TEXAS NURSE PRACTICE ACT AND
NURSE JURISPRUDENCE EXAM
QUESTIONS WTH 100% SOLUTIONS
defineYnurseYjurisprudenceYaccordingYtoYtheYtexasYBONY-YANS--
JurisprudenceYisYtheYscienceYorYphilosophyYofYlaw.YTheYTexasYNurseYPracticeYActYandYt
heYTexasYBoardYofYNursingYRulesYandYRegulationsYRelatingYtoYNurseYEducation,YLicen
sure,YandYPracticeYareYtheYlawsYthatYgovernYtheYpracticeYofYnursingYpracticeYinYTexas.Y
YourYnursingYpracticeYisYdirectlyYaffectedYbyYyourYabilityYtoYmakeYinformedYdecisionYwith
inYtheYparametersYofYtheseYlaws.YYouYneedYtoYknowYhowYtheYrulesYapplyYtoYyou,YandYth
enYapplyYthemYinYyourYnursingYpractice.
stateYtheYreasonYnewYnursesYmustYtakeYandYpassYtheYnurseYjurisprudenceYexamYtoYrec
eiveYtheirYlicenseYtoYpracticeYprofessionalYnursingYinYTexasY-YANS--
BONYstaffYhaveYheardYnursesYwhoYwereYdisciplinedYbyYtheYboardYproclaimY"IfYonlyYiYhad
YknownYandYunderstoodYaboutYmyY'dutyYtoYtheYpatient'YunderYtheYNPAYandYboardYrulesYI
YwouldYhaveYnotYgottenYintoYtroubleYwithYtheYBON"
identifyYseveralYtopicsYcoveredYonYtheYnurseYjurisprudenceYexamY-YANS---
licensureYandYregulation
-ethics
-practice
-peerYreviews
-disciplinaryYaction
makeYandYacceptYassignmentsY
-nursesYmustYtakeYintoYconsiderationYtheYstaffYperson's:Y
educationalYpreparation,
experience,
knowledgeYandY
physicalYandYemotionalYability
exploreYimplicationsYforYpracticeYfromYruleY217.11YstandardsYofYnursingYpracticeYfromYth
eYTexasYNurseYPracticeYActY-YANS--
RuleY217.11YisYtheYfoundationYforYallYotherYstandards:
"Y...maintainYaYsafeYenvironmentYforYclientsYandYothers"Y
*thisYstandardYsupersedesYanyYphysicianYorder,YfacilityYpolicy,YorYadministrativeYdirectiv
e
, exploreYconditionsYunderYwhichYtheYnurse'sYdutyYtoYaYpatientYbeginsY-YANS--
YouYunderstandYtheYminimumYstandardsYofYcareYonceYyouYreceiveYyourYnursingYlicense
Y
-NursesYdutyYtoYaYpatient:
*beginsYwhenYthereYisYaYrelationshipYestablishedYbetweenYtheYnurseYandYtheYpatient
*beginsYwhenYtheYnurseYhasYaYresponsibilityYforYaYpatient
*doesn'tYbeginYwithYaYsingleYeventY(clockingYin)
*whenYaYnurseYknowsYorYshouldYhaveYknownYthatYaYsituationYpotentially
discussYtheYprocessYofYsafeYharborY-YANS---CompleteYquickYrequestYfirstY
-thenYbeforeYtheYshiftYendsYcompleteYtheYcomprehensiveYone
mandatoryYovertime:
-aYhospitalYisYprohibitedYfromYschedulingYmandatoryYovertime
-onYcallYtimeYcannotYbeYusedYtoYproduceYmandatoryYovertime
-
exceptions:Ydisaster,YstateYofYemergency,YunforeseenYevent,YnurseYisYdoingYaYprocedur
eYandYcannotYleave(patientYsafety)
retaliationYbyYtheYhospitalYisYprohibited
theYnurseYshouldYinvokeYsafeYharborYwhenYaskedYtoYacceptYanYassignmentYthatYisYunsa
feYorYoutsideYofYherYknowledge,Yskills,Yphysical/emotionalYabilities
safeYharborYappliesYtoYallYnursesYwhenYtheYnurseYbelievesYanYassignmentYmayYplaceYp
atientsYatYriskYofYharm,YthusYviolatingYtheYnurses'YdutyYtoYaYpatient
identifyYsituationsYwhenYtheYPeerYReviewYCommitteeYmightYbeYactivatedY-YANS--
peerYreview
twoYtypes-
*safeYharbor
*incidentYbased
Y-YevalYofYnursingYcareYprovided
Y-YevalYofYnursesYqualifications
Y-YdeterminationYonYtheYcomplaintYaboutYnursingY
Ycare
listYspecificYactsYidentifiedYasYunprofessionalYconductYbyYtheYNurseYPracticeYActY-
YANS--*unsafeYpractice-
YdelegatingYorYassigningYnursingYfunctionsYwhenYthisYcouldYreasonablyYexpectYtoYresultY
inYunsafeYcare
*unsafeYpractice-YacceptingYthoseYassignmentsYthatYcouldYresultYinYunsafeYcare
*failingYtoYsuperviseYdelegatedYtask
*carelessYconductYthatYmayYendangerYaYclient
*falsifyingYrecords
*violatingYprofessionalYboundaries
*drugYdiversion
NURSE JURISPRUDENCE EXAM
QUESTIONS WTH 100% SOLUTIONS
defineYnurseYjurisprudenceYaccordingYtoYtheYtexasYBONY-YANS--
JurisprudenceYisYtheYscienceYorYphilosophyYofYlaw.YTheYTexasYNurseYPracticeYActYandYt
heYTexasYBoardYofYNursingYRulesYandYRegulationsYRelatingYtoYNurseYEducation,YLicen
sure,YandYPracticeYareYtheYlawsYthatYgovernYtheYpracticeYofYnursingYpracticeYinYTexas.Y
YourYnursingYpracticeYisYdirectlyYaffectedYbyYyourYabilityYtoYmakeYinformedYdecisionYwith
inYtheYparametersYofYtheseYlaws.YYouYneedYtoYknowYhowYtheYrulesYapplyYtoYyou,YandYth
enYapplyYthemYinYyourYnursingYpractice.
