Texas Jurisprudence Exam Study Guide Questions and Correct Answers, Exams of Nursing

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Texas Jurisprudence Exam Study Guide

Minimum score to pass? - Answer -75% viable answers if given the choice? - Answer -"all of the above" "which of the following is not" Texas Occupations & Administrative Codes that involve time periods answers are usually? - Answer - when in doubt, choose 30 How much time to report child abuse/neglect? - Answer -48 hours Issuing a birth certificate you have how much time? - Answer -5 days using a death certificate you have how much time? - Answer -10 days How much time do you have to report most communicable diseases? - Answer -7 days How much time do you have to report tuberculosis and pertussis? - Answer -1 day how much time to supply medical records - Answer -15 days

What does TMB stand for? - Answer -Texas Medical Board TMB composes of how many people? - Answer - How many physicians in TMB - Answer - How many laypersons on the TMB - Answer - TMB are appointed by the Governor for how long? - Answer -6 year terms What else does the TMB have authority over? - Answer -granting licensure and taking them away (disciplinary actions) What does MPA stand for? - Answer -Texas Medical Practice Act all doctors must adhere to what when practicing medicine in Texas? - Answer -MPA Laws covered by MPA ONLY apply to? - Answer -Texas-licensed physicians while practicing in Texas ALSO- non instant physicians providing services to patience in Texas. Who does the MPA NOT apply to? - Answer -other healthcare providers like: nurses, medical students and other doctors which include dentist, podiatrists, optometrists Non-compensated emergency care does not apply to? - Answer -MPA What are the Texas Medical Licensure requirements? #1 - Answer -complete college (60 credit hours) What are the Texas Medical Licensure requirements? #2 - Answer -MD or DO

What are the Texas Medical Licensure requirements? #3 - Answer -pass USMLE steps 1-3 (within 7 years) an Texas JP exam What are the Texas Medical Licensure requirements? #4 - Answer -complete your intern (PGYL) year Texas Medical License states that... - Answer -Any US- trained grad finished with the step exam can apply for their full Texas Medical Licensure after completing their internship corollary #1 for Texas medical licensure states that... - Answer -if you quit your residency after internship, you can still practice as a fully licensed physician in Texas ( but not certified in specialty) Corollary #2 for Texas Medical Licensure states that.. - Answer -Naturopathic doctors, podiatrists, optometrist, chiropractors, dentist, and any other doctors are thus not licensed as physicians by the TMB If you quit your residency what can you still do in the state of Texas? - Answer -practice as a fully licensed physician but without a certification or specialty. Who's not licensed by the TMB as physicians in Texas? - Answer -Naturopathic doctors, podiatrists, optometrist, chiropractors, dentist, and any other doctors (they have their own governing bodies and rules) How often do you have renew your license? - Answer -every 2 years (after initial license period)

• which means you have between 12-24 months to renew license without being fined Will you receive a fine if your license is expired less than 30 days? - Answer -No You will be fined $75 if your licensed is not renewed before how many days? - Answer -90 days You will be fined $145 if your licensed is not renewed before how many days? - Answer -365 days

If you haven't renewed your license in a year what are the consequences? - Answer -you must reapply for license and handover entire processing fee. If you wait longer than 2 years to renew your Texas license what happens? - Answer -reapply for license from scratch and retake JP exam If you continue to practice with an expired license after 30 days... - Answer -you are now practicing medicine without a license which is a THIRD DEGREE FELONY What does CME stand for? - Answer -Continuing Medical Education Continuing Medical Education (CME) states - Answer -for those outside of residency have 48 hours of continuing medical education (CME) every 24 months (2 years) within the registration period. 1/2 (1 year) of CME - Answer -is formal the other 1/2 (1 year) of CME - Answer -is informal What does informal CME look like? - Answer -self reported.. journaling, volunteering medically underserved areas and doing peer reviews Within the 48 hours of continuing medical education every 24 months, those outside of residency must... - Answer -include 2 hours of formal medical ethics and professional responsibility How many days do you have to contact TMB about name and address changes of practice? - Answer - days Do you have to inform TMB about changes of malpractice insurance? - Answer -No Why do you NOT have to inform TMB about malpractice insurance changes? - Answer -Because Texas does not require malpractice insurance to practice medicine

