Texas Nursing Jurisprudence Exam 2024: Questions and Answers, Exams of Nursing

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Texas Nursing Jurisprudence Exam2024 Questions And 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 Texas Nursing Jurisprudence Exam2024 Questions And Answers 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 Texas Nursing Jurisprudence Exam2024 Questions And Answers 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 answer Must recognize/maintain professional boundaries -Do or say nothing that can't be documented Violations -Physical, Sexual, Emotional, Financial exploitation Nursing Peer Review - correct answer 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 answer Any facility employing 10+ must have one Referral starts with error/incident Texas Nursing Jurisprudence Exam2024 Questions And Answers PR without administrators Fact finding mission Eval. of practice in atmosphere of collegiality Determine if incident merit or should be to BON RN Standards - correct answer 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 answer Participate in planning of nursing care Assist in evaluation pt response to tx Complete focused assessment Implement appropriate aspects of care Practice must be supervised Educated to care for pt. with stable predictable Texas Nursing Jurisprudence Exam2024 Questions And Answers 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? Texas Nursing Jurisprudence Exam2024 Questions And Answers 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 Texas Nursing Jurisprudence Exam2024 Questions And Answers 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 Nurses duty is always - correct answer In the best interest of the patient Patient Abandonment - correct answer NPA/BON do not define abandonment -leaves employment-employment issue Texas Nursing Jurisprudence Exam2024 Questions And Answers -leaves patient-licensure issue Not abandonment - correct answer Resignation without notice- assuming shift has been completed Refusal to work additional shifts either doubles or extra shifts on days off Floating to an unfamiliar area - correct answer Always responsible for providing safe patient care May request training prior to having to float May invoke safe harbor May refuse assignment What do I do if I question safety of assignment - correct answer 1st- clear about what you are being asked to do 2nd- consider what can change during assignment 3rd- state concern to person making assignment, brainstorm ways to modify 4th- Listen to response Disciplinary Action - correct answer Chemical Dependency Texas Nursing Jurisprudence Exam2024 Questions And Answers Filing a complaint against another nurse - correct answer 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! Texas Nursing Jurisprudence Exam - correct answer Exam based on NP/BON rules/regulations 50 Questions 75% or > Must pass prior to taking NCLEX Eligible to test about 10 days after application to BON 2 hours to complete exam May retest if not successful Home State License - correct answer Nurse must be licensed in state in which he/she permanently resides -if you move you have 30 days to change your license over. Texas Nursing Jurisprudence Exam2024 Questions And Answers Party State License - correct answer Other states belong to the compact nurse may practice in any party state on his/her home state license