stateYtheYreasonYnewYnursesYmustYtakeYandYpassYtheYnurseYjurisprudenceYexamYtoYrec
eiveYtheirYlicenseYtoYpracticeYprofessionalYnursingYinYTexasY-YANS--
BONYstaffYhaveYheardYnursesYwhoYwereYdisciplinedYbyYtheYboardYproclaimY"IfYonlyYiYhad
YknownYandYunderstoodYaboutYmyY'dutyYtoYtheYpatient'YunderYtheYNPAYandYboardYrulesYI
YwouldYhaveYnotYgottenYintoYtroubleYwithYtheYBON"
identifyYseveralYtopicsYcoveredYonYtheYnurseYjurisprudenceYexamY-YANS---
licensureYandYregulation
-ethics
-practice
-peerYreviews
-disciplinaryYaction
makeYandYacceptYassignmentsY
-nursesYmustYtakeYintoYconsiderationYtheYstaffYperson's:Y
educationalYpreparation,
experience,
knowledgeYandY
physicalYandYemotionalYability
exploreYimplicationsYforYpracticeYfromYruleY217.11YstandardsYofYnursingYpracticeYfromYth
eYTexasYNurseYPracticeYActY-YANS--
RuleY217.11YisYtheYfoundationYforYallYotherYstandards:
"Y...maintainYaYsafeYenvironmentYforYclientsYandYothers"Y
*thisYstandardYsupersedesYanyYphysicianYorder,YfacilityYpolicy,YorYadministrativeYdirectiv
e
, exploreYconditionsYunderYwhichYtheYnurse'sYdutyYtoYaYpatientYbeginsY-YANS--
YouYunderstandYtheYminimumYstandardsYofYcareYonceYyouYreceiveYyourYnursingYlicense
Y
-NursesYdutyYtoYaYpatient:
*beginsYwhenYthereYisYaYrelationshipYestablishedYbetweenYtheYnurseYandYtheYpatient
*beginsYwhenYtheYnurseYhasYaYresponsibilityYforYaYpatient
*doesn'tYbeginYwithYaYsingleYeventY(clockingYin)
*whenYaYnurseYknowsYorYshouldYhaveYknownYthatYaYsituationYpotentially
discussYtheYprocessYofYsafeYharborY-YANS---CompleteYquickYrequestYfirstY
-thenYbeforeYtheYshiftYendsYcompleteYtheYcomprehensiveYone
mandatoryYovertime:
-aYhospitalYisYprohibitedYfromYschedulingYmandatoryYovertime
-onYcallYtimeYcannotYbeYusedYtoYproduceYmandatoryYovertime
-
exceptions:Ydisaster,YstateYofYemergency,YunforeseenYevent,YnurseYisYdoingYaYprocedur
eYandYcannotYleave(patientYsafety)
retaliationYbyYtheYhospitalYisYprohibited
theYnurseYshouldYinvokeYsafeYharborYwhenYaskedYtoYacceptYanYassignmentYthatYisYunsa
feYorYoutsideYofYherYknowledge,Yskills,Yphysical/emotionalYabilities
safeYharborYappliesYtoYallYnursesYwhenYtheYnurseYbelievesYanYassignmentYmayYplaceYp
atientsYatYriskYofYharm,YthusYviolatingYtheYnurses'YdutyYtoYaYpatient
identifyYsituationsYwhenYtheYPeerYReviewYCommitteeYmightYbeYactivatedY-YANS--
peerYreview
twoYtypes-
*safeYharbor
*incidentYbased
Y-YevalYofYnursingYcareYprovided
Y-YevalYofYnursesYqualifications
Y-YdeterminationYonYtheYcomplaintYaboutYnursingY
Ycare
listYspecificYactsYidentifiedYasYunprofessionalYconductYbyYtheYNurseYPracticeYActY-
YANS--*unsafeYpractice-
YdelegatingYorYassigningYnursingYfunctionsYwhenYthisYcouldYreasonablyYexpectYtoYresultY
inYunsafeYcare
*unsafeYpractice-YacceptingYthoseYassignmentsYthatYcouldYresultYinYunsafeYcare
*failingYtoYsuperviseYdelegatedYtask
*carelessYconductYthatYmayYendangerYaYclient
*falsifyingYrecords
*violatingYprofessionalYboundaries
*drugYdiversion