Nursing Jurisprudence Exam
- Texas Nurse Practice Act (NPA)
- Texas Board of Nursing (BON) Rules & Regulations
- BON Position Statements
Don't have the force of law, but the Board strongly encourages nurses to choose those position
statements applicable to their practice setting and incorporate them into their daily practice to
assure patient safety - ANS-Laws & Regulations Regarding Nursing
-Constitutional Law: Federal, State
-Statutory Law: Federal, State
-Common Law
-Administrative Law - ANS-Sources of Law
"The RN provides a unique, comprehensive assessment of the health status of the client,
applying principles of ethics, client safety, health promotion and the nursing process. The nurse
then develops and implements an explicit plan of care." (NCLEX-RN, 2013, p. 4)
Works in both structured and unstructured healthcare environments
Responsible for well-being of all patients
Functions within the scope of the NPA and Board rules - ANS-Role of RN
"unjustifiable detention of a person without legal warrant to confine the person" (client has the
right to leave AMA)
-false imprisonment accompanied by forceful restraint or threat of restraint is BATTERY. -
ANS-Intentional Tort: False Imprisonment
(A) the registered nurse or licensed vocational nurse designation;
(B) the nurse's name, certifications, academic degrees, or practice position;
(C) the name of the employing facility or agency, or other employer; or
(D) a picture of the nurse. - ANS-Although the board does not require the inclusion of any other
designations, with the exception of the specific authorization of advanced practice nurses, the
insignia may not contain information other than:
60 days prior to license expiration, the BON will mail a postcard reminder to renew online.
This is one of the reasons it is important to keep your contact information up to date! -
ANS-Renewal of Licensure
, A communication that tends to hold the plaintiff up to hatred, contempt or ridicule, or to cause
him to be shunned or avoided.
Tarnishing the reputation of someone. - ANS-Quasi-Intentional Tort: Defamation
A facility conducting incident based peer review shall: Have written policies and procedures
about peer review
Nurse must receive notice regarding the review, and have an opportunity to respond to the
notice
Nurse may have an attorney, will get feedback after the decision, and have a chance to respond
to the decision - ANS-Due Process Rights
A nurse shall report to the board if the nurse has reasonable cause to suspect that:
1. Another nurse has engaged in conduct subject to reporting; or
2. the ability of a nursing student to perform the services of the nursing profession would be, or
would reasonably be expected to be, impaired by chemical dependency. - ANS-Mandatory
Reporting Requirement
A nurse who in good faith requests Safe Harbor peer review:
1. may not be disciplined or discriminated against for making the request;
2. may engage in the requested conduct pending the peer review; and
3. may not be disciplined by the board for engaging in that conduct while the peer review is
pending. - ANS-Protections for the Nurse
A person may not practice or offer to practice professional nursing or vocational nursing in this
state unless the person is licensed [NPA § 301.251]
This section of the NPA establishes the NPA as a practice control act for RNs and LVNs -
ANS-Licensure Required
As a nurse in Texas, you have a responsibility to know and follow the Nursing Practice Act and
all applicable BON Rules and Regulations relating to your nursing practice. All current BON
Rules and Regulations and the Nursing Practice Act can be downloaded from the BON's web
site at www.bon.texas.gov - ANS-IT IS A NURSE'S RESPONSIBILITY TO KNOW NPA/RULES
AND REGULATIONS
Authorizing an unlicensed person to provide nursing services while retaining accountability for
how the unlicensed person performs the task. It does not include situations in which an
unlicensed person is directly assisting a RN by carrying out nursing tasks in the presence of a
RN [Rule 224.4 (3)].
RNs may delegate: LVNs may supervise
The RN is responsible for the evaluation of the delegated task to ensure it was completed and
completed correctly [Rule 224.3].According to the BON website, many find delegation to be a
perplexing concept with multiple nuances.
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