N4 :Exam 3 - Nursing Jurisprudence exam questions and answers.

What is nursing jurisprudence? 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? moral values, duties, and commitments of nurses in their practice The mission of TBON is to protect and promote welfare of: the people Nursing Jurisprudence Exam 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? Professional organizations Who represents the people of Texas? Texas BON Who cannot lobby legislature? Texas BON Who regulates practice settings to improve work conditions and benefits for nurses? Professional associations TBON services: licensing, enforcement services, audit of CEUs, information services Non-BON services: job referrals, legal referrals, salary questions, co-worker disputes, employment issues TBON Licensing: GN permit lasts for 75 days or until pass/fail of NCLEX TBON Licensing: Notification of license renewal You will receive postcard 60 days prior TBON Licensing: Continuing Education 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 -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: # of questions: 75 minimum, 265 maximum test is adaptive to knowledge base. TBON ID regulation 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) 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: 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: -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 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 -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 -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 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: 6 step decision making process for nurses: Step 1 Is the activity consistent with NPA/BON rules? No: STOP Yes: Continue 6 step decision making process for nurses: Step 2 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 Is it supported by nursing research? Is there a nursing organization statement supporting it? No: STOP Yes: Continue 6 step decision making process for nurses: Step 4 Do you possess the required knowledge and competency to carry out the act? No: STOP Yes: Continue 6 step decision making process for nurses: Step 5 Would a reasonable and prudent nurse perform this activity in this setting? No: STOP Yes: Continue 6 step decision making process for nurses: Step 6 Are you prepared to accept the consequences of your actions? No: STOP Yes: Perform the activity based upon valid order, in accordance with appropriately and established policies & procedures, and as safely as possible. Delegation is: authorizing UAPs to provide nursing services while retaining accountability for how the person performs the task. does not include when UAP is assisting in the presence of an RN. Assignment is: routine care, activities, and procedures that are within the scope of practice of the RN/LVN or part of routine functions of the UAP. Be familiar with the Delegation Resource information: Five Rights of Delegation 1. Right task 2. Right circumstance 3. Right person 4. Right direction/communication 5. Right supervision/evaluation What can an RN NOT delegate to LVN/UAP? Nursing assessments Plan of Care Professional Judgement/Intervention Initial Teaching Medication Admin (Including IV fluids) in acute care settings