Texas Nursing Jurisprudence Flashcards
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Questions and Answers

What are the primary resources for state law?

  • Healthcare Regulations
  • Nursing Ethics
  • Nursing Practice Acts (correct)
  • Texas Board of Nursing (correct)
  • What does Nursing Jurisprudence refer to?

    Rules, ethics, morals, and how nurses function in a healthcare setting.

    What is outlined in the Texas Nurse Practice Acts?

    Regulations for nursing education, licensure, and practice.

    What is the mission statement of the Texas BON?

    <p>To protect and promote the welfare of the people of Texas by ensuring competent nursing practice.</p> Signup and view all the answers

    What does Chapter 301 NPA cover?

    <p>Board appointment, general powers, license requirements, reporting violations, and other provisions.</p> Signup and view all the answers

    What does the Board of Nursing do?

    <p>Represents the people of Texas, enforces nursing regulations, and handles licensing.</p> Signup and view all the answers

    What is the role of Professional Associations in nursing?

    <p>They represent members and lobby for improvements in work conditions.</p> Signup and view all the answers

    What is required to initially obtain licensure by examination?

    <p>Submit a sworn application fee</p> Signup and view all the answers

    A nurse must report any past ______ behavior or pending charges.

    <p>criminal</p> Signup and view all the answers

    What are the five categories of trust as defined by the BON?

    <p>Honesty, accountability, trustworthiness, reliability, integrity.</p> Signup and view all the answers

    Good professional character includes the ability to distinguish right from ______.

    <p>wrong</p> Signup and view all the answers

    What are examples of prohibited delegation tasks in nursing?

    <p>Nursing assessments</p> Signup and view all the answers

    What defines a Good Professional Character in nursing?

    <p>Being accountable for one's behavior and promptly disclosing facts to enhance patient health.</p> Signup and view all the answers

    What must a nurse do if they question the safety of an assignment?

    <p>Clarify the task, assess changes that could occur, and state concerns to the person making the assignment.</p> Signup and view all the answers

    A Minor Incident must always be reported to the BON.

    <p>False</p> Signup and view all the answers

    What are the steps in the peer review process?

    <p>Investigation, evidence gathering, and decision made by the board.</p> Signup and view all the answers

    What is required for a nurse to invoke safe harbor?

    <p>Notify in writing before care is given.</p> Signup and view all the answers

    What are the Red Flags indicating unprofessional conduct?

    <p>Lack of energy, frequent absences, and spikes in patient need for pain medications.</p> Signup and view all the answers

    Study Notes

    Primary Resources for State Law

    • Texas Board of Nursing Nursing Practice Acts serve as primary resources.

    Nursing Jurisprudence

    • Encompasses rules, ethics, and morals guiding nurse functioning in healthcare.

    Texas Nurse Practice Acts

    • 301: Regulates nursing education, licensure, and practice.
    • 303: Addresses nursing peer review.
    • 304: Relates to the nursing licensure compact.

    Texas BON Mission Statement

    • Protects the welfare of Texans by ensuring licensed nurses are competent and safe to practice.

    Chapter 301 NPA Overview

    • Details on board appointments, powers, licensing requirements, and reporting violations.
    • Establishes prohibited practices and disciplinary actions.

    Board of Nursing (BON) Functions

    • Represents Texas citizens without lobbying power.
    • Responsible for licensing, enforcement, audits, and information services.

    Professional Associations

    • Advocate for nurses, lobbying for improved work conditions and benefits.
    • Provide job and legal referral services, salary inquiries, and assistance with employment issues.

    Licensure and Regulation Essentials

    • Temporary GN permit lasts 75 days; renewal requires 20 hours of continuing education every 2 years.
    • New nurses must submit a criminal background check and pass the NCLEX.

    Disclosure of Criminal Behavior

    • Mandatory reporting of all past criminal behavior or pending charges, with minor misdemeanors excluded.

    Five Categories of Trust by BON

    • Attributes include honesty, accountability, trustworthiness, reliability, and integrity.

    Good Professional Character Traits

    • Ability to differentiate right from wrong and honor commitments.
    • Accountability and timely disclosure of facts that could impact patient health.

    Professional Boundaries

    • Importance of maintaining boundaries in nursing practice.
    • Violations include physical, emotional, and financial exploitation.

    Nursing Peer Review Process

    • Confidential process separate from BON reviews, includes incident-based or safe harbor peer review.

    Incident-Based Peer Review Specifications

    • Required for facilities with 10+ employees; focuses on error evaluation without administrators involved.

    RN Standards of Practice

    • Involves making nursing diagnoses, developing care plans, and evaluating patient responses.

    LVN Standards of Practice

    • Engage in care planning, focused assessments, and require supervision in practice.

    Duty to Patients

    • Accept assignments suited to a nurse’s education and experience, ensuring safety.

    Assessment Steps for Activities

    • Four critical steps involve evaluating consistency with NPA, authorization, evidence-based support, and nursing competency.

    Prohibited Delegation Tasks

    • Includes nursing assessments, planning of care, and medication administration in acute care settings, with some exceptions in independent living.

    Minor Incidents and Reporting

    • Minor incidents do not pose a risk; patterns may need reporting after multiple occurrences.

    NEVER Considered Minor Incidents

    • Errors leading to patient death, serious criminal conduct, or suspected impairment.

    IBPR Due Process Rights

    • Requirement for facilities to have specific policies and procedures for peer review.

    Safe Harbor Peer Review

    • Allows nurses to refuse assignments when knowledge or ability is lacking without fear of licensure action, invoked prior to care.

    Mandatory Overtime Rules

    • Nurses can refuse mandatory overtime except during emergencies or ongoing procedures.

    Reporting Mandatory Overtime Issues

    • escalate to unit managers or staffing committees; DSHS if unresolved internally.

    Patient Abandonment Clarifications

    • Defined based on leaving the patient or employment; resignation without notice is not abandonment.

    Floating Responsibilities

    • Nurses must ensure safe care; can request training or invoke safe harbor if needed.

    Safety Concerns During Assignments

    • Nurses should communicate concerns, seek modifications, and listen to responses.

    Disciplinary Actions Overview

    • Can stem from chemical dependencies, mental illnesses, and certain prescription drugs.

    Red Flags in Nursing Practice

    • Symptoms of possible issues include lethargy, absences, and abnormal behavior, such as unusual medication documentation.

    Unprofessional Conduct Examples

    • Include drug diversion, unsafe practices, and criminal behaviors.

    Board Investigation Complaint Process

    • Nurses must respond promptly, maintain contact, and engage with the investigator during complaints.

    Nurse Responsibility During Investigations

    • Requires timely responses and updating contact information; ignoring communications from BON is not advised.

    Types of Nurse Remediation

    • Includes remedial education and supervision requirements to address shortcomings in practice.

    Filing Complaints Against Nurses

    • Any violations must be reported formally, with confidentiality upheld in the complaint process.

    Texas Nursing Jurisprudence Exam Details

    • A 50-question exam based on NPA/BON rules requiring a minimum of 75% to pass.

    Home State License Requirement

    • Nurses must hold a license in their state of permanent residence; 30 days is given to update licenses after moving.

    Party State License Compact

    • Allows nurses to practice in any party state using their home state license.

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    Description

    Test your knowledge on Texas nursing laws and ethics with these flashcards. Covering essential topics such as the Nursing Practice Acts and nursing jurisprudence, this quiz is a helpful resource for nursing students and professionals. Enhance your understanding of the responsibilities and regulations governing nursing in Texas.

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