Actual NSRG 2221 TEXAS MD jurisprudence
Preparation Test Exam with Thorough and Correct
Answers Updated 2025/2026
Do you need consent for HIV testing correct answer
Consent for HIV testing is required except when it's necessary (needle
stick; person is a suspected rapist; person is getting surgery or is a needle-
stick risk and they have high-risk behavior/etc.) In fact, all needle sticks
require subsequent testing for HIV, hep b, and hep c.
Voluntary psychiatric admission can be done by who correct answer
- a parent/guardian can "volunteer" their child under 16 for "voluntary"
admission.
- after 16, the child must also consent to voluntary admission.
- adults over 18 can obviously admit themselves.
- (no consent is required for involuntary admission. That's because it's
involuntary.)
What is a apoww (apprehension by a peace officer without warrant)
correct answer what are the timelines for evaluation correct answer
An apoww (apprehension by a peace officer without warrant) is filed by the
police when there is suspicion for risk of injury to self or others.
A physician must physically evaluate the patient within 12 hours (unlike 72
hours for a voluntary admission).
A psychiatrist must then clear the apoww within 48 hours or file for an opc
(order of protective custody) to be issued by a judge. Emergency detention
must only be used if the patient is an imminent risk and it is deemed the
least restrictive means for safety.
When can restraints be used correct answer
Only if there is an immediate danger to self or others.
,Physician must document necessity when using restraints or administering
non-consented psychoactive medications (i.e. Emergency antipsychotics /
sedatives)
How long does an order of protective custody last correct answer what
happens next correct answer what can the patient request correct
answer after how long can you files for indefinite commitment correct
answer
Can a patient refuse psychoactive medications correct answer
- a temporary hospitalization under a judge-issued order of protective
custody (opc) lasts up to 30 days, after which one has to file for a 90-day
commitment.
The patient has the right to request a probable cause hearing within 72
hours to try to get released.
- can file for indefinite commitment after 60 days
- the court orders for involuntary admission and for mandatory psychoactive
medications are separate. A patient can be committed but able to refuse
medications, and another can be an outpatient but obliged to take meds.
When is electroconvulsive therapy available correct answer who can
consent correct answer
Ect is always voluntary and available starting at age 16.
Only physicians can perform ect.
Ect cannot be performed by court order or against patient wishes.
Written consent must be obtained before every session (an extreme legal
consent requirement you can thank one flew over the cuckoo's nest for).
, The only exception to patients being required to consent for ect themselves
is when there is a court-appointed guardian acting on their behalf (not just a
medical power of attorney).
Do you have a duty to report potential harm to a third party correct answer
No.
Texas is not a "tarasoff" state.
In fact, it is a breach of confidentiality and thus against the law to inform a
third party directly.
You can however tell law enforcement; this is the permissive element of the
statute.
Do texas physicians need to report an epilepsy patient's inability to drive to
the state authorities correct answer
No.
Who can file for court-ordered treatment of substance-use correct answer
- any adult can file an application for court-ordered treatment of another
person (perhaps for when your family "intervention" fails)
- after two physicians examine the patient to assess for chemical
dependency, the court then conducts the hearing.
Prenatal and perinatal testing laws
What must be tested for correct answer
- hiv, syphilis, and hep b must be tested for at the first pregnancy exam visit
and again at delivery
- the neonatal state screen (55 disorders including
pku/hiv/hypothyroidism/sickle cell), prophylaxis for ophthalmia neonatorum
(eye drops/goop), and a hearing exam must be provided after birth (but do
require parental consent).
Preparation Test Exam with Thorough and Correct
Answers Updated 2025/2026
Do you need consent for HIV testing correct answer
Consent for HIV testing is required except when it's necessary (needle
stick; person is a suspected rapist; person is getting surgery or is a needle-
stick risk and they have high-risk behavior/etc.) In fact, all needle sticks
require subsequent testing for HIV, hep b, and hep c.
Voluntary psychiatric admission can be done by who correct answer
- a parent/guardian can "volunteer" their child under 16 for "voluntary"
admission.
- after 16, the child must also consent to voluntary admission.
- adults over 18 can obviously admit themselves.
- (no consent is required for involuntary admission. That's because it's
involuntary.)
What is a apoww (apprehension by a peace officer without warrant)
correct answer what are the timelines for evaluation correct answer
An apoww (apprehension by a peace officer without warrant) is filed by the
police when there is suspicion for risk of injury to self or others.
A physician must physically evaluate the patient within 12 hours (unlike 72
hours for a voluntary admission).
A psychiatrist must then clear the apoww within 48 hours or file for an opc
(order of protective custody) to be issued by a judge. Emergency detention
must only be used if the patient is an imminent risk and it is deemed the
least restrictive means for safety.
When can restraints be used correct answer
Only if there is an immediate danger to self or others.
,Physician must document necessity when using restraints or administering
non-consented psychoactive medications (i.e. Emergency antipsychotics /
sedatives)
How long does an order of protective custody last correct answer what
happens next correct answer what can the patient request correct
answer after how long can you files for indefinite commitment correct
answer
Can a patient refuse psychoactive medications correct answer
- a temporary hospitalization under a judge-issued order of protective
custody (opc) lasts up to 30 days, after which one has to file for a 90-day
commitment.
The patient has the right to request a probable cause hearing within 72
hours to try to get released.
- can file for indefinite commitment after 60 days
- the court orders for involuntary admission and for mandatory psychoactive
medications are separate. A patient can be committed but able to refuse
medications, and another can be an outpatient but obliged to take meds.
When is electroconvulsive therapy available correct answer who can
consent correct answer
Ect is always voluntary and available starting at age 16.
Only physicians can perform ect.
Ect cannot be performed by court order or against patient wishes.
Written consent must be obtained before every session (an extreme legal
consent requirement you can thank one flew over the cuckoo's nest for).
, The only exception to patients being required to consent for ect themselves
is when there is a court-appointed guardian acting on their behalf (not just a
medical power of attorney).
Do you have a duty to report potential harm to a third party correct answer
No.
Texas is not a "tarasoff" state.
In fact, it is a breach of confidentiality and thus against the law to inform a
third party directly.
You can however tell law enforcement; this is the permissive element of the
statute.
Do texas physicians need to report an epilepsy patient's inability to drive to
the state authorities correct answer
No.
Who can file for court-ordered treatment of substance-use correct answer
- any adult can file an application for court-ordered treatment of another
person (perhaps for when your family "intervention" fails)
- after two physicians examine the patient to assess for chemical
dependency, the court then conducts the hearing.
Prenatal and perinatal testing laws
What must be tested for correct answer
- hiv, syphilis, and hep b must be tested for at the first pregnancy exam visit
and again at delivery
- the neonatal state screen (55 disorders including
pku/hiv/hypothyroidism/sickle cell), prophylaxis for ophthalmia neonatorum
(eye drops/goop), and a hearing exam must be provided after birth (but do
require parental consent).
