N4: EXAM 3 TEXAS NURSING JURISPRUDENCE FINALS

N4: EXAM 3 TEXAS NURSING JURISPRUDENCE FINALS What is nursing jurisprudence? - CORRECT ANSWER-the application of the principles of law as they relate to: -the practice of nursing -obligations of nurses to their patients -relations of nurses with each other & HCPs What are nursing ethics? - CORRECT ANSWER-moral values, duties, and commitments of nurses in their practice The mission of TBON is to protect and promote welfare of: - CORRECT ANSWER-the people Nursing Jurisprudence Exam - CORRECT ANSWER-Based on NPA and TBON rules and regulations 50 Questions (38Q/75% is passing) Must pass before you can take NCLEX Can take ~10 days after applying to TBON May retest if unsuccessful Who represents their members? - CORRECT ANSWER-Professional organizations Who represents the people of Texas? - CORRECT ANSWER-Texas BON Who cannot lobby legislature? - CORRECT ANSWER-Texas BON Who regulates practice settings to improve work conditions and benefits for nurses? - CORRECT ANSWER-Professional associations TBON services: - CORRECT ANSWER-licensing, enforcement services, audit of CEUs, information services Non-BON services: - CORRECT ANSWER-job referrals, legal referrals, salary questions, co-worker disputes, employment issues TBON Licensing: GN permit lasts for - CORRECT ANSWER-75 days or until pass/fail of NCLEX TBON Licensing: Notification of license renewal - CORRECT ANSWER-You will receive postcard 60 days prior TBON Licensing: Continuing Education - CORRECT ANSWER-Must complete 20 hrs every 2 years First renewal period is exempt CE hours must be in area of practice Keep records for 4 years in case of audit TBON Licensing: Initial licensure criteria - CORRECT ANSWER--submit & pass background check -submit application fee -verified completion of nursing program *-keep up with financial aid/loan payments* -pass NJE -pass NCLEX NCLEX info: - CORRECT ANSWER-# of questions: 75 minimum, 265 maximum test is adaptive to knowledge base. TBON ID regulation - CORRECT ANSWER-You may not call yourself a nurse without a license. Name badge with license level worn at all times. Disclosure of criminal behavior (rule 213.28) - CORRECT ANSWER-You must report any past criminal behavior or pending changes. Minor class C misdemeanors are excluded (ex. parking tickets) Five categories of trust cited by BON: - CORRECT ANSWER-1. Honesty (ex. accurate/reliable documentation) 2. Accountability (ex. knowing actions/SE of meds) 3. Trustworthiness (ex. following proper procedure with pt valuables) 4. Reliability (ex. keeping up with CEUs) 5. Integrity (ex. accepting accountability of own actions) Good professional character means: - CORRECT ANSWER--distinguish right from wrong -think and act prudently -keep promises / honor obligations -be accountable -promptly disclose info to enhance pt health/protect from harm -have courage, temperance, liberality, wittiness, modesty, greatness of soul, good temper, gentleness, and be aggreable Professional boundaries - CORRECT ANSWER-You must maintain professional boundaries: -Physical: no inappropriate contact/contact that can be misinterpreted -Sexual: no sexual relations with patients -Emotional: don't let attachment to pts hinder care for others -Financial: don't accept personal gifts/exploit others Standards that apply to RN - CORRECT ANSWER--make nursing diagnosis -develop care plans -evaluate patient response to care -perform *comprehensive* assessments -delegate tasks to UAP -practice independently with BON/NPA rules -educate for all patients Standard that apply to LVN - CORRECT ANSWER--participate in planning care -assist with patient evaluation -perform *focused* assessments -implement certain aspects of care -practice as supervised -reinforce patient teaching Duty to the patient - CORRECT ANSWER-the nurse's obligation to the patient supersedes facility policies. physician orders/facility policy cannot override NPA/BON Be familiar with the Lunsford vs. BON case: - CORRECT ANSWER 6 step decision making process for nurses: Step 1 - CORRECT ANSWER-Is the activity consistent with NPA/BON rules? No: STOP Yes: Continue 6 step decision making process for nurses: Step 2 - CORRECT ANSWER-Is the activity appropriately authorized? Is there a valid order? *Is there a curent policy regarding the procedure?* No: STOP Yes: Continue 6 step decision making process for nurses: Step 3 - CORRECT ANSWER-Is it supported by nursing research? Is there a nursing organization statement supporting it? No: STOP Yes: Continue