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Texas Nursing Jurisprudence exam 2024 with 100 Questions with 100% Correct Answers Primary resources for state law --*correct answer*--Texas Board of Nursing Nursing Practice Acts Nursing Jurisprudence --*correct answer*--Rules/ Ethics/ Morals and how the nurses function in a healthcare setting Texas Nurse Practice Acts --*correct answer*--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 answer*--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 answer*--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 Board of Nursing --*correct answer*--Represent the people of Texas Can't lobby the legislature Does not regulate practice settings -Licensing -Enforcement Services -Audit of CE -Information Services Professional Associations --*correct answer*--Represent their members Do lobby legislature Efforts to improve work condition/benefit for nurses -Job referral services -Legal Referral -Salary Q -Co-Worker Disputes -Employment issues Licensure and Regulation --*correct answer*--Temporary Permit -GN permit expires in 75 days -When pass/fail NCLEX Renew Online -60 days prior to expiration BON will send card Continuing Education -20 hours in 2 years Duty to pt --*correct answer*--Make/accept only assignments that take into consideration safety and commensurate with nurse's educational preparation, experience, knowledge, and physical/emotional ability. Step 1 --*correct answer*--Is the activity consistent with the NPA and BON rules? Step 2 --*correct answer*--Is the activity appropriately authorized? - Valid order? - Current policy exist regarding procedure? - Clarify any questionable orders Step 3 --*correct answer*--Is it supported by nursing research? - EBP Step 4 --*correct answer*--Do you possess the required knowledge and competency to carry out the act? Step 5 --*correct answer*--Would a reasonable and prudent nurse perform this activity in this setting? Step 6 --*correct answer*--Are you prepared to accept the consequences of your actions? Prohibited Delegation Tasks --*correct answer*--Nursing assessments Plan of care Professional Judgement/Intervention Responsibility for initial teaching Medication administration, IV fluids as well -Prohibited in acute care settings -may be delegated in independent living situations Minor Incident --*correct answer*--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 answer*--A nurse involved in a MI does not need to reported to BON unless... -Creates sig. risk fo physical, emotional, financial harm -Lacks a conscientious approach for accountability -Lacks knowl. and compet. and not easily remedial -Pattern of multiple minor incidents -5 minor incidents in a 12 month period must be reported to peer review NEVER a Minor Incident --*correct answer*--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 answer*--Facility must have policies in place for PR PR committee must comply with req. Nurse 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 answer*--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 assignment if lack basic knowledge/ability to render care Safe Harbor --*correct answer*--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 answer*--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 assignment -Brief explanation of why safe harbor is being req. Chain after Safe Harbor Nurse completion --*correct answer*--Nurse supervisor/administrator who gave assignment. Nurse administrator Peer Review Committee Physician who reviews med reasonableness Nurse administrator who reviews PR findings Nurse who initiated request Mandatory Overtime --*correct answer*--Making you work extra shifts, you have the right to refuse. NOT when -Emergency disasters -Ongoing procedure requires nurses presence -Certain emergencies Take Mandatory Overtime Concerns to --*correct answer*--Unit manager Staffing Committee DSHS-if not addressed internally