Nursing Jurisprudence and Ethics for Texas Nurses Practice Exam

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Question: 1 / 65

In Texas, advanced practice registered nurse (APRNs) may delegate which of the following to unlicensed assistive personnel?

Activities of daily living, health maintenance activities, and nursing tasks in compliance with BON Rules 224 and 225 on RN Delegation

The option stating that APRNs may delegate activities of daily living, health maintenance activities, and nursing tasks aligns perfectly with the guidelines set forth by the Texas Board of Nursing (BON) regarding delegation. According to BON Rules 224 and 225, registered nurses (RNs) and advanced practice registered nurses (APRNs) have the authority to delegate certain tasks to unlicensed assistive personnel (UAP). Delegation in nursing involves transferring the responsibility of task completion while maintaining accountability for the outcome. In Texas, APRNs can delegate routine and familiar tasks that do not require nursing judgment or specialized skills. Activities of daily living, such as bathing, feeding, and basic hygienic tasks, are considered appropriate for delegation as they are within the purview of UAP's capabilities. In contrast, the other options refer to areas not permissible for delegation. Advanced practice skills are specifically learned for the APRN's role and require specialized training and education. Allowing unlicensed personnel to perform such skills would not meet safety and competency standards. Similarly, medical diagnosis and comprehensive nursing assessments are complex tasks that require the professional judgment and expertise of licensed nurses. Lastly, while APRNs have considerable authority, they cannot delegate any task simply because it could be performed by a

Advanced practice skills that the APRN learned in his or her advanced practice nursing program of study

APRNs can delegate anything a physician would delegate, as APRNs are educated to engage in some aspects of medical and medical management

Medical diagnosis and nursing assessment in compliance with BON Rules 224 and 225 on RN delegation

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