TEXAS NURSING JURISPRUDENCE PRACTICE EXAM TEST LATEST

TEXAS NURSING JURISPRUDENCE PRACTICE EXAM TEST LATEST 2023- 2024 Nursing jurisprudence - CORRECT ANSWER-application of the principles of law as they relate to the practice of nursing, to the obligations of nurses to their patients and to the relations of nurses with each other and with other health care professionals` NPA - CORRECT ANSWER-. peer review . Nurse licensure compact . defines its responsibility for regulating nursing education, licensure, and practice What is the primary responsibilities of the Texas Board of Nursing? - CORRECT ANSWER-. Protecting the interest of the public BON - CORRECT ANSWER-. Represent people of Texas . Can not lobby the lefislature . Does not regulate practice settings Professional Associations - CORRECT ANSWER-. Represent their members . Do lobby the legislature . Efforts to improve work conditions and benefits for nurses BON services - CORRECT ANSWER-. Licensing . Enforcement Services . Audit of CE . Information Services Not BON services - CORRECT ANSWER-. Job Referral services . Legal Referral . salary Question . Co worker disputes . Employment issues Temporary permit - CORRECT ANSWER-. GN permit expires in 75 days . When pass or fail NCLEX Renew ONLIne - CORRECT ANSWER-60 days prior to expiration BON will send postacard Continuing Education - CORRECT ANSWER-. Must complete 20 hours in 2 years . First time renewal exempt . CE hours must be in area of practice . Keep records for 4 years Ethical Conduct - CORRECT ANSWER-. Honesty . Accountability . Trustworthiness . Reliability . Integrity Peer Review - CORRECT ANSWER-. employer must establish a peer review committee if they regularly employ, hire or contracts more than 10 nurses. The employer must establish policies and procedures governing the peer review committee process . committee will evaluate nursing services, qualifications of a nurse and the quality of care provided by a nurse and the merits of a complaint. . committee will determine whether the incident needs to be reported to the BON . Incident based (whistle blower) . Safe harbor Standards that apply to RN - CORRECT ANSWER-. Make nursing diagnosis . Develop nursing care plan . Evaluate pt resonse to nursing care . Perform comprehensive assessment . Delegate tasks to unlicensed personnel . Practice independently within the NPA and Board rules . Education to care for all patients Standards that apply to LVN - CORRECT ANSWER-. Participate in pllaning of nursing care . Assist in evaluating pt response to tx . Complete focused nursing assessment . Implement appropriate aspects of nursing care . Practice must be supervised . Educated to care for patients with stable and predictable conditions Step 1 - CORRECT ANSWER-. Is the activity consistent w/ the NPA and Board rules? if no stop, if yes continue to next step Step 2 - CORRECT ANSWER-. Is the activity appropriately authorised? . Is there a valid order, if necessary? . Does a current policy exist regarding the procedure? . Clarify any questionable orders? If no, stop. if yes, go to next step Step 3 - CORRECT ANSWER-. Is it supported by nursing research? . Has a national nursing organization issued a position statement supporting engaging in this practices? Step 4 - CORRECT ANSWER-. Do you possess the required knowledge and competency to carry out the act? Step 5 - CORRECT ANSWER-. Would a reasonable and prudent nurse perform this activity in this setting? Step 6 - CORRECT ANSWER-. Are you prepared to accept the consequences of your actions? 5 Rights of Delegation - CORRECT ANSWER-. Right task . Right Circumstances . Right Person . Right Directions/Communication . Right supervision/evaluation Prohibited tasks to delegate - CORRECT ANSWER-. Nursing assessments . Plan of Care . Professional Judgment and Intervention . Responsibility for Initial teaching . Medication Administration, including IV fluids - Prohibited in acute care settings - May be delegated in independent living situations Minor Incidents - CORRECT ANSWER-. Conduct that does not indicate the nurse's continuing to practice professional nursing poses a risk of harm to the client or other person Exclusion to MI rule - CORRECT ANSWER-. A nurse involved in a minor incident need not be reported to teh board unless the conduct indicates the nurse: . creates a significant risk of physical, emotional or financial harm to the client . Lacks a conscientious apporach or accountability . Lacks knowledge and competency and can not be easily remediated . Pattern of multiple minor incidents - five minor incidents w/n a 12 month period-reported to peer review Never a minor incident - CORRECT ANSWER-. error that contributed to a patient's death or serious harm . criminal conduct . serious violation of unprofessional conduct . a practice related violation involving impairment or suspected impairment by reason of chemical dependency Which nurse must be reported to the BON? - CORRECT ANSWER-. a nurse who misses a 0900 stool softener and is suspected of chemical abuse Safe Harbor - CORRECT ANSWER-. Allows a nurse to accept an assignment and provide the best care they are capable of w/o fear of licensure action if they make a practice error . Does not protect the nurse from civil action . Before refusing an assignment, must recognize that the patient comes first . Must be invoked BEFORE engaging in the activity . Must notify supervisor in writing . Supervisor may not refuse to accept . May use Quick Request Form to make initial written request . Comprehensive Written Request must be completed before leaving the work setting Safe harbor refusal of assignment - CORRECT ANSWER-. may refuse an assignment if he/she lacks the basic knowledge and ability that would be necessary to render care . assignment would constitute unprofessional behavior such as fraud, theft, patient abuse or falsification Quick Request Form - CORRECT ANSWER-. Nurse/s name and signature . Date and time of the request . Location of where the assignment is to be completed . The name of the person making the assignment . Abrief explanation of why safe harbor is being requested Safe Harbor Chain after Nurse Completion - CORRECT ANSWER-1. Nurse supervisor or administrator who made the assignment or gave the directive in question 2. nurse administrator 3. peer review committee 4. the physician who reviews the medical reasonableness of any physician's order 5. nurse administrator who reviews the peer review findings or acts in response to them 6. nurse who initiated the request Mandatory Overtime - CORRECT ANSWER-. Permits nurses to refuse to work overtime . Defined as a requirement to work days or hours that are in addition to the hours or days scheduled regardless of the length of a scheduled shift or the number of scheduled shifts each week . Time immediately before or after shift is NOT included . Pre scheduled and compensated on cal time is NOT included Mandatory overtime NOT prohibited when... - CORRECT ANSWER-. An ongoing procedure requires a nurse's presence . During a disaster . In certain emergencies