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How can revisions to the Nursing Practice Act (NPA) in Texas be made?

  1. By executive order

  2. Through civil lawsuits

  3. By public referendum

  4. Bills passed by the Texas Legislature

The correct answer is: Bills passed by the Texas Legislature

Revisions to the Nursing Practice Act (NPA) in Texas can be made by bills passed by the Texas Legislature. The Nursing Practice Act is a state law that governs the practice of nursing in Texas, outlining the scope of practice, standards of care, licensing requirements, and disciplinary procedures for nurses. Since the NPA is a statutory law, any changes or revisions to it must be made through the legislative process, which involves the introduction, debate, and approval of bills by the Texas Legislature. This ensures that any modifications to the NPA are carefully considered and officially enacted as part of the state's legal framework. Options A, B, and C are incorrect because the Nursing Practice Act cannot be revised through executive order, civil lawsuits, or public referendum. This is because the NPA is a statutory law that falls under the jurisdiction of the legislative branch of government, specifically the Texas Legislature, which has the authority to make and amend laws through the formal legislative process.