If you have a lawsuit and no insurance who informs the TMB? - Answer -You inform the TMB about the lawsuit How much time do you have to inform the TMB about the lawsuit? - Answer -you have 30 days to inform the TMB about the lawsuit and if you do not then your insurance will. What does D.O. stand for? - Answer -Doctor of Osteopathic Medicine What does MD stand for? - Answer -doctor of medicine Physicians competence is determined by what? - Answer -the ability to take care of patience Physician compétence has nothing to do with what? - Answer -medical society membership or your quality of teaching or administrator Competence can only be relevant to credentialing by who? - Answer -by a hospital Hospitals cannot discriminate against who? - Answer -DOs because they are not MDs Hospitals cannot punish a physician because of what two things? - Answer -because they work at other hospitals or b/c they only accept certain insurance types. Competency - Answer -the quality/ability of being adequately or well qualified physically and intellectually; skills; attitude Who has to have valid credentials to work in a hospital? - Answer -MDs and DOs Hospitals are not required accept or hire what individuals? - Answer -midlevels (NPs and PAs) The TMB must be notified if? - Answer -the governing body of a hospital is forced to disciplinary actions of a physician that affects privileges for longer than 30 days.

What do you need to practice telemedicine in Texas? - Answer -A texas telemedicine license What do you not need to practice telemedicine in TX? - Answer -a full Texas Medicine License Texas telemedicine requires that you take what exam? - Answer -Jurisprudence Exam (JP) What does the TX telemedicine license require in good standing? - Answer -good standing in another state, board - certified in your specialty and to not physically practice in the state of TX. States that the TX telemedicine licensure are contiguous with are? - Answer -Oklahoma, Arizona, Louisiana, and New Mexico What can these contiguous states do? - Answer -can order home heath and hospice services for patients in Texas without a special telemedicine license. Non-direct patient care states... - Answer -DO NOT need license or special permit to provide your expert opinion to other physicians or for any educational services within or across state lines. Non-direct patient care states that you can teach when? - Answer -at your local medical school before you pass JP exam Do you need an additional license to produce, use and transport radioactive material? - Answer -yes Who does radioactive material license generally apply to? - Answer -radiologist practicing nuclear medicine, interventional oncology, or radiation oncologist. what is workers compensation? - Answer -is a no-fault no-lawsuit statutory system for the payment of work-related injuries. Worker Compensation states... - Answer -the employee gets money for an injury regardless of who's at fault and who caused it.

Worker compensation states that any doctor can.. - Answer -perform an initial visit Worker compensation says that the doctor performing the initial visit must be approved by whom? - Answer -Texas Department of Insurance (TDI) list to evaluate workers comp visits and get paid. What do residents practice under that's institution specific? - Answer -physician-in-training permit (PIT) what does PIT stand for? - Answer -physician-in-training what happens if you change residency? - Answer -apply for new PIT permit 90 days before switching Does TMB offer reciprocity for other state licensure - Answer -NO podiatrist ______ admit patients - Answer -can not TMB and MPA are _____ - Answer -physician-centric Podiatrists may be doctors, but ____ - Answer -they cannot admit patients to a hospital independlty Podiatrist patients must be admitted under an _____ - Answer -MD or DO physician Physicians can delegate any task (medical act) they want to___ - Answer -anyone acting under their supervision ex: nurses, techs, medical student and midlevel practitioners who can prescribe controlled substances (schedule III and IV) under the license of their supervising physician? - Answer -NPs and PAs Who's responsible for any delegated action and their consequences? - Answer -supervising physician

Various Liability - Answer -any delegated action and consequences are the supervising physicians responsibility Do midlevels purchase their own liability insurance? and why? - Answer -no, because if one messes up the physician or hospital that pays is liable Standing orders do not require using any independent______ - Answer -medical judgment Why does the ER department use EKG and CXRs for pregnancy test for women under 50 and when patients have concern of chest pains? - Answer -Because standing orders do not require using any independent medical judgment Midlevels (PA) - Answer -physician assistants APRN - Answer -Advanced Practical Registered Nurse APN - Answer -advanced practice nurse NP - Answer -nurse practitioner Physicians do not have a limit to how many ___________ they can supervise - Answer -midlevels Physicians can delegate outpatient prescriptive authority to how many full-time and part-time midlevels total? - Answer -full-time: 7; part time 14 How many max clinical hours can midlevels have a week? - Answer -total 350 The TMB runs an online ____________, which needs to be used when applicable - Answer -supervision and prescription delegation registration system

