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Nursing Jurisprudence and Ethics for Texas Nurses – Texas Nursing Course – Academic Year – Lecture Summary

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This document covers the legal and ethical principles governing nursing practice in Texas, including jurisprudence, professional accountability, and regulatory frameworks. It focuses on key topics such as the Texas Nursing Practice Act, patient rights, standards of care, and ethical decision-making. The material is useful for exam preparation and understanding professional responsibilities in clinical settings.

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NURSING JURISPRUDENCE AND ETHICS
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NURSING JURISPRUDENCE AND ETHICS

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NURSING JURISPRUDENCE AND
ETHICS FOR TEXAS NURSES EXAM
WITH VERIFIED QUESTIONS AND
ANSWERS
According to BON Position Statement 15.24 Engaging in Reinsertion of Permanently Placed Feeding
Tubes, it would be within the scope of practice for a nurse to replace a gastrostomy tube provided that



A. the tube has been in place for 8-12 weeks, the nurse has a physician's order to replace the tube, and
the nurse has completed specific competency training to safely replace the tube.

B. the tube has been in place for 8-12 weeks, the facility policy allows replacement of a tube with a
specific physician's order, and the nurse has not completed the required skills check-off.

C. the tube has been in place for 4-6 weeks and the nurse observed a supervisor completed the
procedure.

D. the tube has been in place 4-6 weeks and the nurse as been determined to be competent in
reinserting permanently placed tubes that have an established fistulous tract. - ANSWERSA. the tube has
been in place for 8-12 weeks, the nurse has a physicians to replace the tube, and the nurse has
completed specific competency training to safely replace the tube.



The BON differs from nursing and healthcare specialty associations since the BON



A. lobbies for legislation favorable to the practice of nursing.

B. sets criteria for evaluating nursing career ladders.

C. offers liability insurance at discounted rates for members

D. protects and promotes the welfare of the people of Texas - ANSWERSD. protects and promotes the
welfare of the people of Texas.



The Standards of Nursing Practice, Board Rule 217.11 state that the LVN scope of practice includes
including doing which of the following with regard to care plans?

,A. Initiate the development of a comprehensive nursing care plan independently

B. May not document on the nursing care plan

C. Participate in the modification and development of the nursing care plan.

D. Review the nursing care plan only if directed to do so by the physician. - ANSWERSC. Participate in the
modification and development of the nursing care plan.



A nurse who contacts a physician to clarify a medication order is



A. fulfilling a duty to keep the patient safe.

B. likely to detract from a collegial nurse-physician relationship.

C. engaging in action that is the duty of the pharmacist.

D. not fulfilling nursing tasks with other patients. - ANSWERSA. fulfilling a duty to keep the patient safe.



Nurses often ask the Board about what it means to abandon their patients. Though the Board does not
use this term in the rules, what specific portion of Board Rule 217.12, Unprofessional Conduct, provides
directions for the nurse regarding job abandonment and conduct that may also be Board-reportable?



A. Paragraph (5)

B. Paragraph (7)

C. Paragraph (12)

D. Paragraph (8) - ANSWERSC. Paragraph (12)



Which of the following situations is an example of a nurse MAINTAINING appropriate professional
boundaries between the nurse and the client? A nurse

, A. rewards a patient with a small stuffed mascot of his favorite football team for progress made in
rehabilitation.

B. responds less frequently to a demanding patient's call light.

C. shares personal information regarding her recent bankruptcy because the patient seems genuinely
interested.

D. is personally attracted to a patient and calls and visits him on her days off "to check on how he is
doing." - ANSWERSA. rewards a patient with a small stuffed mascot of his favorite football team for
progress made in rehabilitation.



Am advertisement for a "licensed nurse" states the following as routine job responsibilities. "Must work
independently without supervision, have expertise in developing nursing care plans, including
establishing appropriate nursing diagnoses for assigned patients, and, must be able to complete
comprehensive nursing assessments." Based on these responsibilities, this advertisement would require,
at a minimum, the nurse to hold a valid



A. Advanced Practice Registered Nurse license.

B. Physician Assistant license.

C. Vocational Nurse license.

D. Registered Nurse license. - ANSWERSD. Registered Nurse license.



A nurse is caught stealing narcotics from the automated dispensing machine on the unit and self-
injecting these drugs while on duty. The nurse admits that she is chemically dependent. In this situation,
the NPA requires



A. the nurse be reported to the BON.

B. the Peer Review Committee to monitor the nurse's practice.

C. the nurse to enroll in the Texas Peer Assistance Program for Nurses (TPAPN).

D. a report to law enforcement. - ANSWERSB. the Peer Review Committee to monitor the nurse's
practice.

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