NURSING JURISPRUDENCE STANDARD EXAMS
ANSWERS AND QUESTIONS SET A+
✔✔Criminal Behavior Disclosure - ✔✔Requirement for criminal history for applicants for
a license [NPA § 301.2511].
Requirement for criminal history for renewal of license [NPA § 301.3011].
Disclose:
Convictions
Deferred adjudications
Probated sentences
Domestic offenses
✔✔Professional Boundaries - ✔✔The appropriate limits which should be established by
the nurse in the nurse/client relationship due to the nurse's power and the patient's
vulnerability. Refers to the provision of nursing services within the limits of the
nurse/client relationship which promote the client's dignity, independence and best
interests and refrain from inappropriate involvement in the client's personal relationships
and/or the obtainment of the nurse's personal gain at the client's expense.
A zone of patient-centered care is in the center of the professional behavior continuum.
This is where the patient interactions should occur for effectiveness and patient safety.
Over-involvement with a patient is on the right side of the continuum; this includes
boundary crossings, boundary violations and professional sexual misconduct. Under-
involvement lies on the left side; this includes distancing, disinterest and neglect, and
can be detrimental to the patient and the nurse.
✔✔Rule 217.11. Standards of Nursing Practice - ✔✔Know, recognize, and maintain
professional boundaries of the nurse-client relationship
✔✔Rule 217.12. Unprofessional Conduct - ✔✔Misconduct — actions or conduct that
include, but are not limited to:
, (D) Violating professional boundaries of the nurse/client relationship including but not
limited to physical, sexual, emotional or financial exploitation of the client or the client's
significant other(s)
✔✔Unprofessional conduct - ✔✔Using fraud or deceit in procuring a license
Improperly using a nursing license
Impersonating another person in examination
Aiding and abetting someone in unlawful practice
Failing to cooperate with a lawful investigation
Behaving in a threatening or violent manner in the workplace
Offering, giving, soliciting, or receiving or agreeing to receive, directly or indirectly, any
fee or other consideration to or from a third party for the referral of a client in connection
with the performance of professional services.
✔✔Rule 217.12. Standards of Nursing Practice - ✔✔This rule covers standards of
nursing practice that apply to all nurses, including RNs, LVNs, and APRNs.
This is one rule to know well!
✔✔Standards of Nursing Practice (cont) - ✔✔Know and conform to the Texas Nursing
Practice Act and the board's rules and regulations Promote a safe environment for
clients and others
Know the rationale for and the effects of medications and treatments and correctly
administer
Accurately and completely report and document
Respect the client's right to privacy by protecting confidential information
Promote and participate in education and counseling
Notify the appropriate supervisor when leaving a nursing assignment
Know, recognize, and maintain professional boundaries of the nurse-client relationship
✔✔Role of LVN - ✔✔Directed scope of practice that must be supervised
Educated to care for clients with stable and predictable conditions
Educated to do hands-on assessments using their senses
✔✔Role of RN - ✔✔"The RN provides a unique, comprehensive assessment of the
health status of the client, applying principles of ethics, client safety, health promotion
and the nursing process. The nurse then develops and implements an explicit plan of
care." (NCLEX-RN, 2013, p. 4)
Works in both structured and unstructured healthcare environments
Responsible for well-being of all patients
Functions within the scope of the NPA and Board rules
✔✔Professional Nursing Only - ✔✔Practice independently within NPA and board rules
Make nursing diagnosis
Develop a nursing care plan
Perform comprehensive assessment
Evaluate patient response to nursing care
ANSWERS AND QUESTIONS SET A+
✔✔Criminal Behavior Disclosure - ✔✔Requirement for criminal history for applicants for
a license [NPA § 301.2511].
Requirement for criminal history for renewal of license [NPA § 301.3011].
Disclose:
Convictions
Deferred adjudications
Probated sentences
Domestic offenses
✔✔Professional Boundaries - ✔✔The appropriate limits which should be established by
the nurse in the nurse/client relationship due to the nurse's power and the patient's
vulnerability. Refers to the provision of nursing services within the limits of the
nurse/client relationship which promote the client's dignity, independence and best
interests and refrain from inappropriate involvement in the client's personal relationships
and/or the obtainment of the nurse's personal gain at the client's expense.
A zone of patient-centered care is in the center of the professional behavior continuum.
This is where the patient interactions should occur for effectiveness and patient safety.
Over-involvement with a patient is on the right side of the continuum; this includes
boundary crossings, boundary violations and professional sexual misconduct. Under-
involvement lies on the left side; this includes distancing, disinterest and neglect, and
can be detrimental to the patient and the nurse.
✔✔Rule 217.11. Standards of Nursing Practice - ✔✔Know, recognize, and maintain
professional boundaries of the nurse-client relationship
✔✔Rule 217.12. Unprofessional Conduct - ✔✔Misconduct — actions or conduct that
include, but are not limited to:
, (D) Violating professional boundaries of the nurse/client relationship including but not
limited to physical, sexual, emotional or financial exploitation of the client or the client's
significant other(s)
✔✔Unprofessional conduct - ✔✔Using fraud or deceit in procuring a license
Improperly using a nursing license
Impersonating another person in examination
Aiding and abetting someone in unlawful practice
Failing to cooperate with a lawful investigation
Behaving in a threatening or violent manner in the workplace
Offering, giving, soliciting, or receiving or agreeing to receive, directly or indirectly, any
fee or other consideration to or from a third party for the referral of a client in connection
with the performance of professional services.
✔✔Rule 217.12. Standards of Nursing Practice - ✔✔This rule covers standards of
nursing practice that apply to all nurses, including RNs, LVNs, and APRNs.
This is one rule to know well!
✔✔Standards of Nursing Practice (cont) - ✔✔Know and conform to the Texas Nursing
Practice Act and the board's rules and regulations Promote a safe environment for
clients and others
Know the rationale for and the effects of medications and treatments and correctly
administer
Accurately and completely report and document
Respect the client's right to privacy by protecting confidential information
Promote and participate in education and counseling
Notify the appropriate supervisor when leaving a nursing assignment
Know, recognize, and maintain professional boundaries of the nurse-client relationship
✔✔Role of LVN - ✔✔Directed scope of practice that must be supervised
Educated to care for clients with stable and predictable conditions
Educated to do hands-on assessments using their senses
✔✔Role of RN - ✔✔"The RN provides a unique, comprehensive assessment of the
health status of the client, applying principles of ethics, client safety, health promotion
and the nursing process. The nurse then develops and implements an explicit plan of
care." (NCLEX-RN, 2013, p. 4)
Works in both structured and unstructured healthcare environments
Responsible for well-being of all patients
Functions within the scope of the NPA and Board rules
✔✔Professional Nursing Only - ✔✔Practice independently within NPA and board rules
Make nursing diagnosis
Develop a nursing care plan
Perform comprehensive assessment
Evaluate patient response to nursing care
