ER or in hospital requesting ER consultation If an ambulance despite being told that the hospital is on diversion comes to the ER, can you send them away? No, patient HAS TO BE SEEN Is pregnancy a medical emergency? No, except for complications and labor Under EMTALA, what MUST a hospital provide? Medical screening Is it enough to log in or triage the patient? No Can you delay treatment in order to check insurance? Get pre-approval? No Can you provide different levels of care based on insurance? No Can a PA or NP provide the EMTALA required screening? Yes Does admitting the patient for treatment satisfy EMTALA requirements? No If patient refuses treatment, does that satisfy EMTALA? What is the appropriate protocol? Yes; has to be informed of potential dangers If a physician is not available to determine if transfer is necessary, who else can do it? What is required? PA, NP, RN, other qualified person after consultation with MD Do you have to send medical records when transferring from an ER? Yes Can you transfer because on-call physician did not show up? What must you do? Yes; record name and address of physician who did not show up Can a specialized hospital (e.g., burn unit) refuse a transfer because "they are full"? No, if they have EVER accepted patients before and made room for them How many years must you keep records of patient transfers? 5 years Do hospitals need to keep on-call lists? Yes Can you do elective surgery when you are on call? Yes Can on-call physician refuse to show up? No, only in circumstances beyond his control What are the 3 penalties for hospitals and physicians for violation of EMTALA? What is the maximum damage? Civil money penalties, termination of provider agreement, civil action. Up to $50,000 per violation ($25,000 for < 100 beds) Can a patient initiate his/her own transfer? Yes How many people on the Texas Medical board? 19 How many MDs on the TMB? 12 How many layperson on the TMB? 7 Texas Nursing Jurisprudence Exam With Answers Version 9 (V9) How often does the police run a check on physicians? Monthly How often does the TMB put out reports on physicians? Every 6 months How many years of postgraduate training to apply for full license? 1 If a resident does not show up to begin his training, how many days does the program director have to report that to the board? 30 Institutional permit: how many months for initial license? How many renewals? How many months for each renewal? 14 months; 7; 12 months Physician-in-training permit: how many months for initial license? How many renewals? How many months for each renewal? 18 months; 6; 18 months How often do you register your license with the TMB? Every 2 years How many days prior to expiration of your license does the board notify you? 30 How many days after expiration are you considered practicing without a license? 30 How many days after expiration is license canceled? 365 How many category 1 CMEs per year? 12 How many ethics CME credits? 1 yearly How many CME credits can be from volunteering? 6 How many CMEs can you carry forward? 48 What are the fees for copied records? Postage or not? $25 for first 20 pages, then 15¢ per page plus postage. How many years must a physician keep records for adults? For minors? From what age? 7 years; 7 years or age 21. How many years must hospitals keep records for adults? For minors? From what age? 10 years; 10 years or 20th birthday. How many days does a hospital have to send itemized bill if requested? 30 business days. What is the economic cap on noneconomic damages in Texas per defendant/claimant? $250,000 How long is the statute of limitations for adults? Minors? 2 years; 2 years from age 18. When must a claimant send a letter, and by how long can he/she extend the statute of limitations? Within 60 days; extends by 75 days. How many yards from ER is considered campus? 250 yards. How many years must you keep records of transferred patients? 5 years. What is the maximum monetary penalty for a hospital violating EMTALA? $50,000, $25,000 if < 100 beds. How long do physicians have to keep screening test records from the first visit of a pregnant woman? 9 months. How many days does a physician have to notify the DPS of a third trimester abortion? 30 days. What is the cut-off gestational age for office-based abortions? 16 weeks. How long prior to abortion must you give the woman information on abortion (verbal/written)? 24 hours. How much time prior to abortion must parents of a minor be notified? 48 hours. How many abortions per year make you an abortion facility that must be licensed? 50. How often does licensed abortion facility submit records to TSDHS? Yearly. How many times must you check newborn for genetic disorders? 2. How long can a mother + newborn stay in the hospital paid by insurance after birth with vaginal delivery/cesarean section? 48 hrs/96 hrs Until when must an insurance pay for hearing screening? Follow-up hearing screening? 30 days; 2 years How many days do you have to submit birth certificate? 5 days. After what age can you take possession of an abandoned baby? 60 days or less How many days does the funeral director have to file death certificate? 10 days How many days does the physician have to fill out death certificate? 5 days. Over what weight must a death certificate be filled out for a fetus? 350 grams. If weight is not known, over what gestational age? 20 weeks. SIDS is for children of less than what age? 12 months. When do you have to report SIDS? Immediately. Death of a child of what age or younger must be reported to the medical examiner? Within what time frame? 6 years; immediately How many days after catastrophe to get "certificate of death by catastrophe"?Xlibris. Kindle Edition. 10 days. If a patient dies within how many hours of admission must an inquest be ordered? 24 hours. A mentally retarded person of what age can donate a kidney if the guardian petitions the court? 12 years. After how many days can a blood bank pay for blood donation? 15 days. A person older than what age can voluntarily commit self to psychiatry? 16 years How often do private psychiatry hospitals file reports? Yearly. What age do you have to be to get ECT? 16 Texas Nursing Jurisprudence Exam With Answers Version 10 (V10) \ How often do you renew DEA license? DPS license? Every 3 years; yearly. How many days to you have to inform the DPS of change in information?