Nursing Practice ACT, Nursing Peer Review, & Nurse Licensure Compact Final Exam Review

Nursing Practice ACT, Nursing Peer Review, & Nurse Licensure Compact Final Exam Review 1. Identify the content/titles of the chapters in the NPA.: Chapter 301, Chapter 303, Chapter 304, and Chapter 305 2. This chapter creates the Texas Board of Nursing, and defines its responsi- bility for regulating nursing education, licensure and practice.: Chapter 301 3. What chapter is the Nursing Peer Review?: Chapter 303 4. This chapter is about the nurse licensure compact.: Chapter 304 5. This chapter introduces the advanced practice registered nurse compact.- : Chapter 305 6. List the chapters of the code that define nursing practice and give the BON the authority to make rules which implement and interpret the NPA.: Chp 301, 303, 304, 305 7. Identify when and how often the NPA may be amended.: Every two years and can be amended during a special session. 8. Identify the composition of the Texas Board of Nursing.: 13 members ap- pointed the state governor -- 6 are nurses (1 APN, 2 RNs [nonfaculty], 3 vocational nurses [nonfaculty]) , 3 nurse faculty (1 BSN, 1 ASN, 1 vocational), and 4 general public 9. Discuss the mission of BON.: Mission is to protect and promote the welfare of the people of Texas by ensuring that each person holding a license as a nurse in the state of Texas is COMPETENT TO PRACTICE SAFETY. 10. Discuss the functions of the Texas Board of Nursing.: Purpose and func- tions include: 1) Make and enforce all rules and regulations related to practice of nursing (most important role) 2) Approve educational programs 3) Establish standards of nursing practice and regulate the practice of professional and vocational nursing 4) Interpret the NPA and the rules and regulations 5) Receive complaints and investigate possible violations of the NPA and rules and regulations 6) Discipline violators through appropriate legal action to enforce the NPA and rules and regulations 7) Establish standards for nursing education and accredit or deny accreditation o schools of nursing 11. True or false: TBON promotes nursing as a profession.: False, it does NOT. This is the role of a professional association such as American Nurses Association. 12. Discuss declaratory order of license eligibility.: A petition for Declaratory Order is a formal disclosure to the Board of an outstanding eligibility issue that may prevent an applicant from taking the NCLEX examination upon completion of a nursing program. 13. Identify when an individual should petition the board for a declaratory order.: An individual should petition the board for a DO when the individual: 1) is enrolled or planning to enroll in an educational nursing program 2) is an applicant for a license 14. List what is required for initial licensure.: 1) Sworn application 2) good professional character 3) successfully completed an approved program of professional or vocational nursing education 4) passed the jurisprudence examination 5) pay fee of $100.00 15. Identify what is required for a new graduate to receive a Temporary Autho- rization to Practice/Temporary Permit.: 1) Completed the application, including payment of all fees 2) No outstanding eligibility issues 3) Never taken the NCLEX-RN 4) Registered to take the NCLEX (must have paid the full $200) 16. List the criteria for a new graduate to work with a Temporary Authorization to Practice/Temporary Permit.: 1) GN must work under the direct supervision of a RN who is physically present. 2) GN shall not be placed in a supervisory or charge position and shall not work in independent practice settings 17. Identify the Standards or Nursing Practice for all nurses.: Standards of Nursing Practice for all nurses include: 1) Know, follow, and conform to Texas NPA and all other laws and rules!! 2)Implement measures to promote a safe environment for clients and others 3)know the rationale for and the effects of medications and treatments 4)Accurately and completely report and document 5) Follow HIPPA rules!!! 6) Maintain professional boundaries!! more standards on pg 172-173 18. Identify the Standards or Nursing Practice standards specific to RNs.: - Utilize a systematic approach to provide individualized, goal-directed, nursing care by: 1) using the nursing process ADPIE 2) Delegate tasks to unlicensed personnel in compliance with Chapter 224 of this title, relating to clients with acute conditions or in acute are environments, and Chapter 225 of this title, relating to independent living environments for clients with stable and predictable conditions. 19. Describe the required types and number of hours of continuing education for meeting the continuing competency requirement of the NPA.: 20 contact hours of continuing education within 2 years immediately preceding renewal of registration are required. *At least 2 hrs of CNE should be relating to nursing jurisprudence and nursing ethics before the end of every third, two yr licensing pd. These hrs shall be obtained by participation in programs APPROVED by a creden- tialing agency recognized by the board. 20. List examples of acceptable and not acceptable CNE.: Acceptable in- cludes: 1) academic course that leads to an academic degree in nursing Not acceptable: 1) basic CPR 2) inservice programs 3) refresher courses 4) orientation programs 5) self improvement courses 6) economic courses for financial gain 7) courses which focus on personal appearance in nursing 8) liberal are courses in music, philosophy 9) courses designed for lay people 10) self-directed study 21. List the responsibilities of the individual licensee in continuing education activities.: 1) select and participated in continuing competency that will meet the criteria 2) maintain a record of CE activities 3) maintain records for a minimum of 3 consecutive renewal periods or six years 22. Define minor incident.: Minor incident means conduct by a nurse that does not indicate that the nurse's continued practice poses a risk of harm to a patient or another person. 23. List the criteria for determining if minor incidents should be reported to the board.: 1) Nurse ignored a substantial risk that exposed a patient or other person to a significant physical, emotional or financial harm or the potential for harm 2) nurse lacked a conscientious approach to or accountability for his/her practice 3) nurse lacked the knowledge and competencies to make appropriate clinical judgments and such knowledge and competencies cannot be easily remediated 4) nurse has engaged in a pattern of multiple minor incidents that demonstrate the nurse's continued practice would pose a risk of harm to patients or others 24. How should a minor incident be documented?: A minor incident should be documented as follows: 1) complete description of the incident 2) patient record number 3)witnesses 4) nurse involved 5) action taken to correct or remedy the problem 25. Identify a nurse's/ student's "conduct subject to reporting" as discussed in Sec. 301.401 and Sec 301.402: A nurse shall report if another nurse or student has engaged in chemical dependency A report by a nurse must be written and signed and include the identity of the nurse or student 26. Identify grounds for disciplinary action.: A person is subject to denial of a license or to disciplinary action for: 1) criminal convictions 2) intemperate use and mental illness 3)unprofessional conduct 27. Define nursing peer review.: Peer review means the evaluation of nursing services, qualifications of a nurse, quality of patient care rendered by a nurse, merits of a complaint concerning a nurse or nursing care, and determination or recommendation regarding a complaint 28. When must a nursing peer review be established in a health care orga- nization?: If the person employs, hires, or contracts the services of 10 or more nurses, at least 5 of whom are RNs. 29. Differentiate incident based nursing peer review from safe harbor.: An incident based nursing peer review is done when it must be determined if the RN has engaged in unacceptable nursing practice, purpose of this rule is to define minimum due process. Safe harbor peer review is when the RN believes that the requested conduct violates a RN's duty to a patient 30. Discuss minimum due process and the peer review process in incident based peer review.: In minimum due process, the nurse is given certain percent- age of RNs, excludes persons with administrative authority, opportunity to review documents, submit written statement and provide written rebuttal 31. What are the four main nursing roles?: 1) member of the profession 2) provider of patient centered care 3) patient safety advocate 4) member of the health care team