____________ and __________ care facilities have no limit on midlevels - Answer -hospitals and long- term care facilities Hospital's delegating physicians can be? - Answer -1. medical director

2. chief of medical staff
3. chair of credentialing committee
4. department chair
5. physician who consents to being the delegate at request of the medical director lon-term facility delegating physician is? - Answer -medical director facility-based delegation can only delegate to_______ - Answer -midlevels at one hospital or up to two long-term care facilities free-standing clinics and ERs do not qualify as ______ - Answer -"facility- based practices", for the purpose of superseding the 7 FTE rule 7 FTE rule - Answer -is waived when supervising a rural/medically underserved population Midlevels can prescribe - Answer -schedule 111 &IV medications Midlevels now can prescribe schedule 11 medications such as ______ with intended stay in hospital for 24 hrs or more, Hospital ER services and hospice care - Answer -Norco, Vicodin and Morphine in limited circumstance APRNs and PAs must consult w/ the delegating physician for.. - Answer -controlled substances, Rx refills after initial 90 day supply, ditto for children under 2 years old Where should patient consultations be documented? - Answer -patient medical records

Supervising physician must be reachable, with 10% of the time ______ and 10% _____ - Answer - physically present, chart review TMB does not specify that supervision of physicians being based on how long APRNs and PAs have practiced and ____ - Answer -the complexity of their patients when determining the details of prescriptive authority agreement Face to face supervision meetings ... - Answer -must be held every month for the first 3 years after entering into a prescriptive authority agreement After 3 years of face to face supervision meetings ... - Answer -quarterly teleconference meetings monthly in between Patients have the right too? - Answer -request the supervising physician How many elements of prescriptive authority agreement? - Answer - Prescriptive authority agreement #1 - Answer -name, address, all professional license #'s of all parties to the agreement Prescriptive authority agreement #2 - Answer -state the nature of practice, practice location or practice setting Prescriptive authority agreement #3 - Answer -identify the types of categories of drugs or devices prescribed or devices not prescribed Prescriptive authority agreement #4 - Answer -provide plan for addressing patient emergencies Prescriptive authority agreement #5 - Answer -state the general process of communication and sharing info related to the care and treatment of patients Prescriptive authority agreement #6 - Answer -provide plan for addressing consultation and referrals

Prescriptive authority agreement #7 - Answer -describe a quality assurance and improvement plan and how it will be implemented. must include chart reviews and periodic face to face meetings a licensed surgical assistant can directly... - Answer -bill for their services indicted for felony... - Answer -your license is suspended convicted for felony... - Answer -license revoked violating medical practice act is a.... - Answer -class A misdemeanor doing things you're not suppose to do results in? - Answer -denied license, reprimanded, license suspended, and public service Anyone can file a complaint with the board and what? - Answer -generate potential disciplinary action The TMB can punish you for what? - Answer -for mistakes done in the military and in other states Deferred Adjudication - Answer -is the same as pleading guilty but on record it is temporary assuming you fulfill the requirements to have crime adjudicated. Even if you are eligible for deferred adjudication for misdemeanor you still... - Answer -have to report crime to the TMB even if the crime is waived. You can _______ to have misdemeanor removed from website if adjudication was successful - Answer - petition Readily visible notice must be posted for patients to see at each site of health care delivery in what language(s)? - Answer -English and Spanish

Signs that must be displayed prominently and in the same verbiage in every bill, registration and ______ must also be in Spanish and English. - Answer -contract TMB website - Answer -will have information about your degrees, experience and felonies and misdemeanors from any state. TMB will remove records of ___________ and ________ investigations due to the 3 claims in 5 years rules - Answer -formal complaints, malpractice The 3 claims in 5 years rules state? - Answer -after 5 years if the claim did not amount to anything and no actions were taken against physician, the TMB will remove record of complaints

• Answer -