Texas Nurse Practice Act and Nurse Jurisprudence Exam 2023 (Answered)

define nurse jurisprudence according to the texas BON - 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 - 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 - 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 - 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 - ANSWER-You 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 - 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 - 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 - 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 - 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 - 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