Texas Nurse Practice Act And Nurse Jurisprudence Exam with 100% Correct Answers 2023

Define nurse jurisprudence according to the texas BON - Correct answer-Jurisprudence is the science or philosophy of law. The Texas Nurse Practice Act and the Texas Board of Nursing Rules and Regulations Relating to Nurse Education, Licensure, and Practice are the laws that govern the practice of nursing practice in Texas. Your nursing practice is directly affected by your ability to make informed decision within the parameters of these laws. You need to know how the rules apply to you, and then apply them in your nursing practice. state the reason new nurses must take and pass the nurse jurisprudence exam to receive their license to practice professional nursing in Texas - Correct answer-BON staff have heard nurses who were disciplined by the board proclaim "If only i had known and understood about my 'duty to the patient' under the NPA and board rules I would have not gotten into trouble with the BON" identify several topics covered on the nurse jurisprudence exam - Correct answer-- licensure and regulation -ethics -practice -peer reviews -disciplinary action make and accept assignments -nurses must take into consideration the staff person's: educational preparation, experience, knowledge and physical and emotional ability explore implications for practice from rule 217.11 standards of nursing practice from the Texas Nurse Practice Act - Correct answer-Rule 217.11 is the foundation for all other standards: " ...maintain a safe environment for clients and others" *this standard supersedes any physician order, facility policy, or administrative directive explore conditions under which the nurse's duty to a patient begins - Correct answerYou understand the minimum standards of care once you receive your nursing license -Nurses duty to a patient: *begins when there is a relationship established between the nurse and the patient *begins when the nurse has a responsibility for a patient *doesn't begin with a single event (clocking in) *when a nurse knows or should have known that a situation potentially discuss the process of safe harbor - Correct answer--Complete quick request first -then before the shift ends complete the comprehensive one mandatory overtime: -a hospital is prohibited from scheduling mandatory overtime -on call time cannot be used to produce mandatory overtime -exceptions: disaster, state of emergency, unforeseen event, nurse is doing a procedure and cannot leave(patient safety) retaliation by the hospital is prohibited the nurse should invoke safe harbor when asked to accept an assignment that is unsafe or outside of her knowledge, skills, physical/emotional abilities safe harbor applies to all nurses when the nurse believes an assignment may place patients at risk of harm, thus violating the nurses' duty to a patient identify situations when the Peer Review Committee might be activated - Correct answer-peer review two types- *safe harbor *incident based - eval of nursing care provided - eval of nurses qualifications - determination on the complaint about nursing care list specific acts identified as unprofessional conduct by the Nurse Practice Act - Correct answer-*unsafe practice- delegating or assigning nursing functions when this could reasonably expect to result in unsafe care *unsafe practice- accepting those assignments that could result in unsafe care *failing to supervise delegated task *careless conduct that may endanger a client *falsifying records *violating professional boundaries *drug diversion *permitting client abuse/neglect *sexual conduct with a client discuss the nurse's role in reporting violations of the Nurse Practice Act - Correct answer--First and foremost, take steps to be sure that you or the patient involved are not in harm's way. --- -Report the situation to a supervisor or the nurse's employer immediately. -Then, contact your state BON (or state licensing authority) and file a complaint. If you are unsure whether a nurse has done something that should be reported, contact the state BON for assistance. -A complaint can be filed at any time by anyone who feels that a nurse has provided incompetent, negligent or unsafe care. Examples of cases where a nurse should be reported immediately include: -Appearance of being impaired by drugs or alcohol while working; -Stealing from a patient or client, including medications; -Providing treatment or care that should be provided only by a physician or advanced practice nurse; -Abusing a patient physically, emotionally, verbally or sexually; or -Involvement in criminal conduct. Basically, you should report any nurse whose behavior is unsafe, incompetent, unethical, affected by the use of alcohol, drugs or other chemicals, or affected by a physical or mental condition. Contact your BON with questions regarding confidentiality and how you, the complainant, may be involved in the process. consider professional boundaries and how to prevent one's own practice from crossing the boundary - Correct answer-BOUNDARIES AND THE CONTINUUM OF PROFESSIONAL NURSING BEHAVIOR The nurse's responsibility is to delineate and maintain boundaries. The nurse should work within the therapeutic relationship. The nurse should examine any boundary crossing, be aware of its potential implications and avoid repeated crossings. Variables such as the care setting, community influences, patient needs and the nature of therapy affect the delineation of boundaries. Actions that overstep established boundaries to meet the needs of the nurse are boundary violations. The nurse should avoid situations where he or she has a personal, professional or business relationship with the patient. Post-termination relationships are complex because the patient may need additional services. It may be difficult to determine when the nurse-patient relationship is completely terminated. Be careful about personal relationships with patients who might continue to need nursing services (such as those with mental health issues or oncology patients). RED FLAG BEHAVIORS Some behavioral indicators can alert nurses to potential boundary issues for which there may be reasonable explanations. However, nurses who display one or more of the following behaviors should examine their patient relationships for possible boundary crossings or violations. Signs of inappropriate behavior can be subtle at first, but early warning signs that should raise a "red flag" can include: Discussing intimate or personal issues with a patient Engaging in behaviors that could reasonably be interpreted as flirting Keeping secrets with a patient or for a patient Believing that you are the only one who truly understands or can help the patient Spending more time than is necessary with a particular patient Speaking poorly about colleagues or your employment setting with the patient and/or family Showing favoritism Meeting a patient in settings besides those used to provide direct patient care or when you are not at work Patients can also demonstrate signs of over involvement by asking questions about a particular nurse, or seeking personal information. If this occurs, the nurse should request assistance from a trusted colleague or a supervisor. THE NURSE'S CHALLENGE Be aware. Be cognizant of feelings and behavior. Be observant of the behavior of other professionals. Always act in the best interest of the patient. discuss the license renewal process for intial and subsequent periods - Correct answer1st license good between 6 months-29 months renewal occurs in birth month and odd/even year to match birth year *no CNE is required for the 1st license renewal must have national certification or 20 CEUs per 2 year renewal thereafter *CNE must be in the area of nurses practice or general topics *CNE must be in the area of nurse's practice in general topics: ethics, nursing law, documentation new requirements April 2014 -2 contact hours in nursing jurisprudence and ethics every 6 years -2 contact hours on older adult or geriatric care every 2 years 2 contact hours of forensic evidence training prior to performing (1 time) identify the process of nurse licensure between compact states - Correct answer-allows a nurse licensed in one "home" compact state to practice in a party contact state w/o seeking an additional nursing license becomes ENHANCED nurse licensure can practice physically, electronically, and telephonically Licensure and Privileges A nurse licensed in a compact state must meet the licensure requirements in the primary state of residence (home state). When practicing on a privilege in a remote state, the nurse is accountable for complying with the Nurse Practice Act of that state. Compact states may issue a multistate or a single state license. Employers should verify licensure status online. A nurse with an active multistate license has the privilege to practice in any of the remote states. The NLC laws allow for the nurse to hold only one active license in his or her primary state of residence. Employers should not require the nurse to apply for licensure in a remote state when the nurse has lawfully declared a primary state of residence based on where he or she pays federal income tax, votes and holds a drivers license. A nurse who holds a license issued by a state that is not a member of the NLC has a single-state license that is only valid in that state. While under some levels of disciplinary action, multistate privileges may be removed and the nurse's practice may be restricted to the home state